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CPE-010 · Missing data
PC-MISS-01: Information needed
Information needed. Evaluates irregular cycles or hyperandrogenism entered.
Condition
- irregular cycles or hyperandrogenism entered
- testosterone assay, TSH, prolactin or 17-hydroxyprogesterone missing
What it reports
- The work-up needed to complete the criteria and exclusions is not complete
Diagnostic boundary
- Names what is needed.
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.
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-04
Irregular cycles only
One criterion is not enough.
PCOS-FX-06
Prolactin 68 ng/mL
Another cause of oligomenorrhea.
PCOS-FX-07
TSH 9.2 mIU/L
Thyroid disease explains irregular cycles.
PCOS-FX-08
17-hydroxyprogesterone 340 ng/dL
Non-classic CAH possible.
PCOS-FX-10
Features of Cushing syndrome
Striae and proximal weakness.
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