Polycystic ovary syndrome

BMJ 2011; 343 doi: http://dx.doi.org/10.1136/bmj.d6407 (Published 13 October 2011)
Cite this as: BMJ 2011;343:d6407

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

  1. Nick S Macklon, professor of obstetrics and gynaecology
  1. 1University of Southampton, Princess Anne Hospital, Southampton SO16 5YA, UK
  1. N.S.Macklon{at}soton.ac.uk

Independently increases the risk of adverse pregnancy and birth outcomes

Polycystic ovary syndrome is a common condition. The reported incidence varies between 3% and 15% of women of reproductive age, depending on the population studied and the diagnostic criteria applied,1 which include hyperandrogenism, anovulation, and polycystic ovaries. Rising obesity rates are likely to increase the incidence further. The implications of this for those who care for women in pregnancy are highlighted in the linked cohort study, in which Roos and colleagues assess the risk of adverse pregnancy outcomes in women with a diagnosis of polycystic ovary syndrome, taking maternal characteristics and assisted reproductive technology into account (doi:10.1136/bmj.d6309).2

Although polycystic ovary syndrome is associated with increased long term risks of type 2 diabetes and cardiovascular disease, most affected women present initially with anovulatory infertility. Weight loss can resolve this, but it is often difficult to achieve and medical treatments are usually required. Most will respond to anti-oestrogen treatment, and those who do not usually ovulate when given exogenous gonadotrophins.3 However, in vitro fertilisation is being …

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

Article access

Article access for 1 day

Purchase this article for £20 $30 €32*

The PDF version can be downloaded as your personal record

* Prices do not include VAT

THIS WEEK'S POLL