Screening for insulin resistance in polycystic ovary syndrome: Views of physician members of the american society for reproductive medicine

Albert Asante, Kenan Omurtag, Elizabeth A. Stewart, Charles C. Coddington

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

OBJECTIVE: To determine practice patterns for insulin resistance (IR) evaluation and management in women with polycystic ovary syndrome (PCOS) among physician members of the American Society for Reproductive Medicine (ASRM). STUDY DESIGN: Crosssectional survey using a web-based questionnaire. RESULTS: A total of 205 members responded. Respondents were board-certified (94%), or board-eligible (6%), in obstetrics and gynecology. Sixty-four percent of the respondents use the Rotterdam 2003 Criteria for a diagnosis of PCOS. Two-thirds (68%) screen for IR in women with PCOS. Respondents who screen for IR were more likely to also screen for diabetes and impaired glucose tolerance (OR 3.37, 95% CI 1.48–7.21). The 2-hour oral glucose tolerance test with glucose and insulin concentrations was the most common IR screening test used (45%). Metformin therapy was used by 33% of respondents for “all women with PCOS who have IR.” The majority (68%) responded that there is a need for a committee opinion from ASRM on IR testing in PCOS. CONCLUSION: Two-thirds of ASRM physician members surveyed screen women with PCOS for IR in spite of the lack of general consensus on the need for such screening from endocrine societies.

Original languageEnglish
Pages (from-to)371-377
Number of pages7
JournalJournal of Reproductive Medicine
Volume60
Issue number5
StatePublished - Oct 2015

Keywords

  • Blood glucose
  • Diabetes mellitus
  • Glucose intolerance
  • Glucose tolerance test
  • Insulin resistance
  • Insulin sensitivity
  • Metformin
  • Polycystic ovary syndrome

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