Subgroups of Polycystic Ovary Syndrome

Subgroups of polycystic ovary syndrome are defined by three criteria;

1-Status of male hormones

2-Egg growth and ovulation

3-Appearance of ovaries on ultrasound examination

The women with polycystic ovary syndrome are divided into three subgroups (A,B,C).The main characteristics and typical examples of these subgroups were described below;

GROUP-A

Group A is divided into two subgroups (A1, A2);

A1

– Symptoms of hyperandrogenism such as excessive male type hair growth, acne, oily skin, male type alopecia and /or increased blood levels of male hormones,

– Egg does not grow which causes cancellation of ovulation and periods or growth of egg slows down which causes delayed ovulation and periods,

– Appearance of polycystic ovaries on ultrasound examination

Example; She is 168 cm tall and weighs 85 kg, having increased hair growth on chin, neck, inner parts of thighs, periods every 2-3 months, increased blood levels of male hormones (testosterone, etc.), insulin resistance (+) and polycystic ovaries on ultrasound examination

A2

– Symptoms of hyperandrogenism such as excessive male type hair growth, acne, oily skin, male type alopecia and /or increased blood levels of male hormones,

– Egg does not grow which causes cancellation of ovulation and periods or growth of egg slows down which causes delayed ovulation and periods,

– Appearance of normal ovaries on ultrasound examination

Example; She is 165 cm tall and weighs 53 kg, having increased hair growth on abdomen, around nipple region, and between breasts, periods every 2-3 months,normal blood levels of male hormones (testosterone, etc.), insulin resistance (+) and normal ovaries on ultrasound examination

GROUP-B

– There are no symptoms of hyperandrogenism such as excessive male type hair growth, acne, oily skin, male type alopecia and /or increased blood levels of male hormones,

– Egg does not grow which causes cancellation of ovulation and periods or growth of egg slows down which causes delayed ovulation and periods,

– Appearance of polycystic ovaries on ultrasound examination

Example; She is 163 cm tall and weighs 82 kg, having no increase in hair growth, periods every 3-4 months, normal blood levels of male hormones (testosterone, etc.), insulin resistance (+) and polycystic ovaries on ultrasound examination

GROUP-C

– Symptoms of hyperandrogenism such as excessive male type hair growth, acne, oily skin, male type alopecia and /or increased blood levels of male hormones,

– Egg grows which results in ovulation and periods or growth of egg does not slow down which results in regular ovulation and periods,

– Appearance of polycystic ovaries on ultrasound examination

Example; She is 168 cm tall and weighs 54 kg, having increased hair growth on chin, back, shoulder, inner and outer parts of thighs, regular periods once every month, increased blood levels of male hormones (testosterone, etc.), insulin resistance (-) and polycystic ovaries on ultrasound examination

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