A Global Survey of Ethnic Indian Women Living with Polycystic Ovary Syndrome: Co-Morbidities, Concerns, Diagnosis Experiences, Quality of Life, and Use of Treatment Methods (original) (raw)
Related papers
Background: Polycystic ovary syndrome (PCOS) is a common endocrinopathy that is highly prevalent in women of Indian ethnicity. Clinical practice guidelines do not adequately consider ethnic-cultural differences in the care of women with PCOS. This study aimed to explore ethnic Indian women’s experiences with PCOS diagnosis and management, their concerns and it’s impact on their quality of life (QoL). Methods: Global online survey of ethnic Indian women of reproductive age living with PCOS. Results: Respondents (n=4409) had a mean age of 26.8 (SD 5.5) years and the majority were diagnosed with one or more co-morbidities (anxiety/depression being the most common). Women waited one year on average before seeking treatment following symptom onset. Irregular periods, cysts on the ovaries and excess unwanted facial hair growth were their three major concerns. Weight and emotional concerns had the greatest impact on QoL. One-third did not receive information on long-term complications, app...
Polycystic ovary syndrome and its relevance to women from south Asia
Ceylon Medical Journal, 2014
The syndrome has vast epidemiological, socioeconomic and health care delivery implications for south Asia Hirsutism Frontal balding Acne Hydradenitis suppurativa Resulting complications Anovular infertility Risk stratification Increased risk Acyclic oestrogen excess
Polycystic Ovarian Syndrome Burden in Central India: A Cross-Sectional Study
Auctores Online, 2020
Background: Polycystic Ovarian Syndrome (PCOS) is a common endocrine syndrome with the disproportionate activity of androgen. This study is intended to determine attitudes with respect to the present names for the syndrome and acuities held by women regarding the main clinical features of PCOS. The study compares the status of PCOS patients and reproductive-aged tribal women prone to PCOS in the population of Central India at Amarkantak. Methods: A cross-sectional study was performed in which a sample size of 500 females by random sampling was considered for the study and a well-validated questionnaire following the Rotterdam criteria for the diagnosis of PCOS was administered. Data collected relating to PCOS risk factors and the status of disease burden in society were analyzed using SPSS v 25. Results: The prevalence of the PCOS was around 6.6% owing to wretched lifestyle practices. Midst them, the risk factors were depression/anxiety in 32.2%, obesity in 28.4%, and diabetes in 7.6% and infertility in 1.8%. 86.6% of people were unaware of the disorder and 41.8% of them were prone to PCOS. Conclusion: Early detection and tracking of risk factors can help in the management of PCOS symptoms. A population-based program of screening and awareness including treatment modalities may be beneficial for the management of the disease.
International Journal of Science and Research Archive, 2024
Polycystic Ovary Syndrome, or PCOS is one of the most prevalent endocrine disorders that leads to ovulatory failure and infertility in women of reproductive age. It is evident that both genetic and environmental factors may contribute to the development of PCOS and its phenotypic manifestations, while the pathophysiology of the condition is yet unknown. Sometimes patients with having PCOS may not receive appropriate treatment since the condition tends to be underdiagnosed. The present cross-sectional study was undertaken among to ascertain the incidence of PCOS, the level of knowledge and awareness of PCOS, and the health-related behaviors among the Hindu and Muslim adolescents and young adult women of Kolkata, West Bengal, India. In this cross-sectional a study, 723 Bengali women between the ages of 15 and 30 participated (371 Hindus and 352 Muslims). The current study reveals a noteworthy association between the level of information of PCOS among Hindu and Muslim PCOS participants. Additionally, the majority of the participants obtained their knowledge from health experts. Adequate intervention initiatives are thus needed to inform young girls and prevent them from the long-term effects of PCOS.
Prevalence and Characteristics of Women with Polycystic Ovary Syndrome in Bangladesh -A Narrative Review, 2023
Polycystic ovary syndrome (PCOS) is the most common endocrinopathy affecting reproductive-aged women. PCOS is not a homogeneous disease and can manifest as a range of multifaceted problems, including various reproductive, cosmetic, cardiometabolic, and psychiatric conditions. In Bangladesh, research defining the prevalence and characteristics of PCOS is not ample. This review summarizes the findings from published studies that provide consistent evidence on the prevalence and characteristics of women with PCOS in the country. The small-scale studies conducted among different subgroups of women indicate a high prevalence of the condition. Clinical presentations of PCOS in Bangladeshi women are also highly variable. A substantial portion has obesity, insulin resistance, abnormal glucose tolerance, dyslipidemia, and metabolic syndrome, which significantly threaten their cardiovascular health. Many of them have co-existent other endocrinopathies, including thyroid abnormalities. Moreover, highly prevalent psychiatric comorbidities among these women warrant routine screening for these conditions.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2017
Background: Polycystic ovarian syndrome [PCOS] is a complex ill understood hormonal disorder resulting in myriads of symptoms like irregular menses, hyperandrogenism, metabolic disturbances and infertility. It occurs in about 8-11% of reproductive age group women. Recently changing lifestyles and rising obesity worldwide have contributed to rise in the incidence of PCOS. Objective of the present is to study the prevalence and symptomatology of PCOS in Indian women.Methods: 170 women in reproductive age group, with irregular menstrual cycles attending OPD, voluntarily participated in a cross sectional study. All were subjected to detailed history, examination and investigated with a battery of lab tests to confirm PCOS. Out of 170 women investigated 70 women with features of PCOS were included in the study (diagnosed as PCOS by NIH criteria).Results: The overall prevalence of PCOS in the study population was, 41%. It was 16% in married women and 24 % in unmarried girls. Common menstr...
