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. 2021 May 28;13(6):1848. doi: 10.3390/nu13061848

Table 1.

Diagnostic Criteria for PCOS in Adolescents [18,19,32].

Required

  • Ovulatory dysfunction:

    Abnormal menstrual pattern for age/gynecologic age, persistent for 1–2 years, as:
    • -
      Amenorrhea or
    • -
      Oligomenorrhea or
    • -
      Excessive uterine bleeding
and
  • Hyperandrogenism:
    • -
      Biochemical: elevation of total/free serum testosterone or
    • -
      Clinical: moderate–severe hirsutism
Not Recommended

  • PCOM

  • Obesity

  • IR/hyperinsulinism

  • Severe cystic acne

  • Biomarkers (AMH, T/DHT)

PCOM = polycystic ovarian morphology; AMH = anti-Müllerian hormone; T = testosterone; DHT = dihydrotestosterone.