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Subgroups of polycystic ovary syndrome
1. Subgroups of Polycystic Ovary Syndrome
Dr.Burak HACIHANEFİOĞLU
BH KADIN SAĞLIĞI ARAŞTIRMA-TEDAVİ & POLİKİSTİK OVER MERKEZİ
Büyükdere Cad. Melek Ap. No:17 Kat:3
Şişli / İstanbul
Tel: (212) 296 78 95 - (212) 296 78 96
Gsm : 0530 561 89 96
Subgroups of polycystic ovary syndrome are defined by three criteria;
1-Status of male hormones
2-Egg growth and ovulation
3-Appearance of ovaries on ultrasound examination
The women with polycystic ovary syndrome are divided into three subgroups
(A,B,C).The main characteristics and typical examples of these subgroups
were described below;
GROUP-A
Group A is divided into two subgroups (A1, A2);
2. A1
- Symptoms of hyperandrogenism such as excessive male type hair growth,
acne, oily skin, male type alopecia and /or increased blood levels of male
hormones,
- Egg does not grow which causes cancellation of ovulation and
periods or growth of egg slows down which causes delayed ovulation and
periods,
- Appearance of polycystic ovaries on ultrasound examination
Example; She is 168 cm tall and weighs 85 kg, having increased hair growth
on chin, neck, inner parts of thighs, periods every 2-3 months, increased
blood levels of male hormones (testosterone, etc.), insulin resistance (+) and
polycystic ovaries on ultrasound examination
A2
- Symptoms of hyperandrogenism such as excessive male type hair growth,
acne, oily skin, male type alopecia and /or increased blood levels of male
hormones,
- Egg does not grow which causes cancellation of ovulation and
periods or growth of egg slows down which causes delayed ovulation and
periods,
- Appearance of normal ovaries on ultrasound examination
Example; She is 165 cm tall and weighs 53 kg, having increased hair growth
on abdomen, around nipple region, and between breasts, periods every 2-3
months,normal blood levels of male hormones (testosterone, etc.), insulin
resistance (+) and normal ovaries on ultrasound examination
3. GROUP-B
- There are no symptoms of hyperandrogenism such as excessive male type
hair growth, acne, oily skin, male type alopecia and /or increased blood
levels of male hormones,
- Egg does not grow which causes cancellation of ovulation and
periods or growth of egg slows down which causes delayed ovulation and
periods,
- Appearance of polycystic ovaries on ultrasound examination
Example; She is 163 cm tall and weighs 82 kg, having no increase in hair
growth, periods every 3-4 months, normal blood levels of male hormones
(testosterone, etc.), insulin resistance (+) and polycystic ovaries on
ultrasound examination
GROUP-C
- Symptoms of hyperandrogenism such as excessive male type hair growth,
acne, oily skin, male type alopecia and /or increased blood levels of male
hormones,
- Egg grows which results in ovulation and periods or growth of egg does
not slow down which results in regular ovulation and periods,
- Appearance of polycystic ovaries on ultrasound examination
Example; She is 168 cm tall and weighs 54 kg, having increased hair growth
on chin, back, shoulder, inner and outer parts of thighs, regular periods once
every month, increased blood levels of male hormones (testosterone, etc.),
insulin resistance (-) and polycystic ovaries on ultrasound examination