Screening of Polycystic Ovarian Syndrome in Young Females of Gujarat (original) (raw)
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Indian Journal of Obstetrics and Gynecology Research
One of the most prevalent metabolic disorders among women of reproductive age is polycystic ovarian syndrome (PCOS).Menstrual dysfunction and androgen excess symptoms, such as hirsutism and acne, are common in women with PCOS. Additionally, there may be an increased risk of other morbidities such as obesity, insulin resistance, type 2 diabetes mellitus, cardiovascular diseases, infertility, cancer, and psychological disorders.This study is an attempt to summarise the prevalence of polycystic ovarian syndrome(PCOS) in adolescent girls and young women residing in the National Capital Region belonging to the age group of 11-30 years.The study was questionnaire-based and carried out for a duration of 6 months with 267 participants. The BMI of the participants was calculated using the formula: BMI= weight in kgs/ height in m2. PCOS was diagnosed using a questionnaire with Rotterdam’s criteria.The prevalence of PCOS was found to be 77.1%. The mean age group at which maximum number of part...
Indian Journal of Youth and Adolescent Health, 2017
Background: Polycystic Ovarian Syndrome (PCOS) is the most common endocrine disorder among girls. It is one of the leading causes of female subfertility. It has a heterogeneous presentation which includes hyperandrogenism, hirsutism and ovulatory dysfunction. It is a disorder of peri-pubertal onset, so it is a disorder of significant health concern; this necessitates estimation of proportion of women affected by PCOS in the population. This study was conducted to find out the prevalence of PCOS amongst adolescent girls in Bhopal city. Materials and Methods: A cross-sectional study was conducted for the duration of 4 months from November 2016 to February 2017. 840 girls of age group 15-21 years were interviewed regarding PCOS using Rotterdam criteria in three schools and three colleges in Bhopal city. After screening for PCOS, all suspected girls were confirmed by USG. Data was compiled using MS Excel and analyzed using Epi info 7. Result: Out of 840 girls, 217 (25.5%) complained of irregular menses, out of 217 only 96 (44%) were approached for USG screening. PCOS was present in 77 (80.2%) girls out of 96 girls screened with USG. Also, PCOS was present in 43.2% girls with BMI >25 and 50.8% girls having waist-hip ratio more than 0.96. Conclusion: This study estimated prevalence of about 8.34% in the study population. Lack of awareness (health-seeking behavior) was prominent in the study population. Significant association was found between PCOS and BMI, WAIST-HIP ratio. More education sessions should be held in schools and colleges about PCOS.
Awareness of PCOS (polycystic ovarian syndrome) in adolescent and young girls
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Polycystic ovarian syndrome (PCOS) is an endocrine disorder which affects the adolescent girls It affects 5% to 10% of women in their reproductive age. Awareness and accurate diagnosis is the first step in managing PCOS as it improves quality of life of the patient. The study was conducted to assess the knowledge on PCOS among the medical students.Methods: Survey of 200 girls was done to assess the knowledge on the polycystic ovarian syndrome among the medical students of different colleges studying in 1st, 2nd, and 3rd year. The data was collected from the students by using structured questionnaire.Results: In present study, 51% girls had normal BMI, 19.5% were overweight, 16.5% were obese while 13% were underweight. 33.5% females had acne, 16% had irregularity of menses, 5% had hirsutism while 2% had infertility. In present study, 33% adolescent and young girls had information about PCOS from teacher, 19% got information from friend, 11.5% got information from a doctor...
Cureus
Introduction Polycystic ovarian syndrome (PCOS) is a leading cause of infertility among women throughout the world. PCOS is an endocrine abnormality that presents as hyperandrogenemia, anovulation, and/or polycystic ovaries. The exact causes of PCOS are not entirely understood. However, PCOS may be hereditary and associated with abnormalities such as high body mass index (BMI) and obesity, among others. This study is carried out to assess the prevalence and awareness among adolescents and young girls belonging to South India. Methods This was a prospective study that included 250 adolescent and young girls aged between 13 and 25 years. Demographic details including age, educational status, and family income were collected from all the participants after obtaining informed consent. BMI was measured in all the participants. A pre-test was conducted to assess the level of awareness followed by a 30-minute informative briefing on PCOS. All participants were asked to fill up a post-briefing questionnaire. The data collected were processed using statistical software SPSS 11.0, and the chi-square test was applied to find out the significance of the results. Results Of the total 250 participants included, the mean age was 16.96 years and most participants (78%) belonged to the age group of 13 to 19 years. Most (78%) of the study participants had normal BMI (18-24.9 kg/m 2), 17.6% were underweight (BMI < 18), and 4.4% were overweight (BMI > 25). A PCOS prevalence rate of 6.8% was noted among the study participants. A majority (78.4%) of the study participants were unaware of PCOS, and 6.8% were being treated for PCOS. The source of knowledge of PCOS was majorly teachers (37%), followed by doctors (31.5%), the internet (11%), and friends (7.5%). Lack of information and publicity (63%) were found to be the most significant reason for low levels of awareness. Conclusion PCOS is a common health problem among adolescents and young girls. Most study participants were unaware of the symptoms and management of the condition. Therefore, the disease burden noted in this study does not necessarily depict the real prevalence. Increasing awareness programs will facilitate improved understanding, increased diagnoses, and effective management of PCOS.
