scholarly journals Assessment of determinants of polycystic ovarian syndrome in women in reproductive age group attending tertiary healthcare facility in southern Maharashtra

2018 ◽  
Vol 5 (3) ◽  
pp. 372-376
2017 ◽  
Vol 9 (4) ◽  
pp. 341-347
Author(s):  
Rekha R Madusudhanan ◽  
Bindu Nambisan ◽  
Mayadevi Brahmanandan ◽  
Sreekumari Radha

ABSTRACT Introduction Polycystic ovarian syndrome (PCOS) is an endocrine disorder affecting all age groups and presenting with myriad problems like menstrual irregularities, hirsutism, anovulatory infertility, and long-term complications like diabetes, cardiovascular problems, etc. Aim Study was aimed at finding the prevalence, characteristics, and various risk factors of metabolic syndrome (MS) in reproductive age group in our hospital. Materials and methods Using statistical table, a sample size of 131 was calculated and patients were recruited as per inclusion criteria. Polycystic ovarian syndrome was diagnosed by the American Society for Reproductive Medicine (ASRM)/European Society of Human Reproduction and Embryology (ESHRE) criteria. After informed consent, a detailed history was obtained and physical examination was carried out to assess, body weight, height, body mass index (BMI), waist—hip ratio (WHR), and blood pressure (BP). Fasting blood glucose, triglycerides, and high-density lipoprotein (HDL) were measured for each woman Results Prevalence of MS in our study was 45.8%; 26.7% of patients had a combination of increased waist circumference, raised triglycerides, and low HDL; 55.2% of patients had a fasting blood sugar (FBS) levels more than 100 mg%. Age of the patient was a statistically significant risk factor of MS with 100% of patients in the age group of 35 to 39 presenting with MC. Body mass index was also a statistically significant risk factor with 82.6% with BMI > 30 having MC. Other important risk factors include a WHR more than 0.95, presence of diabetes in mother or sister, and presence of acanthosis; 71% of patients with WHR more than 0.95 had MC. Age of menarche, duration of menstrual cycles, and hirsutism showed no significant relationship. Conclusion An outstanding fact that emerged in this study was that 94% of women with PCOS had HDL values <50 mg/dL. And 58% had triglycerides more than 150 mg/dL. Hence, lifestyle modification and early intervention will hopefully spare long-term complication of PCOS. How to cite this article Madusudhanan RR, Nambisan B, Brahmanandan M, Radha S. Study on the Prevalence and Characteristics of Metabolic Syndrome in Women of Reproductive Age Group with Polycystic Ovarian Syndrome. J South Asian Feder Obst Gynae 2017;9(4):341-347.


Author(s):  
Anjali Choudhary ◽  
Shweta Jain ◽  
Priyanka Chaudhari

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.


2020 ◽  
Vol 11 (6) ◽  
pp. 102-104
Author(s):  
Bindya R ◽  
Maya Balakrishnan ◽  
Giby Thomas

The polycystic ovarian syndrome is an extremely prevalent heterogeneous disorder affecting women in the reproductive age group. Symptoms may include menstrual irregularities, hyperandrogenism, or another endocrine dysfunction. Women with PCOS are more likely to be obese and are evident by their elevated BMIs and Waist: Hip ratios. These ratios reflect an android or central pattern of obesity which are the risk factors for cardiovascular disease one of the long-term consequences of PCOS. Obesity or sthoulya is a Santharpanajanya roga. Athisthoulyam is also mentioned under Ashtou ninditha purushas. An exact correlation of PCOS cannot be found in our classics; rather most clinical features are seen scattered among the symptoms and diseases mentioned in the context of Streeroga. Main menstrual irregularities seen in PCO women are oligomenorrhoea, amenorrhoea, and DUB which are found in the context of Artava Vyapat like Artavakshaya, Nashtartava, and Asrigdhara respectively. Anovulation resulting in amenorrhoea can be compared with Vandya yonivyapat and Pushpagni Jataharini.


