Polycystic ovarian syndrome: Prevalence and impact on the wellbeing of Australian women aged 16–29 years

Varanasi, L. Chitra; Subasinghe, Asvini K; Jayasinghe, Yasmin; Callegari, Emma T.; Garland, Suzanne M.; Gorelik, Alexandra; Wark, John D.

doi:10.1111/ajo.12730

Cited by 31 publications

(18 citation statements)

References 22 publications

(37 reference statements)

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“…PCOS is associated with difficulties conceiving (Melo et al , 2015; McDonnell and Hart, 2017) and, consistent with another recent Australian study (Varanasi et al , 2018), one of the main concerns of women in this study was whether or not they could become pregnant. Similar to the findings of other studies (Snyder, 2006; Avery and Braunack-Mayer, 2007; Crete and Adamshick, 2011; Satveit, 2017), women with PCOS in this study found it difficult to access information about their condition and its reproductive implications.…”

Section: Discussionsupporting

confidence: 89%

“…Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of reproductive age and affects ~6–21% of women (Azziz et al , 2004; March et al , 2010; Varanasi et al , 2018). Information about PCOS usually includes that the condition is associated with fertility difficulties (Family Planning NSW, 2012; Healthdirect, 2016; Better Health Channel, 2017; Melbourne IVF, 2018; Jean Hailes for Women’s Health on behalf of the PCOS Australian Alliance, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Fertility concerns and related information needs and preferences of women with PCOS

Holton

Hammarberg

Johnson³

2018

Human Reproduction Open

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Study question What are the fertility and childbearing concerns and related information needs and preferences of women with polycystic ovary syndrome (PCOS)? Summary answer Women with PCOS have concerns about fertility and childbearing mainly because they believe that it will be difficult for them to conceive, and identify a need for evidence-based information and preconception care so that they can make informed decisions about having children and achieve their reproductive goals. What is known already Women with chronic conditions seek reproductive health information from a range of sources, including their healthcare provider, the internet, other women with the condition, patient associations and support groups, and scientific publications. Little is known about the fertility concerns and information needs of women with PCOS or their preferences for how and when to receive information about the effect of their condition and its treatment on fertility and childbearing. Study design, size, duration A qualitative study of 13 women of reproductive age with self-reported PCOS living in Australia participated in an online discussion group conducted from May to June 2018. Women were recruited via targeted advertisements on social media. Participants/materials, setting, methods In a closed-group moderated discussion, participants responded to questions about fertility concerns and the related information needs and preferences of women with PCOS. Non-identifiable demographic information was sought via a separate online anonymous survey. The discussion transcript was analysed thematically. Main results and the role of chance Women identified a number of concerns about childbearing including whether they could become pregnant, how to prepare for pregnancy and what they should do before trying to conceive given their PCOS. Women reported seeking information about fertility and PCOS from a range of sources, and views about the most useful types and sources of fertility information for women with PCOS varied. Limitations, reasons for caution Due to the small sample size and recruitment of participants via advertisements on Facebook, women who participated in the study may not be representative of women with PCOS in the general population. Women currently contemplating childbearing or who have recently had children or fertility difficulties may also have been more likely to participate in the study. Women in this study self-reported PCOS, and this may not necessarily reflect a confirmed diagnosis of PCOS. No formal diagnostic criteria were used to confirm their PCOS status. Wider implications of the findings Women with PCOS would benefit from evidence-based information in a range of formats to help them make informed decisions about childbearing and achieving their reproductive goals. Preconc...

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Fertility concerns and related information needs and preferences of women with PCOS

Holton

Hammarberg

Johnson³

2018

Human Reproduction Open

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“…A meta‐analysis in 2017 reviewed the prevalence of PCOS across different ethnic groups and concluded that women from Middle Eastern countries and black women are more likely to develop PCOS as compared with Asian women . In Iran, China, and the United States, a prevalence of 3%, 2.2%, and 4.7%, respectively, has been reported; in Brazil, Beijing, Sri Lanka, Palestine, Greece, the United Kingdom, and Spain, the prevalence is reported to range from 5% to 10%, whereas Denmark, Turkey, and Australia have reported higher rates (15%–20%) . The discrepancies in reported prevalence might be due to small sample sizes, narrow age groups (15–25 years), presence of other disease, inclusion of diagnosed women, and differences in socioeconomic and regional characteristics, lifestyle, and diagnostic criteria.…”

Section: Discussionmentioning

confidence: 99%

Cross‐sectional study of the prevalence of polycystic ovary syndrome in rural and urban populations

