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Research ArticleResearch

Polycystic ovary syndrome

Validated questionnaire for use in diagnosis

Sue D. Pedersen, Sony Brar, Peter Faris and Bernard Corenblum
Canadian Family Physician June 2007, 53 (6) 1041-1047;
Sue D. Pedersen
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  • For correspondence: sue.pedersen@calgaryhealthregion.ca
Sony Brar
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Peter Faris
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Bernard Corenblum
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Table 5

Table 5

Clinical tool for diagnosis of polycystic ovary syndrome

QUESTIONCRITERIA TO ATTAIN SCORE VALUESCORE VALUE
Please answer this question, NOT INCLUDING any time spent pregnant, receiving birth control pills or injections, after menopause, or after having both ovaries or the uterus surgically removed:Patient indicates any one of
  • 35–60 d

  • more than 60 d

  • totally variable

1
Between the ages of 16 and 40, about how long was your average menstrual cycle (time from first day of one period to the first day of the next period)? (select ONE only)
  • <25 d

  • 25–34 d

  • 35–60 d

  • More than 60 d

  • Totally variable

During your menstruating years (not including during pregnancy), did you have a tendency to grow dark, coarse hair on your (circle ALL that apply)
  • upper lip?

  • chin?

  • breasts?

  • chest between the breasts?

  • back?

  • belly?

  • upper arms?

  • upper thighs?

Patient indicates 3 or more sites1
Were you ever obese or overweight between the ages of16 and 40? (circle ONE)
 • YesPatient indicates Yes1
 • No
Between the ages of 16 and 40, have you ever noticed a milky discharge from your nipples (not including during pregnancy or recent childbirth)? (circle ONE)1
 • YesPatient indicates Yes−1
 • NoPatient indicates No0
TOTALIf ≥ 2, consistent with diagnosis of PCOS
If <2, not consistent with diagnosis of PCOS
  • PCOS—polycystic ovary syndrome.

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In this issue

Canadian Family Physician: 67 (3)
Canadian Family Physician
Vol. 67, Issue 3
1 Mar 2021
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Polycystic ovary syndrome
Sue D. Pedersen, Sony Brar, Peter Faris, Bernard Corenblum
Canadian Family Physician Jun 2007, 53 (6) 1041-1047;

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Sue D. Pedersen, Sony Brar, Peter Faris, Bernard Corenblum
Canadian Family Physician Jun 2007, 53 (6) 1041-1047;
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