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Vasantha Ramani B et al. Int J Reprod Contracept Obstet Gynecol. 2015 Jun;4(3):560-565
www.ijrcog.org
DOI: 10.18203/2320-1770.ijrcog20150051
Research Article
Department of Pharmacy Practice, P. Rami Reddy Memorial College of Pharmacy, Kadapa, AP, India
Department of Obstetrics & Gynaecology, Rajiv Gandhi Institute of Medical Sciences (RIMS), Kadapa, AP, India
ABSTRACT
Background: PCOS (Poly Cystic Ovary Syndrome) is the most common endocrine disorder in women of
reproductive age with high prevalence. It is a leading cause of infertility in women; this draws an attention to this
issue. In this study we aimed to know the prevalence, clinical features, fertility problems and management of PCOS.
Methods: In this prospective observational study, women who consulted Obstetrics & Gynaecology department were
screened to identify the PCOS problems through clinical histories, PCOS questionnaire and ultrasonography over a
period of 6 months at Rajiv Gandhi institute of medical sciences (RIMS) in Kadapa, India. Patients diagnosed with
PCOS were assessed for their clinical manifestations, severity, life style and treatment given, and were educated
accordingly through patient counselling and leaflets.
Results: We observed 6.39 % prevalence out of 970 women. 59 (95.1%) patients were complained irregular
menstrual cycles. Infertility was significantly high in PCOS women i.e. 13.35%. 64.4% of PCOS patients had
miscarriages.
Conclusions: PCOS is a complex condition with high prevalence of fertility problems, needing due attention. There is
need to create attentiveness towards this issue. Early diagnosis and proper management with appropriate medicines
and lifestyle modifications will improve the condition and prevents complications.
Keywords: Polycystic ovarian syndrome, Menstrual irregularity, Infertility, Patient counselling, Questionnaire
INTRODUCTION
Poly Cystic Ovary Syndrome (PCOS) stands as one of
the frequently occurring endocrinopathies in women of
reproductive age with the incidence rate of 5-10%
worldwide.1
PCOS is named as Stein-Leventhal syndrome after its
earliest recognition by Drs Stein and Leventhal. They
described it as a syndrome of polycystic ovaries, with
systemic reproductive, metabolic and psychological
disturbances.2
http://dx.doi.org/10.18203/2320-1770.ijrcog20150051
Vasantha Ramani B et al. Int J Reprod Contracept Obstet Gynecol. 2015 Jun;4(3):560-565
Objectives
1.
Rotterdam criteria
2.
i.
Oligo-or anovulation
ii.
3.
4.
5.
Menstrual irregularities
ii.
Skin problems
Source of data
This consists of female patients attending the
gynaecology outpatient department from December 2013
to May 2014 at Rajiv Gandhi Institute of Medical
Sciences (RIMS), Kadapa. We have obtained the ICF
from those who are willing to participate in study. All the
necessary and relevant baseline information was collected
Vasantha Ramani B et al. Int J Reprod Contracept Obstet Gynecol. 2015 Jun;4(3):560-565
Statistical analysis
Characteristics
Height (cm)
Weight (kg)
BMI (kg/m2)
Marital status
Weight
(kg)
Child history
18-28
29-38
39-45
Married
Unmarried
Divorced
41-50
51-60
61-70
71-80
81-90
Having
children
Not having
children
No. of
patents
41
19
2
43
17
2
4
20
26
7
5
Percentage
(%)
66.1
30.6
3.22
69.3
27.4
3.22
6.45
32.25
41.93
11.29
8.06
21
46.6
24
53.4
04
59
>16
1015
Age
(years)
Category
6
48
Mean SD
159.6 5.74
62.4 12.8
23.52 3.85
60
50
40
30
20
10
0
Irregular
Regular
1
1
2
2
3
4
5
6
40
48
48
59
20
30
40
50
60
Gestations
Live births
Miscarriages
Abortions
0
1
2
3
0
1
2
3
0
1
2
3
0
1
2
3
70
Number
14
No. of patients
Characteristics
21
18
DISCUSSION
31
33
34
10
25
20
15
10
5
0
Number of patients
Vasantha Ramani B et al. Int J Reprod Contracept Obstet Gynecol. 2015 Jun;4(3):560-565
No. of
patients
6
13
20
6
22
15
7
1
16
21
8
0
43
2
0
0
Percentage
(%)
13.35
28.88
44.44
13.33
48.88
33.33
15.55
2.22
35.55
46.66
17.77
0
95.5
4.44
0
0
Vasantha Ramani B et al. Int J Reprod Contracept Obstet Gynecol. 2015 Jun;4(3):560-565
2.
3.
The treatment of PCOS includes modifications in life
style along with medical treatment. And so we educated
and provided each patient with leaflet having
recommendation regarding diet and exercise as following
4.
Vasantha Ramani B et al. Int J Reprod Contracept Obstet Gynecol. 2015 Jun;4(3):560-565
syndrome-pcos-what-you-need-to-know. Accessed 4
May 2014.
5. Womens Health. Polycystic ovarian syndrome
(PCOS) fact sheet, 2014. Available at:
https://www.womenshealth.gov/publications/ourpublications/fact-sheet/polycystic-ovarysyndrome.html. Accessed 3 May 2014.
6. Joyce King. Polycystic ovary syndrome. J Midwif
Womens Health. 2006;51(6):416-7.
7. Rollinoats. Polycystic ovarian syndrome (PCOS),
2014.
Available
at:
http://www.rollinoats.com/ns/DisplayMonograph.asp
?StoreID=DWRVUW2L6MVU8K8RKLUEPXFW5
32WBWA9&DocID=condition-pcos. Accessed 15
April 2014.
8. Ligia G, Estela ML. Aquino. Polycystic ovary
syndrome in Salvador, Brazil: a prevalence study in
primary healthcare. Reprod Biol Endocrinol.
2012;10:96.
9. Samar
M,
Asma
Afaneh,
HafsaMoalla.
Epidemiology of polycystic ovary syndrome: a cross
sectional study of university students at An-Najah
national
University-Palestine.
Reprod
Biol
Endocrinol. 2013;11:47.
10. Fahimeh R, Masoumeh Simbar, Maryam Tohidi,
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