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. 2016 Jul 26;37(5):467–520. doi: 10.1210/er.2015-1104

Table 1.

Diagnostic Criteria for PCOS

Adult Diagnostic Criteria (Rotterdam)
Otherwise unexplained alternative phenotypes:

  1. Phenotype 1 (classic PCOS)a

    1. Clinical and/or biochemical evidence of hyperandrogenism

    2. Evidence of oligo-anovulation

    3. Ultrasonographic evidence of a polycystic ovary

  2. Phenotype 2 (Essential NIH Criteria)a

    1. Clinical and/or biochemical evidence of hyperandrogenism

    2. Evidence of oligo-anovulation

  3. Phenotype 3 (ovulatory PCOS)a

    1. Clinical and/or biochemical evidence of hyperandrogenism

    2. Ultrasonographic evidence of a polycystic ovary

  4. Phenotype 4 (nonhyperandrogenic PCOS)

    1. Evidence of oligo-anovulation

    2. Ultrasonographic evidence of a polycystic ovary

Adolescent Diagnostic Criteria
Otherwise unexplained combination of:

  1. Abnormal uterine bleeding pattern

    1. Abnormal for age or gynecologic age

    2. Persistent symptoms for 1–2 y

  2. Evidence of hyperandrogenism

    1. Persistent testosterone elevation above adult norms in a reliable reference laboratory is the best evidence

    2. Moderate-severe hirsutism is clinical evidence of hyperandrogenism

Modified from Rosenfield, The diagnosis of polycystic ovary syndrome in adolescents. Pediatrics. 2015;136:1154–1165 (50).

a

AE-PCOS recognizes only hyperandrogenic phenotypes.