Polycystic ovarian syndrome: a literature review

Rūta Žekevičiūtė1, Domantas Jakštas1, Antanas Dambrauskas1

1Lithuanian University of Health Sciences, Medical Academy, Faculty of medicine


Backround: Polycistic ovarian syndrome is a frequently occurring endocrinological disorder within reproductive age women. Although this syndrome has been discovered long time ago, the pathophysiological aspects of this disease are not completely understood. This syndrome can manifest with multiple symptoms: disfunction of female reproductive system presenting as anovulation, oligomenorrhea or amenorrhea, metabolic and psychological disorders and multiple cysts in the ovaries.

Aim: in this article we aim to evaluate the most effective diagnostic and treatment methods for this disease.

Materials and methods: we have conducted a thorough literature search using predetermined keywords on “PubMed” database. We have analysed an extensive amount of publications regarding this disease.

Results: the most effective modality for diagnosing this syndrome remains the use of Rotterdam criteria, combined with the biochemical testing of progesterone, testosterone and transvaginal ultrasound. The treatment approach should be tailored according to the patients desire to keep the ability to conceive.

Keywords: polycystic ovarium, syndrome.