Sommario
La diagnosi di PCOS presenta molti problemi aperti, di non facile soluzione. Nessun elemento su cui si basa la diagnosi nella donna adulta è obbligatorio o specifico e la diagnosi è di esclusione. In adolescenza la diagnosi richiede particolare cautela. I problemi maggiori riguardano l’accertamento dell’iperandrogenismo. Anche la valutazione della morfologia ovarica presenta criticità, soprattutto per l’evoluzione tecnologica degli strumenti, che condiziona i valori di cutoff.
Abstract
PCOS diagnosis is made difficult by a number of open problems, not easy to be addressed. No elements used for diagnosis in adult women are necessary or specific, and PCOS is a diagnosis of exclusion. In adolescents, special caution is needed. The main problems are those regarding detection of hyperandrogenism. Assessment of ovarian morphology is another critical issue, especially due to the technological progress of devices, which affects the cutoff values.
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Moghetti, P. La diagnosi della sindrome dell’ovaio policistico: problemi ancora aperti. L'Endocrinologo 25, 27–34 (2024). https://doi.org/10.1007/s40619-023-01406-3
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DOI: https://doi.org/10.1007/s40619-023-01406-3
Parole chiave
- PCOS
- Criteri diagnostici
- Iperandrogenismo
- Morfologia policistica dell’ovaio
- Anovulazione
- Disfunzione mestruale