А в чем проблема с новыми критериями и подростками ?
Кроме выполнения завета Дм Карамазова ( правда , применительно к русскому человеку ) - обузить надо ?
А почему надо дружить с соседней лабораторией ? Чем плохи лаборатории ЭНЦ ?
КАк Вы понимаете приведенный Вами текст ?
А если прочесть еще и начало абзаца?
Hyperandrogenemia may be a more consistent marker for PCOS during the teenage years (5). In all young women, irregular menses are common in the years immediately after menarche. As many as 85% of menstrual cycles are anovulatory during the first year after menarche, and up to 59% are still anovulatory during the third year after menarche (6). In one study, persisting oligomenorrhea was not predicted by increased androgens, polycystic ovaries on ultrasound, or increased serum luteinizing hormone (LH) levels (7). Increased body mass index (BMI), however, was the major risk factor for persistent anovulation.
Only approximately 40% of adolescent women with menstrual irregularity have polycystic ovaries on ultrasound (8). These considerations have led to the suggestion that all three elements of the Rotterdam criteria should be present in teenagers to make the diagnosis of PCOS (9). These investigators suggest that oligomenorrhea or amenorrhea should be present for at least 2 years after menarche (or primary amenorrhea at age 16 yrs), the diagnosis of polycystic ovaries on ultrasound should include increased ovarian size (>10 cm3), and hyperandrogenemia rather than just signs of androgen excess should be documented.
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