scholarly journals “I didn’t feel normal”: Young Canadian women’s experiences with polycystic ovary syndrome

2021 ◽  
pp. 095935352110307
Author(s):  
Tanja Samardzic ◽  
Kendall Soucie ◽  
Kristin Schramer ◽  
Rachel Katzman

Polycystic ovary syndrome (PCOS), which affects 8 to 13% of reproductive-aged women, is a highly gendered disorder whose symptoms disrupt Western conceptions of femininity. This may be especially debilitating for young women, who are targeted by societal discourses governing how they “should” be. We interviewed 10 young Canadian women, aged 18 to 22, about how PCOS has influenced and/or conflated their conceptions of identity and (ab)normality within the current socio-cultural context. Using reflexive thematic analysis through a critical feminist lens, we present three themes: justifying abnormality, pathologizing the abnormal, and fear of failure in pregnancy. Young women described feeling “weird” and “not normal” as a result of their symptoms and expressed worries about their ability to adhere to gendered expectations. We argue that the blanketing of these desirable states as “normal” has pervasive implications for women’s lives and leaves them feeling defective and/or inadequate, which was further reinforced by implicit, gender-based power dynamics in medical institutions when women sought care. We suggest the need for engagement with discomfort and leveraging PCOS as a unique entryway into an analysis of intersectional issues to capture complexities in lived experience.

2006 ◽  
Vol 0 (0) ◽  
pp. 061020035253002-??? ◽  
Author(s):  
Francesco Orio ◽  
Stefano Palomba ◽  
Francesco Giallauria ◽  
Annamaria Colao ◽  
Carlo Vigorito

2006 ◽  
Vol 11 (4) ◽  
pp. 306-312 ◽  
Author(s):  
Aylin Yildirir ◽  
Funda Aybar ◽  
Giray Kabakci ◽  
Hakan Yarali ◽  
Ali Oto

2014 ◽  
Vol 29 (12) ◽  
pp. 2756-2763 ◽  
Author(s):  
G.R. Willis ◽  
K. Connolly ◽  
K. Ladell ◽  
T.S. Davies ◽  
I.A. Guschina ◽  
...  

2009 ◽  
Vol 25 (10) ◽  
pp. 640-646 ◽  
Author(s):  
Vasiliki Vervita ◽  
Alexandros D. Saltamavros ◽  
George Adonakis ◽  
Vasilios Tsapanos ◽  
George Decavalas ◽  
...  

2018 ◽  
Vol 132 (7) ◽  
pp. 759-776 ◽  
Author(s):  
Xiao Wang ◽  
Huarong Wang ◽  
Wei Liu ◽  
Zhiyuan Zhang ◽  
Yanhao Zhang ◽  
...  

Polycystic ovary syndrome (PCOS), which is characterized by hyperandrogenism, is a complex endocrinopathy that affects the fertility of 9–18% of reproductive-aged women. However, the exact mechanism of PCOS, especially hyperandrogen-induced anovulation, is largely unknown to date. Physiologically, the natriuretic peptide type C/natriuretic peptide receptor 2 (CNP/NPR2) system is essential for sustaining oocyte meiotic arrest until the preovulatory luteinizing hormone (LH) surge. We therefore hypothesized that the CNP/NPR2 system is also involved in PCOS and contributes to arresting oocyte meiosis and ovulation. Here, based on a dehydroepiandrosterone (DHEA)-induced PCOS-like mouse model, persistent high levels of CNP/NPR2 were detected in anovulation ovaries. Meanwhile, oocytes arrested at the germinal vesicle stage correlated with persistent high levels of androgen and estrogen. We further showed that ovulation failure in these mice could be a result of elevated Nppc/Npr2 gene transcription that was directly increased by androgen (AR) and estrogen (ER) receptor signaling. Consistent with this, anovulation was alleviated by administration of either exogenous human chorionic gonadotropin (hCG) or inhibitors of AR or ER to reduce the level of CNP/NPR2. Additionally, the CNP/NPR2 expression pattern in the anovulated follicles was, to some extent, consistent with the clinical expression in PCOS patients. Therefore, our study highlights the important role an overactive CNP/NPR2 system caused by hyperandrogenism in preventing oocytes from maturation and ovulation in PCOS mice. Our findings provide insight into potential mechanisms responsible for infertility in women with PCOS.


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