Psychological well-being and sexarche in women with polycystic ovary syndrome

Niet, J.E. de; Koning, C.M. de; Pastoor, Hester; Duivenvoorden, H.J.; Valkenburg, Olivier; Ramakers, Michel; Passchier, Jan; Klerk, Cora de; Laven, Joop S.E.

doi:10.1093/humrep/deq068

Cited by 81 publications

(71 citation statements)

References 26 publications

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“…A recent study determined that both hirsutism and BMI were negatively associated with many psychological variables in women with PCOS [21]. Changes in physical appearance associated with PCOS may lead to decreased sexual satisfaction [8].…”

Section: Discussionmentioning

confidence: 99%

Sexual function in women with polycystic ovary syndrome

Stovall

Scriver

Clayton

et al. 2011

Fertility and Sterility

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Section: Discussionmentioning

confidence: 99%

Sexual function in women with polycystic ovary syndrome

Stovall

Scriver

Clayton

et al. 2011

Fertility and Sterility

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“…Available data show that PCOS status may have significant negative consequences on both the psychological well-being and on the HRQoL, measured by either the SF-36 scores or the PCOSQ (143,153,154,155,156,157). Most cohort studies demonstrated that the prevalence of both anxiety (158) and depression (158,159,160,161) may be higher than expected.…”

Section: Psychological Symptoms and Heath-related Quality Of Life In mentioning

confidence: 99%

The polycystic ovary syndrome: a position statement from the European Society of Endocrinology

Conway¹,

Dewailly²,

Diamanti-Kandarakis³

et al. 2014

European Journal of Endocrinology

558

492

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Polycystic ovary syndrome (PCOS) is the most common ovarian disorder associated with androgen excess in women, which justifies the growing interest of endocrinologists. Great efforts have been made in the last 2 decades to define the syndrome. The presence of three different definitions for the diagnosis of PCOS reflects the phenotypic heterogeneity of the syndrome. Major criteria are required for the diagnosis, which in turn identifies different phenotypes according to the combination of different criteria. In addition, the relevant impact of metabolic issues, specifically insulin resistance and obesity, on the pathogenesis of PCOS, and the susceptibility to develop earlier than expected glucose intolerance states, including type 2 diabetes, has supported the notion that these aspects should be considered when defining the PCOS phenotype and planning potential therapeutic strategies in an affected subject. This paper offers a critical endocrine and European perspective on the debate on the definition of PCOS and summarises all major aspects related to aetiological factors, including early life events, potentially involved in the development of the disorder. Diagnostic tools of PCOS are also discussed, with emphasis on the laboratory evaluation of androgens and other potential biomarkers of ovarian and metabolic dysfunctions. We have also paid specific attention to the role of obesity, sleep disorders and neuropsychological aspects of PCOS and on the relevant pathogenetic aspects of cardiovascular risk factors. In addition, we have discussed how to target treatment choices based according to the phenotype and individual patient's needs. Finally, we have suggested potential areas of translational and clinical research for the future with specific emphasis on hormonal and metabolic aspects of PCOS.

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“…17 Other authors have attributed psychological morbidity to disturbed androgen metabolism. 12,31,32 The data on psychological disorders and emotional function in women with PCOS, especially in different societies such as our society is inconclusive. There is still considerable controversy and continuing debate on the social and psychological determinants of PCOS in the literature.…”

confidence: 99%

“…[7][8][9][10] Recently, the relationship between PCOS and psychosocial problems has come to the attention of the medical community. 11,12 Several reports have linked specific features of PCOS, such as infertility, 13 hirsutism 14 and acne, 15 to decreased mental well-being.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Factors Associated with Polycystic Ovary Syndrome: a Case Control Study

Sayyah-Melli¹,

Alizadeh²,

Pourafkary³

et al. 2015

J Caring Sci

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Article Type: Original ArticleIntroduction: Polycystic ovary syndrome (PCOS) is a disorder in women of reproductive age. Psychosocial factors can play a role in PCOS. Methods: To determine the psychosocial factors associated with PCOS in a case control study, 742 PCOS cases were compared to 798 women without PCOS for psychiatric disorders and social conditions. The data were collected using a validated questionnaire of the Minnesota Multiphasic Personality Inventory (MMPI). The Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire (DSM-IV) was used to diagnose major psychopathological disorders and other depressive and anxiety syndromes. The suspected psychopathology was evaluated by a clinical psychiatrist. Results: There was a significant difference between cases and controls in education level (71.8% vs. 80.4%; (P<0.001), and employment status (60% vs. 53%; P=0.01) (respectively). Chronic anxiety (35.7% vs. 26.8%; P<0.001), depression (18.9% vs. 7.9 %; P<0.001), anxiety disorders (7.7% vs. 3.3%; P<0.001), and personality disorders (2.9% vs. 1.7%; P=0.01), were higher in the PCOS patients compared controls, respectively. Conclusion:The results showed that chronic anxiety and depression were the most pscycologic pattern in PCO patients. Lower educational level and unemployment were higher in the cases than controls.

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Psychological well-being and sexarche in women with polycystic ovary syndrome

Abstract: Our results suggest that menstrual irregularities might be related to sexarche. Moreover, this study stresses that the treatment of women with PCOS should notably focus on physical but also on psychological and sexual characteristics.

Cited by 81 publications

References 26 publications

Sexual function in women with polycystic ovary syndrome

Sexual function in women with polycystic ovary syndrome

The polycystic ovary syndrome: a position statement from the European Society of Endocrinology

Psychosocial Factors Associated with Polycystic Ovary Syndrome: a Case Control Study

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