Demographic Profile, Prevalence And Treatment Modalities Received By Patients With Polycystic Ovarian Syndrome: A Descriptive Study From A Rural Tertiary Care Hospital
Journal Title: National Journal of Medical and Dental Research - Year 2017, Vol 5, