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vol.75 número2DETERMINACIÓN DEL SEXO FETAL EN EL PRIMER TRIMESTRE DE LA GESTACIÓN: ESTUDIO PROSPECTIVOEMBARAZO ECTÓPICO MOLAR CORNUAL: CASO CLÍNICO índice de autoresíndice de materiabúsqueda de artículos
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Revista chilena de obstetricia y ginecología

versión impresa ISSN 0048-766Xversión On-line ISSN 0717-7526

Resumen

CARVAJAL G, Rodrigo; HERRERA G, Cristian  y  PORCILE J, Arnaldo. ESPECTRO FENOTÍPICO DEL SÍNDROME DE OVARIO POLIQUÍSTICO. Rev. chil. obstet. ginecol. [online]. 2010, vol.75, n.2, pp.124-132. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262010000200009.

Background: Policystic ovary syndrome (PCOS) is a very common endocrine disease in women of reproductive age, of uncertain etiology and heterogeneous clinical presentation. The introduction of the Rotterdams Consensus criteria generated new phenotypes by incorporating transvaginal ultrasound, thus increasing the heterogenity of PCOS. Objectives: To determine in a cohort of 102 patients with the diagnosis of PCOS the prevalence, clinical, hormonal and metabolic profle according to Rotterdam. Results: It was determined the Phenotype A 62% Phenotype B 21%, Phenotype C 9% and Phenotype D 8% of the patients. The metabolic syndrome was present in 29% of the PCOS patients, being it more frequent in the phenotypes A (30%) and B (43%) than C (11%) and D (13%). The 82% of the patients were overweigth, especially in the phenotypes A (88%) and B (90%). Also, statistically signifcant differences were observed when comparing the variables score of hirsutism, free androgen index, total testosterone, HDL cholesterol SHBG, ovarian volume, total cholesterol, glycemia and LDL cholesterol. There were no signifcant differences between the groups to compare variables such as age, BMI, DHEA and triglycerides. Conclusion: These fndings indicate that the consensus of Rotterdam would agroup different phenotypes in the same syndrome and that it may represent different degrees of severity of the same disease. Even though, we do not know if these phenotypes posses the same health risks, therefore it is soon to manage the phenotypes as equal entities.

Palabras clave : Policystic ovary syndrome; metabolic syndrome; hirsutism; hyperandrogenism; obesity; cardiovascular risk.

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