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What is the meaning of Rotterdam criteria?

Published in PCOS Diagnosis 1 min read

The Rotterdam criteria are a set of diagnostic criteria used to identify Polycystic Ovary Syndrome (PCOS).

Rotterdam Criteria Explained

According to the Rotterdam consensus, PCOS is diagnosed if a woman exhibits at least two out of the three following criteria:

  • Oligo-anovulation: Irregular or absent ovulation.
  • Hyperandrogenism: Clinical or biochemical signs of high androgen levels (e.g., hirsutism, acne, or elevated testosterone levels).
  • Polycystic Ovaries: The presence of 12 or more follicles measuring 2-9 mm in diameter and/or an ovarian volume of 10 mL or greater in at least one ovary, as seen on ultrasound.
Criteria Description
Oligo-anovulation Infrequent or absent ovulation, leading to irregular or missed periods.
Hyperandrogenism Clinical signs (e.g., acne, hirsutism) or biochemical evidence (e.g., elevated testosterone levels) of excessive androgens.
Polycystic Ovaries Presence of ≥ 12 follicles measuring 2-9 mm in diameter and/or an ovarian volume ≥ 10 mL in at least one ovary (visualized by ultrasound).

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