RELATION OF AMENORRHEA WITH PCOS BELOW 35 AGE

Polycystic ovarian syndrome is a series of disorders which comprises anovulation, hyper-androgenism indications and polycystic ovaries. There are many causes of amenorrhea such as estrogen-deficient amenorrhea, estrogen-replete amenorrhea, exercise induced amenorrhea, stress induced, medication induced amenorrhea, eating disorders, anorexia nervosa, hypothalamic amenorrhea and PCOS. OBJECTIVE: The objective is to review the frequency of amenorrhea in patients with PCOS. To review about the complex relationship between the PCOS and amenorrhea. Is really amenorrhea is common complaint in all PCOS patients? METHODs: I reviewed articles from Google Scholar, Sci-hub, and PubMed etc. There is a lot of data which I reviewed. Data from females came with different gynecological complaints are also reviewed and females with PCOS are also reviewed.RESULT: By reviewing previous studies, oligo-amenorrhea is much more common than amenorrhea in females diagnosed with PCOS in their reproductive age. Amenorrhea especially secondary amenorrhea is most common in teenagers and adolescents. PCOS is common cause of secondary amenorrhea but PCOS is more common in females with oligo-amenorrhea. CONCLUSION: In previous studies, there are many patients with complaints of amenorrhea and diagnosed with PCOS but there are also some patients who came with other gynecological complaints and diagnosed with PCOS. So this also challenges somehow the Rotterdam criteria for PCOS.