DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20175010
Published: 2017-10-28

Prevalence and symptomatology of polycystic ovarian syndrome in Indian women: is there a rising incidence?

Anjali Choudhary, Shweta Jain, Priyanka Chaudhari

Abstract


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 menstrual irregularity was-oligomenorrhea (40%), Menorrhagia (12.8%) amenorrhea (11%). Common symptoms were hirsutism, acne, infertility and alopecia.

Conclusions: PCOS is rising in young women and to some extent the changing lifestyle in urban women may be linked to it. There in a world-wide increase in the incidence of obesity, diabetes mellitus and metabolic syndrome, PCOS and its accompanying insulin resistance is contributing to it. Treating PCOS and its complications is adding to health care burden.


Keywords


Changing lifestyle, PCOS, Prevalence, Rising incidence, Symptomatology

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References


Coviello AD, Legro RS, Dunaif A. Adolescent girls with polycystic ovary syndrome have an increased risk of the metabolic syndrome associated with increasing androgen levels independent of obesity and insulin resistance. J Clin Endocrinol Metabol. 2006 Feb 1;91(2):492-7.

Yildiz BO, Knochenhauer ES, Azziz R. Impact of obesity on the risk for polycystic ovary syndrome J Clin Endocrinol Metab. 2008 Jan;93(1):162-8.

Legro RS, Arslanian SA, Ehrmann DA, Hoeger KM, Murad MH, Pasquali R, Welt CK. Diagnosis and treatment of polycystic ovary syndrome: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2013 Dec 1;98(12):4565-92.

Roe AH, Dokras A. The diagnosis of polycystic ovary syndrome in adolescents. Rev Obstet Gynecol. 2011;4(2):45.

Azziz R. Controversy in clinical endocrinology: diagnosis of polycystic ovarian syndrome: the Rotterdam criteria are premature. J Clin Endocrinol Metab. 2006 Mar; 91(3):781-5.

Bronstein J, Tawdekar S, Liu Y, Pawelczak M, David R, Shah B. Age of onset of polycystic ovarian syndrome in girls may be earlier than previously thought. J Pediatr Adolesc Gynecol. 2011 Feb;24(1):15-20.

Nidhi R, Padmalatha V, Nagarathna R, Amritanshu R. Prevalence of polycystic ovarian syndrome in Indian adolescents, J Pediatr Adolesc Gynecol. 2011 Aug; 24(4):223-7.

Ganie MA, Kalra S. Polycystic ovary syndrome: A metabolic malady, the mother of all lifestyle disorders in women: Can Indian health budget tackle it in future?. Indian J Endocrinol Metab. 2011 Oct;15(4):239.

Singh R, Yadav P, Parveen R. Polycystic ovarian syndrome a management dilemma. J South Indian Federation Obstetric Gynecol. 2012;4(3):123-5.

Joshi B, Mukherjee S, Patil A, Purandare A, Chauhan S, Vaidya R. A cross-sectional study of polycystic ovarian syndrome among adolescent and young girls in Mumbai, India, Indian J Endocrinol Metab. 2014 May-Jun;18(3):317-324.

Boyle JA, Teede HJ. Irregular menstrual cycles in a young woman. CMAJ. 2014 Aug 5;186(11):850-2.

Sirmans SM, Pate KA. Epidemiology, diagnosis, and management of polycystic ovary syndrome. Clin Epidemiol. 2014;6:1-13.

Salmi DJ, Zisser HC, Jovanovic L. Screening for and treatment of polycystic ovary syndrome in teenagers. Experiment Biol Medic. 2004 May;229(5):369-77.

Buggs C, Rosenfield RL. Polycystic ovary syndrome in adolescence. Endocrinol Metab Clin North Am. 2005 Sep;34(3):677.