Indian journal of endocrinology and metabolism, 2014
Polycystic ovary disease is a common endocrine condition which is rapidly gaining epidemic proportions. No community based prevalence data is available for this syndrome in India. A cross-sectional community-based study was undertaken in a sampled census block of Mumbai to assess the prevalence of polycystic ovarian syndrome (PCOS) among 778 adolescents and young girls aged 15-24 years. Among them, 600 completed all clinical, ultrasonography (USG), and biochemical investigations. The prevalence of PCOS among them was 22.5% by Rotterdam and 10.7% by Androgen Excess Society criteria. Nonobese comprised 71.8% of PCOS diagnosed by Rotterdam criteria. Mild PCOS (oligomenorrhea and polycystic ovaries on USG) was the most common phenotype (52.6%). History of oligomenorrhea had a positive predictive value of 93.3% and negative predictive value of 86.7% to detect a possible case of PCOS. Hyperinsulinemia (serum insulin >15 μlU/mL) was present among 19.2% of diagnosed PCOS cases. Obese gir...
IP innovative publication pvt. ltd, 2019
Polycystic ovary syndrome is a common female endocrine disorder, complex for managing clinicians and a scientific challenge for researchers. It is a multifaceted disease arising from hereditary, non-hereditary intra and extra uterine environmental influences. The exact pathophysiology of PCOS is complex and remains unclear. The objective of this study is to find the prevalence of PCOS and also the risk factors associated with it among women aged 17-24 years of age so as to identify young women at a risk of developing PCOS. This cross -sectional study was conducted in a medical college in Nerul, Navi Mumbai situated in Maharashtra among 456 medical, dental, physiotherapy students in the age group of 17-24 years. A prevalence rate of 21.05 % was identified. Among those with PCOS, the mean age was 21.18 years. 22.22% of the subjects were at high risk and 77.77% were at low risk for PCOS. Most of the ones diagnosed with PCOS had a waist to hip ratio greater than 0.8 (P<0.05) and were either obese or overweight (BMI>25 kg/m2) (P<0.01), suffered from menstrual irregularities (P<0.05), hirsutism (P<0.05) and emotional problems like feeling moody and easy fatigability (P<0.05). The study reveals that PCOS is a common problem among young women that demands lifestyle modification, better awareness and early diagnosis among the masses to prevent further complications.
International Journal of Africa Nursing Sciences, 2015
Introduction: Adipose tissue distribution is effective in metabolic complications resulting from obesity. The present study aimed to determine the prevalence of obesity and android obesity based on various phenotypes of Polycystic Ovarian Syndrome (PCOS) in 14-18 year old high-school female students in Shiraz in 2009. Methods: This descriptive study was conducted on 14-18 years old high-school girl in Shiraz in 2009. 3190-Subject sample size was determined. After obtaining written informed consents, demographic information questionnaire was completed and the participants were examined regarding hirsutism, acne, alopecia, and menstrual disorders. Besides, the criteria proposed by Adams et al. were employed to diagnose PCOS in sonography. Android obesity and BMI were evaluated. Then, the data were entered into the SPSS software (v. 11.5) and analyzed. Results: The participants' mean weight, mean height, and mean waist circumference were 54.14 ± 9.99 kg, 160.20 ± 5.76 cm, and 65.24 ± 7.34 cm, respectively. In addition, 616 participants (20.5%) were underweight, 234 (9.5%) were overweight, and 110 (3.5%) were obese. Also, 15 participants (0.5%) had android obesity. The results of independent t-test showed no significant difference among various phenotypes of PCOS regarding mean android obesity and BMI (P > 0.05). Overall, 16.6% of the study participants (514 subjects) suffered from menstrual disorders and oligomenorrhea. Also, 99 participants (3.1%) had BMI P 26. Conclusion: The results revealed no significant relationship between female adolescents' obesity and various phenotypes of PCOS. However, adolescents should be informed about the long-term hyperandrogenic outcomes which are accompanied by insulin secretion and endanger their health after the age of 40 years.