Deswal

Nanda

Ghalaut

et al. 2019

Intl J Gynecology & Obste

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Objective: To assess the prevalence and risk factor profile of polycystic ovary syndrome (PCOS) in Haryana, India. Methods:A large-scale cross-sectional study was conducted among women of reproductive age in Haryana between December 2015 and May 2017. A random multi-stage stratified sampling method was adopted. PCOS screening was based on questionnaires.Blood samples for hormonal analysis were collected from those with probable and definitive PCOS cases. Women with menstrual irregularities (MI), hyperandrogenism (HA), and polycystic ovaries (PCO) (Rotterdam criteria) were included. Females with thyroid disease, hyperprolactinemia, and adrenal hyperplasia were excluded. Results: Among total 2400 women screened, 94 (4.21%) had PCOS. The PCOS phenotypes were 30% clinical HA (hirsutism, H), 64% biochemical HA, 35% PCO, 16% H+MI, 10% MI+PCO, 52% MI+HA, 14% PCO+H, and 19% PCO+H+HA. Overall, 67 (71%) of the women with PCOS resided in urban regions and 27 (29%) in rural regions. Conclusion: Among the women with PCOS, a considerably higher proportion resided in urban regions of Haryana. The difference may be attributed to lifestyle and dietary factors. Ignoring PCOS may put women at risk of serious long-term health consequences that are difficult to manage. Lifestyle changes and continuous surveys should be promoted for better management.

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“…Polycystic Ovary Syndrome (PCOS) is the most common endocrine disorder amongst reproductive aged women [ 1 ], with a prevalence of up to 17.8% amongst Australian women [ 2 ]. PCOS is a complex disorder, with reproductive, metabolic and psychological manifestations [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability of a proposed trial of acupuncture as an adjunct to lifestyle interventions for weight loss in Polycystic Ovary Syndrome: a qualitative study

Smith

Costello

et al. 2018

BMC Complement Altern Med

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BackgroundPolycystic Ovary Syndrome (PCOS) is a common female reproductive disorder with multiple manifestations. Weight management is a key therapeutic goal. Acupuncture is a potential adjunctive weight loss treatment in non-PCOS populations. We aimed to engage patients in co-design and assess the feasibility and acceptability of methods for a randomised controlled trial (RCT) on acupuncture and telephone-based health coaching for weight management in overweight or obese women with PCOS using qualitative methods.MethodsWe recruited women who had PCOS and were aged 18–45 years and with a body mass index of 25 kg/m2 and over, using social media. Two face-to-face focus group meetings and three semi-structured telephone interviews were conducted (n = 10). We analysed data using thematic analysis and aimed to compare and contrast motivations for joining the trial between women who were actively trying to conceive (n = 7) and not trying to conceive (n = 3). Attitudes to, knowledge and experiences of acupuncture; perceptions and attitudes towards the interventions in the RCT (real acupuncture, sham acupuncture and telephone-based health coaching); the outcomes of importance; and barriers and facilitators to successful trial recruitment and retention were collected.ResultsWomen were both acupuncture-naive and acupuncture-experienced. Overall, attitudes towards acupuncture were positive, and the trial design was acceptable with appointment flexibility requested. Ideal enrolment time, if women were trying to conceive, was six months prior to conception. Women supported three-month intervention and the use of sham acupuncture as a control. Financial incentives were not believed to be necessary, and women spoke of altruistic intentions in enrolling for such a trial. Women who were trying to conceive voiced a need for support from their family, health coaches, and peers. The telephone-based health coaching offered welcome support and accountability, noted as possible facilitators of weight loss.ConclusionsOur findings show that acupuncture is a likely acceptable adjunct to lifestyle interventions for weight loss in PCOS, and that a sham-controlled trial is feasible and acceptable to PCOS women. Further research is required in order to evaluate the efficacy of acupuncture together with lifestyle for weight management in PCOS.Electronic supplementary materialThe online version of this article (10.1186/s12906-018-2358-7) contains supplementary material, which is available to authorized users.

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Polycystic ovarian syndrome: Prevalence and impact on the wellbeing of Australian women aged 16–29 years

Cited by 31 publications

References 22 publications

Fertility concerns and related information needs and preferences of women with PCOS

Fertility concerns and related information needs and preferences of women with PCOS

Cross‐sectional study of the prevalence of polycystic ovary syndrome in rural and urban populations

Feasibility and acceptability of a proposed trial of acupuncture as an adjunct to lifestyle interventions for weight loss in Polycystic Ovary Syndrome: a qualitative study

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