2021 ◽  
Vol 2 ◽  
pp. 8
Author(s):  
Swastika Purohit ◽  
Seema Rai ◽  
Shubhada Kalvit

Polycystic ovarian syndrome can affect fertility due to anovulatory cycles, luteal phase defects, hyperprolactinemia, and sex hormone imbalance, it remains untreated. The present study aims prevalence of polycystic ovarian disease (PCOD) of clinical/subclinical infertile women, different age groups and to analyze the association between circulatory level of gonadotropins, luteinizing hormone and follicle-stimulating hormone (LH and FSH) and prolactin (PRL) in polycystic ovary syndrome (PCOS) women of different reproductive age and its impact on fertility of women. The hormonal reports for LH, FSH, and PRL of 100 female patients were analyzed. Women suffering from oligomenorrhea and amenorrhea are given priority in this study. These samples were categorized into five different age groups of 15–20 years, 21–25 years, 26–30 years, 31–35 years, and 36–40 years. Obtained hormonal data of LH, FSH, and PRL were pooled and the average was taken to compare with the normal range of hormone. A significant age-dependent variation observed in circulatory serum levels of gonadotropins (LH and FSH) and PRL. The study reveals that the highest PCOD patients were observed in the age group of 21–25 years. Whereas, 30% to 15–20 years, 60% to 21–25 years, 40% to 26–30 years, 30 % to 31–35 years, and 20 % to 36–40 years of reproductive age group. Most affected population of PCOS women ranges in between 21 and 25 age groups, whereas the 36–40 age group was least affected. Age-related alteration in the circulatory level of PRL (hyperprolactinemia) and pulsatility of LH and FSH can be considered as the important factor regulating neuronal mechanisms of hypophyseal gonadal and peripheral endocrine feedback.


Author(s):  
BRINDHA G ◽  
MADHANSHANKAR SR

Objective: Polycystic ovarian syndrome (PCOS) is the most prevalent endocrine disorder, affecting up to 6.8% of women at their prime reproductive age. The aim of the study is to prove the interrelationship between food patterns, age, and anthropometric measurements in relation with body mass index (BMI) among PCOS women and control participants. Methods: The study was performed among 80 PCOS women and control participants according to the Rotterdam criteria. The data were collected through questionnaire which included age, socioeconomic data, anthropometric details, and food pattern, and the values were analyzed using Minitab 17 by Box plot method for graphical representation. The comparative analysis between age group and BMI was done by ANOVA. Results: The results showed that there was significant relationship between inappropriate food pattern and PCOS women showing higher frequency of ±8.30 among age group (19-24 years) with an average BMI of 31.6 kg/m2. The unhealthy diet along with BMI was correlated with the visual examination of presence of hirsutism. From the ANOVA analysis, it was significantly proved with probability (p=0.002); there was stronger association between lifestyle modifications and PCOS. This is the first association study to correlate between dietary habitat and age group with BMI among South Indian in Coimbatore district. Conclusion: From the results obtained, it is necessary to create awareness for women and girls about the ill effects of lifestyle modifications, unhealthy food pattern, and lack of physical activity which lead hormonal and metabolic changes.


2021 ◽  
Author(s):  
Hala Ahmadieh ◽  
Khaled Aboudib ◽  
Weam Dassouki ◽  
Loulwa Charbaji ◽  
Mohammad Ali Ali El-Dassouki ◽  
...  

Abstract Background: Polycystic Ovarian Syndrome (PCOS) is a common disorder that has many different presentations in females. However, females with this disorder, and due to their lack of awareness, usually have delayed diagnosis and treatment. The objective of this study is to assess knowledge about PCOS amongst Lebanese women in the reproductive age group.Methods: Cross sectional study was performed on 421 women of age group 18-51 years from all governorates in Lebanon. Written informed consent and participants were included through the help of convenient sampling. A well-conducted questionnaire was constructed and the study was approved by the Institutional Review Board’s Committee at Beirut Arab University (BAU) prior to data collection. Data entry was completed with SPSS (IBM version 23.1) and analyzed descriptive measurements like mean and standard deviation were used for quantitative variables, whereas percentages were used for qualitative variables. Frequencies were assessed for categorical variables. Chi-Square test and P-values, were used to compare between qualitative variables.Results: Among 421 participants, 75% were aware of the term PCOS. More than 60% knew about the various signs and symptoms associated with PCOS but around half were aware about its complications. Around two-third agreed that exercise was one of the methods that could alleviate PCOS symptoms, and around 57% agreed that weight loss could decrease symptoms as well.Conclusions: The results of the present study show that Lebanese women were aware of common symptoms of PCOS. On the other hand, their knowledge was minimal regarding more complex manifestations and complications of PCOS.


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