International consensus diagnostic criteria for polycystic ovary syndrome in adolescents^[1]

Otherwise unexplained combination of:

1. Abnormal menstrual pattern as evidence of ovulatory dysfunction

a. Abnormal for age or gynecologic age, and

b. Persistent symptoms for 1 to 2 years

2. Clinical and/or biochemical evidence of hyperandrogenism

a. Hirsutism, especially if moderate to severe, is clinical evidence of hyperandrogenism

b. Elevation of serum total or free testosterone by a specialty reference assay is biochemical evidence of hyperandrogenism

Rosenfield RL. Perspectives on the International Recommendations for the Diagnosis and Treatment of Polycystic Ovary Syndrome in Adolescence. J Pediatr Adolesc Gynecol 2020; S1083.

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International consensus diagnostic criteria for polycystic ovary syndrome in adolescents[1]