Awareness of polycystic ovarian syndrome among young women in Western India
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20195307Keywords:
Awareness, India, Polycystic ovary syndrome, WomenAbstract
Background: Polycystic ovary syndrome (PCOS) is a complex condition characterized by elevated androgen levels, menstrual irregularities, and/or small cysts on one or both ovaries. It is a common issue affecting more than 7% of adult women, causing many problems including but not limited to infertility, irregular menses, hirsutism, acne and alopecia. The primary cause of PCOS is still unknown but awareness and lifestyle modification is known to be an efficient therapy route to relieve symptoms of this syndrome. Objective of the study was to assess the knowledge about PCOS in young women in Navi Mumbai, Maharashtra, India.
Methods: A cross sectional study was performed on 500 women of age group 18-30 years coming to outpatient departments of D. Y. Patil Hospital, Navi Mumbai. Written informed consent was obtained and simple random technique was applied for selection of study participants. Pre-designed, pre-tested, semi-structured questionnaire was used for data collection. The data collected was analyzed through percentages and frequencies using Excel. Relevant statistical test was applied was applied and p value was calculated wherever required and considered statistically significant when <0.05.
Results: Among 500 participants, only 38% of the women were aware of the term PCOS. 26% of the subjects were aware about the organ system involved in this disease. Most of the people know about this disorder through friends or relatives. 17% of the women knew about the various symptoms associated with PCOS.
Conclusions: The alarming results of present study show that very small number of young women understand what this disease is and thus when to consult a physician. This could be why PCOS is an underrepresented and underdiagnosed disease. This widely prevalent disease among young women should be talked about more and more young women must be educated on this to help prevent the sequelae of this syndrome on fertility and insulin resistance.
References
Rotterdam ESHRE/ASRM-Sponsored. PCOS Consensus Workshop Group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Hum Reprod. 2004;19:41-7.
Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Fertil Steril. 2004;81:19-25.
Knochenhauer ES, Key TJ, Miller M, Waggoner W, Boots LR, Azziz R. Prevalence of the polycystic ovary syndrome in unselected black and white women of the southeastern United States: A prospective study. J Clin Endocrinol Metab. 1998;83:3078-82.
Kandarakis DE, Kouli CR, Bergiele AT, Filandra FA, Tsianateli TC, Spina GG, et al. A survey of the polycystic ovary syndrome in the Greek Island of Lesbos: Hormonal and metabolic profile. J Clin Endocrinol Metab. 1999;84:4006-11.
Michelmore KF, Balen AH, Dunger DB, Vessey MP. Polycystic ovaries and associated clinical and biochemical features in young women. Clin Endocrinol. 1999;51:779-86.
Nidhi R, Padmalatha V, Nagarathna R, Amritanshu R. Prevalence of polycystic ovarian syndrome in Indian adolescents. J Pediatr Adolesc Gynecol. 2011;24:223-7.
Sills ES, Perloe M, Palermo GD. Correction of hyperinsulinemia in oligoovulatory women with clomiphene-resistant polycystic ovary syndrome: a review of therapeutic rationale and reproductive outcomes. Eur J Obstet Gynecol Reprod Biol. 2000;91(2):135-41.
Azziz R, Woods KS, Reyna R, Key TJ, Knochenhauer ES, Yildiz BO. The prevalence and features of the polycystic ovary syndrome in an unselected population. J Clin Endocrinol Metab. 2004;89:2745-9.
Jahangir S. Knowledge and awareness of polycystic ovarian syndrome among female non-medical undergraduate students. EWU Institutional Repository. 2017. Available at: http://dspace.ewubd.edu/handle/123456789/2667.
Homburg R. Pregnancy complications in PCOS. Best Pract Res Clin Endocrinol Metab. 2006;20(2):281- 92.
Rizvi M, Abbas A, Tanwir S, Sabah A, Ali ZM, Sundrani MM, et al. Perception and attitude of patients regarding polycystic ovarian syndrome (PCOS) in tertiary care hospitals of Pakistan-a survey based study. Int J Pharma Therap. 2014;5(3):147-52.
Sunanda B, Nayak S. A study to assess the knowledge regarding PCOS (polycystic ovarian syndrome) among nursing students at NUINS. NUJHS. 2016;6(3):47-9.
Upadhye JJ, Shembekar CA. Awareness of PCOS (polycystic ovarian syndrome) in adolescent and young girls. Int J Reprod Contracept Obstet Gynecol. 2017;6:2297-301.
Pitchai P, Sreeraj SR, Anil PR. Awareness of lifestyle modification in females diagnosed with polycystic ovarian syndrome in India: explorative study. Int J Reprod Contracept Obstet Gynecol. 2016;5(2):470-6.
Kumarapeli V, Seneviratne RA, Wijeyaratne CN, Yapa RM, Dodampahala SH. A simple screening approach for assessing community prevalence and phenotypes of polycystic ovary syndrome in semiurban population in Srilanka. Am J Epidemiol. 2008;168:321-7.
Nair MK, Pappachan P, Balakrishnan S, Leena ML, George B, Russell PS. Menstrual irregularity and poly cystic ovarian syndrome among adolescent girls: A two year follow-up study. Indian J Pediatr. 2012;79(l1):69-73.
Sivayoganathan D, Maruthini D, Glanville JM, Balen AH. Full investigation of patients with polycystic ovary syndrome (PCOS) presenting to four different clinical specialties reveals significant differences and undiagnosed morbidity. Hum Fertil. 2011;14:261-5.
Chen X, Yang D, Mo Y, Li L, Chen Y, Huang Y. Prevalence of polycystic ovary syndrome in unselected women from southern China. Eur J Obstet Gynecol Reprod Biol. 2008;139:59-64.
Li R, Zhang Q, Yang D, Li S, Lu S. Prevalence of polycystic ovary syndrome in women in China: a large community-based study. Hum Reprod. 2013;28(9):2562-9.