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

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.

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

“…In the past 10 years, an increasing number of studies have assessed the prevalence of PCOS across the world. To date, seven nationally representative surveys have been conducted in India from 2010 to 2014, reporting a variation in prevalence from 6% to 46.8% . The lower prevalence of 4.21% observed in the present study might be due to the fact that Haryana is an agricultural state, with a relatively rural population with comparatively healthy lifestyles.…”

“…In India, epidemiologic data regarding its prevalence and its complications are limited . Furthermore, most reports are region‐specific (mainly urban areas) and ignore urban/rural comparisons in terms of prevalence . It is likely that the prevalence of PCOS varies significantly between urban and rural regions owing to different environments, lifestyles, incidence of obesity, and dietary practices.…”

Knowledge, perceptions and practices of menstrual hygiene among degree college students in Guntur city of Andhra Pradesh, India

“…In present study we found the prevalence of PCOS to be 16.4 % in married women and 24 % in unmarried women. 19…”

Development of Garcinia Cambogia Enriched Nutri Bite for the Management of Pcos

“…It is a product of the complex interaction between genetic factors including prenatal exposure to high androgen levels, epigenetic factors, and environmental factors such as diet, physical activity, smoking and stress (Tsikouras et al 2015). Women with PCOS are susceptible to male type fat distribution due to 258 the effect of HA (Choudhary et al, 2017). In 2012, about 116 million women were affected by PCOS according to the WHO (Bharathi et al, 2017).…”

“…In 2012, about 116 million women were affected by PCOS according to the WHO (Bharathi et al, 2017). PCOS occurs at a frequency of 11.2% of women of reproductive age and in 50% of teenage girls (Choudhary et al, 2017). Up to 70% of the women remain undiagnosed with PCOS.…”