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CPE-010 · Criteria
PC-04: Criterion: polycystic ovarian morphology or raised AMH
Criterion: polycystic ovarian morphology or raised AMH. Evaluates ≥ 20 follicles in at least one ovary, OR ovarian volume ≥ 10 mL on endovaginal ultrasound, OR AMH raised for the assay.
Condition
- ≥ 20 follicles in at least one ovary, OR ovarian volume ≥ 10 mL on endovaginal ultrasound, OR AMH raised for the assay
- adults only
What it reports
- Polycystic ovarian morphology or raised AMH
Diagnostic boundary
- Not used in adolescents. In adults it matters only when one of the first two criteria is absent.
Evidence
- EV-PCOS-2023Teede HJ, Tay CT, Laven JJE, et al. Recommendations From the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome. J Clin Endocrinol Metab. 2023;108(10):2447-2469.Supports: Adult diagnosis: irregular cycles plus hyperandrogenism once other causes are excluded; ultrasound or AMH when one is missing Adolescent criteria require both irregular cycles and hyperandrogenism Glycemic, cardiometabolic, sleep and mood assessment; endometrial risk in prolonged anovulation
Cases where this rule fires
Open a case to see this rule fire with real inputs, then change the values until it stops.
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