International evidence‐based guideline on assessment and management of PCOS—A Nordic perspective

Author:

Forslund Maria12ORCID,Melin Johanna3ORCID,Stener‐Victorin Elisabet4ORCID,Hirschberg Angelica Linden56ORCID,Teede Helena78ORCID,Vanky Eszter910ORCID,Piltonen Terhi11ORCID

Affiliation:

1. Department of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden

2. Department of Gynecology and Obstetrics Sahlgrenska University Hospital Gothenburg Sweden

3. Department of Obstetrics and Gynecology University of Helsinki, Helsinki University Hospital Helsinki Finland

4. Department of Physiology and Pharmacology Karolinska Institutet Stockholm Sweden

5. Department of Women's and Children's Health Karolinska Institutet Stockholm Sweden

6. Department of Gynecology and Reproductive Medicine Karolinska University Hospital Stockholm Sweden

7. Monash Centre for Health Research & Implementation, Faculty of Medicine, Nursing and Health Sciences Monash University Melbourne Victoria Australia

8. Endocrine and Diabetes Units, Monash Health Melbourne Victoria Australia

9. Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences Norwegian University of Science and Technology Trondheim Norway

10. Department of Obstetrics and Gynecology St Olav's University Hospital Trondheim Norway

11. Department of Obstetrics and Gynecology, Research Unit of Clinical Medicine University of Oulu and Oulu University Hospital Oulu Finland

Abstract

AbstractPolycystic ovary syndrome (PCOS) affects about 12% of women of reproductive age. In 2018, the first evidence‐based guideline on assessment and management of PCOS was published, and an updated extended guideline was released in August 2023. These guidelines followed best practice and are endorsed by 39 organizations worldwide, making them the most robust source of evidence to guide clinical practice. In the 2023 guideline, diagnostic criteria have been further refined as polycystic ovary morphology can now be assessed with gynecological ultrasound or elevated anti‐Müllerian hormone levels. A healthy lifestyle should be at the focus of care for all women with PCOS; however, with no specific diet or physical exercise recommended. The latest evidence on medical treatments and fertility management are reviewed, including special considerations regarding long‐term follow‐up of metabolic and psychiatric comorbidities and pregnancy in women with PCOS. Here we summarize the recommendations from a Nordic perspective.

Funder

Svenska Läkaresällskapet

Publisher

Wiley

Subject

Obstetrics and Gynecology,General Medicine

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