BACKGROUND The World Health Organization (WHO) system for the classification of disorders of ovulation was produced 50 years ago and, by international consensus, has been updated by the International Federation of Gynecology and Obstetrics (FIGO). OBJECTIVE AND RATIONALE This review outlines in detail each component of the FIGO HyPO-P (hypothalamic, pituitary, ovarian, PCOS) classification with a concise description of each cause, and thereby provides a systematic method for diagnosis and management. SEARCH METHODS We searched the published articles in the PubMed database in the English-language literature until October 2022, containing the keywords ovulatory disorders; ovulatory dysfunction; anovulation, and each subheading in the FIGO HyPO-P classification. We did not include abstracts or conference proceedings because the data are usually difficult to assess. OUTCOMES We present the most comprehensive review of all disorders of ovulation, published systematically according to the logical FIGO classification. WIDER IMPLICATIONS Improving the diagnosis of an individual's ovulatory dysfunction will significantly impact clinical practice by enabling healthcare practitioners to make a precise diagnosis and plan appropriate management.

中文翻译：

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对排卵障碍的新 FIGO 分类的全面评价。


背景 世界卫生组织 （WHO） 排卵障碍分类系统于 50 年前制定，根据国际共识，国际妇产科联合会 （FIGO） 已更新。目的和基本原理 本综述详细概述了FIGO HyPO-P （下丘脑、垂体、卵巢、PCOS）分类的每个组成部分，并简要描述了每个原因，从而为诊断和管理提供了一种系统的方法。检索方法 我们在英文文献中检索了截至 2022 年 10 月在 PubMed 数据库中发表的文章，其中包含关键字排卵障碍;排卵功能障碍;无排卵，以及 FIGO HyPO-P 分类中的每个副标题。我们没有纳入摘要或会议论文集，因为数据通常难以评估。结果 我们提出了所有排卵障碍的最全面的综述，根据逻辑 FIGO 分类系统地发表。更广泛的影响 改善个体排卵功能障碍的诊断将使医疗保健从业者能够做出准确的诊断并计划适当的管理，从而对临床实践产生重大影响。