Review Article

Metabolism and Ovarian Function in PCOS Women: A Therapeutic Approach with Inositols

Table 1

Diagnostic criteria of PCOS according to different definitions.

NIH
(1990)
necessary 2 criteria
Rotterdam criteria
(2003)
necessary at least 2 criteria
Androgen Excess PCOS Society
(2009)
necessary at least 2 criteria

Clinical hyperandrogenism or biochemical hyperandrogenismObligatory presencePossible presenceObligatory presence

Oligo/anovulation may manifest with frequent or infrequent bleeding, respectively, at <21 days or >35 days Rarely cycles may be anovulatory despite regular bleeding Obligatory presencePossible presencePossible presence

Ultrasound polycystic ovarian features: presence of 12 or more follicles 2–9 mm in diameter and/or increased ovarian volume >10 mL (without dominant follicle) in either ovaryPossible presencePossible presence