Polycystic ovary syndrome and the differential diagnosis of hyperandrogenism
Correspondence: Claire Meek. Email: firstname.lastname@example.org
- The presence of clinical or biochemical evidence of hyperandrogenism is a defining feature of polycystic ovary syndrome (PCOS).
- As the criteria for diagnosing PCOS becomes more inclusive, there is an increased risk of misdiagnosing women with other causes of hyperandrogenism.
- Biochemical testing for serum testosterone concentrations in women has important limitations.
- Patients with concerning features should be investigated for other causes of hyperandrogenism.
- To review the different criteria for diagnosing PCOS and the repercussions for disease prevalence.
- To learn about the differential diagnosis of hyperandrogenism.
- To learn about the limitations of biochemical testing for testosterone in women.
- Hyperandrogenism causing hirsutism and virilisation can have significant effects on physical and psychological wellbeing.
- Misdiagnosis can delay appropriate treatment and may affect future fertility.