{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T05:43:25Z","timestamp":1781502205444,"version":"3.54.1"},"reference-count":26,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Polycystic ovary syndrome (PCOS) is a common endocrine condition, affecting up to 20% of reproductive aged women worldwide. Polycystic ovarian morphology (PCOM) may be present, but is not required for diagnosis. Our study seeks to evaluate the utility of ultrasound in diagnosing or excluding PCOS by 2023 International Guidelines Criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Subjects were patients seen in a tertiary care referral clinic in whom other causes of hyperandrogenism (HA) were ruled out. All underwent complete history, physical, modified Ferriman Gallwey scoring, and serum androgen testing; followed by transvaginal ultrasound (TVUS) to assess ovarian morphology if indicated. PCOM was identified as antral follicle count \u226520 and\/or ovarian volume &gt;10 mL in at least one ovary. After clinical classification, PCOS was diagnosed by at least two of three: biochemical\/clinical HA, ovulatory dysfunction (OD), and PCOM. Statistics were calculated using Fisher\u2019s exact test and chi-square.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In total, 454 subjects were included. 299 were classified as group A\/B and did not require TVUS for diagnosis. Of 82 subjects with HA alone, 50 (61.0%) were classified as group C after demonstrating PCOM. Fifty-five subjects had OD alone, 37 (67.3%) of which were classified as group D based on PCOM. In total, 137\/454, or 30.2% of subjects required TVUS for diagnosis or exclusion of PCOS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>TVUS was necessary in less than one-third of subjects, primarily identifying PCOS groups C or D. Selective use of ovarian ultrasonography may reduce the costs and complexity of epidemiological and clinical studies for PCOS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2024.0186","type":"journal-article","created":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T05:08:04Z","timestamp":1725944884000},"page":"1684-1689","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["How Frequently Is Ultrasound Required to Diagnose Polycystic Ovary Syndrome in a Clinical Population?"],"prefix":"10.1177","volume":"33","author":[{"given":"Lauren","family":"Pace","sequence":"first","affiliation":[{"name":"Dept. of Ob\/Gyn, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Waldeck","sequence":"additional","affiliation":[{"name":"Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Chan","sequence":"additional","affiliation":[{"name":"Dept. of Ob\/Gyn, Cedars Sinai Medical Center, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margareta","family":"Pisarska","sequence":"additional","affiliation":[{"name":"Dept. of Ob\/Gyn, Cedars Sinai Medical Center, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Azziz","sequence":"additional","affiliation":[{"name":"Dept. of Ob\/Gyn, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA."},{"name":"Dept. of Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA."},{"name":"Dept. of Healthcare Organization &amp; Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA."},{"name":"Dept. of Health Policy, Management, and Behavior, School of Public Health, University at Albany, SUNY, Rensselaer, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,2]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgad463"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2006-0178"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deh098"},{"key":"e_1_3_4_5_2","first-page":"377","volume-title":"DIagnostic Criteria for Polycystic Ovary Syndrome: Towards a Rational Approach","author":"Zawadski JK","year":"1992","unstructured":"Zawadski JK, , Dunaif A. 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