Diagnosis of PCOS
(Rotterdam diagnostic criteria)
q Oligomenorrhoea
and/ or anovulation
q Clinical
(Hirsutism) or biochemical hyperandrogenism
q Polycystic
ovaries presence of >12 follicles of 2-9 mm or ovarian volume >10 mL
Diagnosis of
Hypothyroidism
q Measurement
of Serum TSH level
- Higher than 4mIU/ml
PCOS & Hypothyroidism are they related?
q Women
with PCOS often have abnormal thyroid function
q Hypothyroidism
is also associated with anovulation & infertility in female
q Menstrual
abnormalities in Hypothyroidism leads to Infertility
J Clin Endocrinol Metab 12:846–855
Common factors between PCOS & Hypothyroidism
q PCOS
– Obesity- Infertility
q Hypothyroidism
– Obesity-Infertility
q PCOS-Obesity-Hypothyroidism-Infertility
Does PCOS with
abnormal thyroid function affect outcome of fertility in women receiving
treatment for infertility?
q PCOS
infertile women with hypothyroidism have 2.2 times more chance of failure to
conceive than PCOS infertile with normal thyroid function
