The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: the complete task force report

Ricardo Azziz, Enrico Carmina, Didier Dewailly, Evanthia Diamanti-Kandarakis, Héctor F. Escobar-Morreale, Walter Futterweit, Onno E. Janssen, Richard S. Legro, Robert J. Norman, Ann E. Taylor, Selma F. Witchel

Research output: Contribution to journalArticle

1014 Citations (Scopus)

Abstract

Objective: To review all available data and recommend a definition for polycystic ovary syndrome (PCOS) based on published peer-reviewed data, whether already in use or not, to guide clinical diagnosis and future research. Design: Literature review and expert consensus. Setting: Professional society. Patients: None. Intervention(s): None. Main Outcome Measure(s): A systematic review of the published peer-reviewed medical literature, by querying MEDLINE databases, to identify studies evaluating the epidemiology or phenotypic aspects of PCOS. Result(s): The Task Force drafted the initial report, following a consensus process via electronic communication, which was then reviewed and critiqued by the Androgen Excess and PCOS (AE-PCOS) Society AE-PCOS Board of Directors. No section was finalized until all members were satisfied with the contents, and minority opinions noted. Statements were not included that were not supported by peer-reviewed evidence. Conclusion(s): Based on the available data, it is the view of the AE-PCOS Society Task Force that PCOS should be defined by the presence of hyperandrogenism (clinical and/or biochemical), ovarian dysfunction (oligo-anovulation and/or polycystic ovaries), and the exclusion of related disorders. However, a minority considered the possibility that there may be forms of PCOS without overt evidence of hyperandrogenism, but recognized that more data are required before validating this supposition. Finally, the Task Force recognized and fully expects that the definition of this syndrome will evolve over time to incorporate new research findings.

Original languageEnglish (US)
Pages (from-to)456-488
Number of pages33
JournalFertility and sterility
Volume91
Issue number2
DOIs
StatePublished - Feb 1 2009

Fingerprint

Polycystic Ovary Syndrome
Advisory Committees
Androgens
Hyperandrogenism
Consensus
Anovulation
Peer Review
MEDLINE
Ovary
Epidemiology
Communication
Outcome Assessment (Health Care)
Databases
Research

Keywords

  • Polycystic ovary syndrome
  • criteria
  • hirsutism
  • menstrual dysfunction
  • phenotype

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Azziz, R., Carmina, E., Dewailly, D., Diamanti-Kandarakis, E., Escobar-Morreale, H. F., Futterweit, W., ... Witchel, S. F. (2009). The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: the complete task force report. Fertility and sterility, 91(2), 456-488. https://doi.org/10.1016/j.fertnstert.2008.06.035

The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome : the complete task force report. / Azziz, Ricardo; Carmina, Enrico; Dewailly, Didier; Diamanti-Kandarakis, Evanthia; Escobar-Morreale, Héctor F.; Futterweit, Walter; Janssen, Onno E.; Legro, Richard S.; Norman, Robert J.; Taylor, Ann E.; Witchel, Selma F.

In: Fertility and sterility, Vol. 91, No. 2, 01.02.2009, p. 456-488.

Research output: Contribution to journalArticle

Azziz, R, Carmina, E, Dewailly, D, Diamanti-Kandarakis, E, Escobar-Morreale, HF, Futterweit, W, Janssen, OE, Legro, RS, Norman, RJ, Taylor, AE & Witchel, SF 2009, 'The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: the complete task force report', Fertility and sterility, vol. 91, no. 2, pp. 456-488. https://doi.org/10.1016/j.fertnstert.2008.06.035
Azziz R, Carmina E, Dewailly D, Diamanti-Kandarakis E, Escobar-Morreale HF, Futterweit W et al. The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: the complete task force report. Fertility and sterility. 2009 Feb 1;91(2):456-488. https://doi.org/10.1016/j.fertnstert.2008.06.035
Azziz, Ricardo ; Carmina, Enrico ; Dewailly, Didier ; Diamanti-Kandarakis, Evanthia ; Escobar-Morreale, Héctor F. ; Futterweit, Walter ; Janssen, Onno E. ; Legro, Richard S. ; Norman, Robert J. ; Taylor, Ann E. ; Witchel, Selma F. / The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome : the complete task force report. In: Fertility and sterility. 2009 ; Vol. 91, No. 2. pp. 456-488.
@article{7076e210769540d9b26cafac8b5ee902,
title = "The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: the complete task force report",
abstract = "Objective: To review all available data and recommend a definition for polycystic ovary syndrome (PCOS) based on published peer-reviewed data, whether already in use or not, to guide clinical diagnosis and future research. Design: Literature review and expert consensus. Setting: Professional society. Patients: None. Intervention(s): None. Main Outcome Measure(s): A systematic review of the published peer-reviewed medical literature, by querying MEDLINE databases, to identify studies evaluating the epidemiology or phenotypic aspects of PCOS. Result(s): The Task Force drafted the initial report, following a consensus process via electronic communication, which was then reviewed and critiqued by the Androgen Excess and PCOS (AE-PCOS) Society AE-PCOS Board of Directors. No section was finalized until all members were satisfied with the contents, and minority opinions noted. Statements were not included that were not supported by peer-reviewed evidence. Conclusion(s): Based on the available data, it is the view of the AE-PCOS Society Task Force that PCOS should be defined by the presence of hyperandrogenism (clinical and/or biochemical), ovarian dysfunction (oligo-anovulation and/or polycystic ovaries), and the exclusion of related disorders. However, a minority considered the possibility that there may be forms of PCOS without overt evidence of hyperandrogenism, but recognized that more data are required before validating this supposition. Finally, the Task Force recognized and fully expects that the definition of this syndrome will evolve over time to incorporate new research findings.",
keywords = "Polycystic ovary syndrome, criteria, hirsutism, menstrual dysfunction, phenotype",
author = "Ricardo Azziz and Enrico Carmina and Didier Dewailly and Evanthia Diamanti-Kandarakis and Escobar-Morreale, {H{\'e}ctor F.} and Walter Futterweit and Janssen, {Onno E.} and Legro, {Richard S.} and Norman, {Robert J.} and Taylor, {Ann E.} and Witchel, {Selma F.}",
year = "2009",
month = "2",
day = "1",
doi = "10.1016/j.fertnstert.2008.06.035",
language = "English (US)",
volume = "91",
pages = "456--488",
journal = "Fertility and Sterility",
issn = "0015-0282",
publisher = "Elsevier Inc.",
number = "2",

