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CPE-010 · Criteria
PC-05: PCOS criteria met
PCOS criteria met. Evaluates adults: at least 2 of the 3 criteria.
Condition
- adults: at least 2 of the 3 criteria
- adolescents: irregular cycles AND hyperandrogenism
- exclusions completed (PC-06 not fired)
What it reports
- Pattern meeting the 2023 international PCOS criteria
Recommended next steps (for physician review)
- Assess cardiometabolic risk, glycemic status, sleep and mood, and fertility goals
Diagnostic boundary
- A pattern for physician review; other causes must be excluded.
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
- EV-ROTTERDAM-2004Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod. 2004;19(1):41-47.Supports: Two of three criteria: oligo-anovulation, hyperandrogenism, polycystic ovaries, after excluding other disorders
Cases where this rule fires
Open a case to see this rule fire with real inputs, then change the values until it stops.
PCOS-FX-01
Irregular cycles and hirsutism, exclusions complete
A 26-year-old with 8 cycles a year and an mFG of 9.
PCOS-FX-02
Irregular cycles and polycystic ovaries
No hyperandrogenism, 22 follicles per ovary.
PCOS-FX-03
Hyperandrogenism and polycystic ovaries with regular cycles
Ovulatory phenotype.
PCOS-FX-11
No period for five months
Prolonged anovulation.
PCOS-FX-12
No glycemic assessment on record
Criteria met.
PCOS-FX-13
Glycemic assessment 40 months ago
Overdue.
PCOS-FX-14
Waist 98 cm, triglycerides 190, HDL 40, BP 134/86
Metabolic syndrome criteria.
PCOS-FX-15
BMI 22
Lean PCOS.
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