In 2003, the Rotterdam ESHRE/ASRM consensus updated the criteria for diagnosing polycystic ovary syndrome (PCOS), requiring, after the exclusion of other etiologies, at least two of the following: oligo-anovulation, hyperandrogenism, and polycystic ovaries. This change was driven by the awareness that PCOS is a syndrome with a broad spectrum of signs and symptoms of ovarian dysfunction (The Rotterdam PCOS consensus workshop group. Hum Reprod. 2004;19:41-47).
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