Prevalence and Management of Polycystic Ovary Syndrome and Its Association with Demographics
Pakistan Armed Forces Medical Journal, 2020
Objective: To find out the prevalence, lifestyle modifications and medications prescribed in polycystic ovary syndrome. Study Design: Cross-sectional study. Place and Duration of Study: In different health care settings of Punjab Pakistan, from Jul 2018 to Sep 2018. Methodology: A structured data collection form was filled by face to face interviews with patients. Female patients with a diagnosis of polycystic ovary syndrome in the age range of 15-45 years were included and a total of 200 patients participated. Results: Demographics of the respondents had association with frequency of miscarriage (p<0.001), medication prescribed (p<0.001), physical exercise (p<0.001) and diet plan (p<0.001). Most of the patients had their body mass index in the range of overweight and obese. Treatment included drug therapy in 40% patients and lifestyle modification (regular exercise and dietary changes) were recommended in 60% of the patients. Metformin and contraceptives were most commo...
Polycystic ovary syndrome in the Indian Subcontinent
Seminars in Reproductive Medicine, 2008
Polycystic ovary syndrome (PCOS) is a complex, multifaceted, heterogeneous disorder that affects $5 to 10% of women of reproductive age. It is characterized by hyperandrogenism, polycystic ovaries, and chronic anovulation along with insulin resistance, hyperinsulinemia, abdominal obesity, hypertension, and dyslipidemia as frequent metabolic traits (metabolic syndrome) that culminate in serious long-term consequences such as type 2 diabetes mellitus, endometrial hyperplasia, and coronary artery disease. It is one of the most common causes of anovulatory infertility. However, the heterogeneous clinical features of PCOS may change throughout the life span, starting from adolescence to postmenopausal age, largely influenced by obesity and metabolic alterations, and the phenotype of women with PCOS is variable, depending on the ethnic background. The etiology of PCOS is yet to be elucidated; however, it is believed that in utero fetal programming may have a significant role in the development of PCOS phenotype in adult life. Though a woman may be genetically predisposed to developing PCOS, it is only the interaction of environmental factors (obesity) with the genetic factors that results in the characteristic metabolic and menstrual disturbances and the final expression of the PCOS phenotype. Irrespective of geographic locations, a rapidly increasing prevalence of polycystic ovarian insulin resistance syndrome, excess body fat, adverse body fat patterning, hypertriglyceridemia, and obesity-related disease, such as diabetes and cardiovascular disease, have been reported in Asian Indians, suggesting that primary prevention strategies should be initiated early in this ethnic group. In lieu of the epidemic increase in the prevalence of obesity and diabetes mellitus in most industrialized countries including China and India owing to Westernization, urbanization, and mechanization, and evidence suggesting a pathogenetic role of obesity in the development of PCOS and related infertility, active intervention to combat the malice of these disorders is warranted. Pharmacologic therapy is a critical step in the management of patients with metabolic syndrome when lifestyle modifications fail to achieve the therapeutic goals, and studies in China and India have proved to be effective.
POLYCYSTIC OVARIAN SYNDROME (PCOS) AMONG YOUNG ADULT WOMEN: AN ANTHROPOLOGICAL INSIGHT
Papers on Anthropology , 2023
Polycystic Ovarian Syndrome (PCOS) is one of the most common endocrine disorders which affect women in a significant manner worldwide. India has witnessed an about 30% rise in PCOS cases in the last couple of years. PCOS has a strong association with many comorbidities with its long-term metabolic as well as other consequences. Thus, it has recently been recognized as a significant public health issue. This review paper is an attempt to reveal the prevalence, pathophysiology, knowledge and awareness of PCOS among the adolescents and young adult women of India. An extensive search was performed using electronic search engines such as PubMed, Scopus, and Google Scholar (from 2004 to 2023) to find the relevant research papers on the prevalence, pathophysiology, knowledge, and awareness of PCOS among the adolescents and young adult women of India. The current review summarises and highlights the prevalence, pathophysiology, knowledge, and awareness of PCOS for early identification and prevention and consequent minimation of the steady upward trend of PCOS. The results of this review could identify high-risk populations and foster the implementation of preventive lifestyle measures. It also investigates the need for intervention programmes for PCOS and its associated comorbidities in different settings at an earlier stage and to improve the quality of health.