Diagnosis and management of polycystic ovary syndrome

Polycystic ovary syndrome (PCOS) is a common, heterogeneous condition of ovarian dysfunction in women during their reproductive years. It is often associated with chronic anovulatory infertility and hyperandrogenism.¹ The incidence of this condition can be up to 20%. However, this may vary according to ethnicity. For example, there is a higher prevalence of PCOS among South East Asian women and they generally have more severe symptoms. PCOS can be diagnosed in up to 10% of women attending gynaecology outpatient clinics. However, the incidence may be much higher. Diagnosis rates depend on which criteria are used.

PCOS is often associated with hirsutism or acne, infertility, weight gain, endometrial hyperplasia, as well as an increased risk of type 2 diabetes and cardiovascular disease.²