在青少年时期诊断多囊性卵巢综合征的最新情况
Alexia Sophie Peña1, Selma Feldman Witchel2
1Discipline of Paediatrics, The University of Adelaide Robinson Research Institute and Endocrine Department, Women's and Children's Hospital, North Adelaide, South Australia, Australia.
Fertility and sterility
|September 13, 2025
概括
在青少年中诊断多囊性卵巢综合征 (PCOS) 需要特定的标准,重点关注不规则的月经和高雄性质. 早期识别PCOS和风险人群对于管理相关代谢健康至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 生殖健康 生殖健康
- 儿科内分泌学 儿科内分泌学
背景情况:
- 多囊卵巢综合征 (PCOS) 是一种普遍存在的内分泌和代谢障碍,在青春期开始.
- 更新于2023年的国际指南为青少年PCOS提供了特定的诊断标准,以减少诊断挑战.
- 在青春期准确诊断对于早期治疗PCOS及其并发症至关重要.
研究的目的:
- 审查最近关于青少年PCOS诊断的数据.
- 根据最新证据,评估青少年PCOS的诊断标准.
- 强调区分青少年PCOS诊断标准与成人标准的重要性.
主要方法:
- 从2022年8月到2025年5月的出版物的叙事审查.
- 对目前支持青少年PCOS诊断标准的证据分析.
- 检查区分PCOS与青少年类似疾病的指导方针.
主要成果:
- 青少年PCOS诊断依赖于不规则的月经周期 (按月经后的时间定义) 和过高雄性质 (临床或生化).
- 超声波上的多囊性卵巢形态和高的抗穆勒尔激素水平不建议用于青少年PCOS诊断.
- 鉴定PCOS"有风险"的青少年 (只满足一个标准) 很重要,因为相关的代谢风险.
结论:
- 青少年PCOS诊断需要特定的标准:不规则的月经和高雄性异常症,不包括其他疾病.
- 青少年的诊断标准与成人不同,特别是不包括卵巢形态和AMH水平.
- 早期识别青少年PCOS和风险人群对于及时的代谢查和随访至关重要.
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