touchendocrinology.com, 2021
The features of polycystic ovary syndrome (PCOS) vary greatly among adolescent girls and adult women. Some of the features of PCOS may overlap with features of normal pubertal development in girls. Methods: This cross-sectional study was conducted among adolescents newly diagnosed with PCOS attending a tertiary hospital in Bangladesh. The relevant clinical, metabolic and hormonal profiles of 175 participants were evaluated. Results: The mean age of the study participants was 16.8 (±1.7) years. Oligomenorrhea was the predominant menstrual irregularity (88%). More than one-quarter of participants (27.4%) had a first-degree relative with PCOS, and 12% had a first-degree relative with type 2 diabetes. More than three-quarters (77.7%) had acanthosis nigricans. The majority (69.1%) were overweight (29.7%) or obese (39.4%), whereas 6.3% were underweight. A total of 65.7% had abdominal obesity. One-fifth (20%) of participants had pre-hypertension, and 3.4% were hypertensive. Around one-quarter (24%) had abnormal glucose tolerance (prediabetes 21.1%, diabetes 2.9%) and the majority (90.9%) had dyslipidaemia. The median Ferriman–Gallwey score was 12, 94.9% of participants had hirsutism and 33.7% had biochemical hyperandrogenism. Metabolic syndrome was present in 42.3% of participants. Higher body mass index and presence of hirsutism were associated with higher risks of metabolic syndrome. Conclusions: The clinical, metabolic and hormonal profiles of Bangladeshi adolescents with PCOS highlight risk factors and the need for clinical vigilance with respect to metabolic disease.
One the most common endocrine disorder among women of reproductive age is the Polycysticovary syndrome. Women with PCOS are found to experience symptoms such as acne, darkening of the skin, hirsutism, irregular menstrual cycle, polycystic ovaries, and weight gain. The prevalence of PCOS is increasing which will eventually create an issue to future mother. The study was conducted with the objectives to check the incidence of PCOS among the selected young women who visited gynecologist with menstrual issue and to check the factors associated with PCOS and its symptoms and lifestyle and to impart knowledge on PCOS and its nutrition management. The study was questionnaire based survey, conducted among young women (age group 21-26) who visited a gynecologist. The respondent was selected with the help of the gynecologist and using a standards questionnaire data of the respondents was collected. Among the selected young women 56 % were found to be PCOS diagnosed. All 100 % of the PCOS cases had irregular menstrual cycle, 54 % were hirsute, and 78% had acne, 86 % had emotional disturbances, and only 2 % with a positive family history. Furthermore, the BMI of the PCOS diagnosed showed to be overweight and obese than the other selected female so as for abdominal obese all the young women with PCOS were with higher waist hip ratio than non PCOS groups. The young women were imparted with PCOS knowledge and its nutrition management and after assessment they were found to be familiar with PCOS related knowledge. The present study is aimed to design awareness among the young women about PCOS and its prevalence and primary step in managing PCOS like associated factors lifestyle diet and its symptoms, for primordial and accurate diagnosis.
Prevalence of polycystic ovarian syndrome among adolescent girls: a prospective study
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: PCOS is a complex endocrine disorder which is most common in women of reproductive age. PCOS may first present in adolescence, but the incidence of PCOS in adolescence is not known, as diagnostic criteria for PCOS in the adolescent age-group is still not defined, PCOS symptoms tend to overlap with normal pubertal changes making the diagnosis even more challenging. The objective is to study prevalence and symptomatology of polycystic ovary syndrome (PCOS) in adolescent girls.Methods: Prospective study between November 2017 and March 2018. 117 adolescent girls aged 15 to19 years attending OPD with oligomenorrhea and/or hirsutism were advised for biochemical, hormonal, and ultrasonographic evaluation for diagnosis of PCOS on the basis of Rotterdam’s criteria at the Department of Obstetrics and Gynaecology, Government Maternity Hospital, Osmania Medical College, Hyderabad.Results: Prevalence of PCOS in the study was 11.96% in the study group.Conclusions: PCOS is increasi...