ANÁLISE DOS CRITÉRIOS CLÍNICOS DE DIAGNÓSTICO DA SÍNDROME DOS OVÁRIOS POLICÍSTICOS SEGUNDO OS CONSENSOS

Abstract

Polycystic Ovary Syndrome (PCOS) is diagnosed by consensus of the National Institute of Health (NIH- USA, 1990), Rotterdam (Netherlands, 2003) and Androgen Excess Syndrome - PCOS (AES-PCOS, 2006). It is important to recognize the clinical characteristics of PCOS patients in Maranhão to submit a profile Objectives: To evaluate the prevalence of the PCOS according to the current guidelines for PCOS and Maranhão women, s profile. Methodology: A cross sectional sample of 102 women diagnosed with PCOS, attending at the gynecology clinic of the Materno Infantil Hospital in São Luís -MA. The clinical classification was analyzed by applying the inclusion and exclusion criteria of the NIH, and AES- PCOS. Data were tabulated and analyzed using Microsoft Office Excel 2007 by graphs and frequency tables. Results: Most of the patients were between 20 and 25 years old with 41,2%(n= 42); brown 50%(n= 51), single 52,9%(n=54); 11years of school,44,1%(n= 45) and menarche between 12 and 14 years old with 34,3% (n= 50). They were within normal anthropometrically exception to the waist circumference where the abnormality was more common in 65, 8 %(n= 52). Clinical hyperandrogenism was observed in 51 %( n= 52) of patients, predominance of hirsutism with 32,3% (n= 33) and the laboratorial with 13,7%(n= 14). Ovulatory dysfunctional was the predominant complaint in 90, 2% ( n= 92), highlights for oligomenorrhea with 61,8%(n= 63). As for the phenotypes, there was a predominance of ovary dysfunction and policistose ovarian at 48% (n= 49) (ROTTERDAM), hyperandrogenism and dysfunction was more frequent phenotypes with 81, 1% (n= 43) (NIH) and 42, 1% (n= 43) (AES-PCOS). Conclusion: The most common feature of PCOS was hyperandrogenism and the most prevalent clinical expression was found by applying the Rotterdam criteria.