Sindromul ovarelor polichistice (PCOS) – Componentă a sindromului metabolic?

Abstract

Even if it has been over 70 years from the first description of polycystic ovary syndrome by Stein and Leventhal and with a rather high incidence (8-10 %), only in the last 3-4 years have the clinical and imagistic diagnosis criteria been precisely established by experts committees? Nowadays, the clinical symptomatology of PCOS is well known and it consists of nonovulating cycles (6-8 times a year), infertility, hirsutism, acne, acanthosis nigricans, obesity, and hypertension; the physio-pathological mechanisms as well as the etiopathogeny of the disease are also identified. The recent data of specialty literature also add hyperinsulinemia and insulin resistance among the complex mechanisms of the syndrome which brings exact criteria of diagnosis very much resembling the previous criteria which are unanimously admitted in the case of the metabolic syndrome. The main purpose of this article is to present the best and unanimously admitted arguments that can eventually allow the categorization of polycystic ovary syndrome within the metabolic syndrome with all its interferences and cardiovascular effects.