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Clinical Variability in Approaches to Polycystic Ovary Syndrome
Journal of Pediatric and Adolescent Gynecology , 08/02/2012
Bonny AE et al. – Considerable practice heterogeneity was present with regards to diagnostic testing for suspected PCOS. Recommendations for first–line therapy were more consistent. Future studies should clarify the clinical utility of specific diagnostic tests for adolescents, such that selection of diagnostic testing is evidence based.
Methods- Cross–sectional, anonymous, internet survey
- NASPAG membership (N = 326; Respondents = 127 (39%))
- Percentage of respondents who incorporated specific tests at initial diagnosis was highly variable ranging from 87% (thyroid stimulating hormone) to 17% (sex hormone binding globulin).
- Oral contraceptives and diet modification/exercise were the most common therapies recommended by 98% and 90% of respondents respectively.