It is important to differentiate
between PCO and the PCOS. PCO describes the
morhological appearance of the ovary whereas PCOS is only appropriate when PCOs are
round in association with a menstrual disturbance (amenorrhoea or, more commonly,
oligomenorrhoea) and/or the complications of
hyperandrogenism (acne and hirsutism, PCOS also is associated with
endocrinological abnormalities and, in particular, with elevated
serum concentrations of androgens (T, androstenedione) and LH. As with the
clinical picture, these changes are variable
and patients with PCOS may have normal endocrine concentration.
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