International evidence‐based guideline on assessment and management of PCOS—A Nordic perspective

Abstract Polycystic ovary syndrome (PCOS) affects about 12% of women of reproductive age. In 2018, the first evidence‐based guideline on assessment and management of PCOS was published, and an updated extended guideline was released in August 2023. These guidelines followed best practice and are end...

Full description

Saved in:
Bibliographic Details
Main Authors: Maria Forslund, Johanna Melin, Elisabet Stener‐Victorin, Angelica Linden Hirschberg, Helena Teede, Eszter Vanky, Terhi Piltonen
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Acta Obstetricia et Gynecologica Scandinavica
Subjects:
Online Access:https://doi.org/10.1111/aogs.14725
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849687646309187584
author Maria Forslund
Johanna Melin
Elisabet Stener‐Victorin
Angelica Linden Hirschberg
Helena Teede
Eszter Vanky
Terhi Piltonen
author_facet Maria Forslund
Johanna Melin
Elisabet Stener‐Victorin
Angelica Linden Hirschberg
Helena Teede
Eszter Vanky
Terhi Piltonen
author_sort Maria Forslund
collection DOAJ
description Abstract Polycystic ovary syndrome (PCOS) affects about 12% of women of reproductive age. In 2018, the first evidence‐based guideline on assessment and management of PCOS was published, and an updated extended guideline was released in August 2023. These guidelines followed best practice and are endorsed by 39 organizations worldwide, making them the most robust source of evidence to guide clinical practice. In the 2023 guideline, diagnostic criteria have been further refined as polycystic ovary morphology can now be assessed with gynecological ultrasound or elevated anti‐Müllerian hormone levels. A healthy lifestyle should be at the focus of care for all women with PCOS; however, with no specific diet or physical exercise recommended. The latest evidence on medical treatments and fertility management are reviewed, including special considerations regarding long‐term follow‐up of metabolic and psychiatric comorbidities and pregnancy in women with PCOS. Here we summarize the recommendations from a Nordic perspective.
format Article
id doaj-art-1b2f87e020d54015adc70dc4130f3eee
institution DOAJ
issn 0001-6349
1600-0412
language English
publishDate 2024-01-01
publisher Wiley
record_format Article
series Acta Obstetricia et Gynecologica Scandinavica
spelling doaj-art-1b2f87e020d54015adc70dc4130f3eee2025-08-20T03:22:16ZengWileyActa Obstetricia et Gynecologica Scandinavica0001-63491600-04122024-01-01103171210.1111/aogs.14725International evidence‐based guideline on assessment and management of PCOS—A Nordic perspectiveMaria Forslund0Johanna Melin1Elisabet Stener‐Victorin2Angelica Linden Hirschberg3Helena Teede4Eszter Vanky5Terhi Piltonen6Department of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg SwedenDepartment of Obstetrics and Gynecology University of Helsinki, Helsinki University Hospital Helsinki FinlandDepartment of Physiology and Pharmacology Karolinska Institutet Stockholm SwedenDepartment of Women's and Children's Health Karolinska Institutet Stockholm SwedenMonash Centre for Health Research & Implementation, Faculty of Medicine, Nursing and Health Sciences Monash University Melbourne Victoria AustraliaDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences Norwegian University of Science and Technology Trondheim NorwayDepartment of Obstetrics and Gynecology, Research Unit of Clinical Medicine University of Oulu and Oulu University Hospital Oulu FinlandAbstract Polycystic ovary syndrome (PCOS) affects about 12% of women of reproductive age. In 2018, the first evidence‐based guideline on assessment and management of PCOS was published, and an updated extended guideline was released in August 2023. These guidelines followed best practice and are endorsed by 39 organizations worldwide, making them the most robust source of evidence to guide clinical practice. In the 2023 guideline, diagnostic criteria have been further refined as polycystic ovary morphology can now be assessed with gynecological ultrasound or elevated anti‐Müllerian hormone levels. A healthy lifestyle should be at the focus of care for all women with PCOS; however, with no specific diet or physical exercise recommended. The latest evidence on medical treatments and fertility management are reviewed, including special considerations regarding long‐term follow‐up of metabolic and psychiatric comorbidities and pregnancy in women with PCOS. Here we summarize the recommendations from a Nordic perspective.https://doi.org/10.1111/aogs.14725evidence‐based guidelineNordic guidelinepolycystic ovary syndrome
spellingShingle Maria Forslund
Johanna Melin
Elisabet Stener‐Victorin
Angelica Linden Hirschberg
Helena Teede
Eszter Vanky
Terhi Piltonen
International evidence‐based guideline on assessment and management of PCOS—A Nordic perspective
Acta Obstetricia et Gynecologica Scandinavica
evidence‐based guideline
Nordic guideline
polycystic ovary syndrome
title International evidence‐based guideline on assessment and management of PCOS—A Nordic perspective
title_full International evidence‐based guideline on assessment and management of PCOS—A Nordic perspective
title_fullStr International evidence‐based guideline on assessment and management of PCOS—A Nordic perspective
title_full_unstemmed International evidence‐based guideline on assessment and management of PCOS—A Nordic perspective
title_short International evidence‐based guideline on assessment and management of PCOS—A Nordic perspective
title_sort international evidence based guideline on assessment and management of pcos a nordic perspective
topic evidence‐based guideline
Nordic guideline
polycystic ovary syndrome
url https://doi.org/10.1111/aogs.14725
work_keys_str_mv AT mariaforslund internationalevidencebasedguidelineonassessmentandmanagementofpcosanordicperspective
AT johannamelin internationalevidencebasedguidelineonassessmentandmanagementofpcosanordicperspective
AT elisabetstenervictorin internationalevidencebasedguidelineonassessmentandmanagementofpcosanordicperspective
AT angelicalindenhirschberg internationalevidencebasedguidelineonassessmentandmanagementofpcosanordicperspective
AT helenateede internationalevidencebasedguidelineonassessmentandmanagementofpcosanordicperspective
AT esztervanky internationalevidencebasedguidelineonassessmentandmanagementofpcosanordicperspective
AT terhipiltonen internationalevidencebasedguidelineonassessmentandmanagementofpcosanordicperspective