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Endocrinology Gynaecology A

Rotterdam PCOS Criteria

Rotterdam 2003 diagnostic criteria for Polycystic Ovary Syndrome. Requires 2 of 3 criteria after exclusion of other aetiologies.

Score interpretation

PCOS Criteria Not Met 0–1

Fewer than 2 Rotterdam criteria present

→ PCOS not diagnosed by Rotterdam criteria; investigate other causes of symptoms

PCOS Diagnosed 2–3

≥2 Rotterdam criteria met (after exclusion of other diagnoses)

→ Confirm exclusion of CAH/Cushing's/androgen tumour. PCOS workup: FSH, LH, testosterone, SHBG, prolactin, 17-OHP, glucose/insulin. Management: lifestyle, metformin, OCP, fertility input as indicated

Interpretation bands for the PCOS Rotterdam. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.