}

TY - JOUR

T1 - The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome

T2 - the complete task force report

AU - Azziz, Ricardo

AU - Carmina, Enrico

AU - Dewailly, Didier

AU - Diamanti-Kandarakis, Evanthia

AU - Escobar-Morreale, Héctor F.

AU - Futterweit, Walter

AU - Janssen, Onno E.

AU - Legro, Richard S.

AU - Norman, Robert J.

AU - Taylor, Ann E.

AU - Witchel, Selma F.

PY - 2009/2/1

Y1 - 2009/2/1

N2 - Objective: To review all available data and recommend a definition for polycystic ovary syndrome (PCOS) based on published peer-reviewed data, whether already in use or not, to guide clinical diagnosis and future research. Design: Literature review and expert consensus. Setting: Professional society. Patients: None. Intervention(s): None. Main Outcome Measure(s): A systematic review of the published peer-reviewed medical literature, by querying MEDLINE databases, to identify studies evaluating the epidemiology or phenotypic aspects of PCOS. Result(s): The Task Force drafted the initial report, following a consensus process via electronic communication, which was then reviewed and critiqued by the Androgen Excess and PCOS (AE-PCOS) Society AE-PCOS Board of Directors. No section was finalized until all members were satisfied with the contents, and minority opinions noted. Statements were not included that were not supported by peer-reviewed evidence. Conclusion(s): Based on the available data, it is the view of the AE-PCOS Society Task Force that PCOS should be defined by the presence of hyperandrogenism (clinical and/or biochemical), ovarian dysfunction (oligo-anovulation and/or polycystic ovaries), and the exclusion of related disorders. However, a minority considered the possibility that there may be forms of PCOS without overt evidence of hyperandrogenism, but recognized that more data are required before validating this supposition. Finally, the Task Force recognized and fully expects that the definition of this syndrome will evolve over time to incorporate new research findings.

AB - Objective: To review all available data and recommend a definition for polycystic ovary syndrome (PCOS) based on published peer-reviewed data, whether already in use or not, to guide clinical diagnosis and future research. Design: Literature review and expert consensus. Setting: Professional society. Patients: None. Intervention(s): None. Main Outcome Measure(s): A systematic review of the published peer-reviewed medical literature, by querying MEDLINE databases, to identify studies evaluating the epidemiology or phenotypic aspects of PCOS. Result(s): The Task Force drafted the initial report, following a consensus process via electronic communication, which was then reviewed and critiqued by the Androgen Excess and PCOS (AE-PCOS) Society AE-PCOS Board of Directors. No section was finalized until all members were satisfied with the contents, and minority opinions noted. Statements were not included that were not supported by peer-reviewed evidence. Conclusion(s): Based on the available data, it is the view of the AE-PCOS Society Task Force that PCOS should be defined by the presence of hyperandrogenism (clinical and/or biochemical), ovarian dysfunction (oligo-anovulation and/or polycystic ovaries), and the exclusion of related disorders. However, a minority considered the possibility that there may be forms of PCOS without overt evidence of hyperandrogenism, but recognized that more data are required before validating this supposition. Finally, the Task Force recognized and fully expects that the definition of this syndrome will evolve over time to incorporate new research findings.

KW - Polycystic ovary syndrome

KW - criteria

KW - hirsutism

KW - menstrual dysfunction

KW - phenotype

UR - http://www.scopus.com/inward/record.url?scp=59349098805&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=59349098805&partnerID=8YFLogxK

U2 - 10.1016/j.fertnstert.2008.06.035

DO - 10.1016/j.fertnstert.2008.06.035

M3 - Article

C2 - 18950759

AN - SCOPUS:59349098805

VL - 91

SP - 456

EP - 488

JO - Fertility and Sterility

JF - Fertility and Sterility

SN - 0015-0282

IS - 2

ER -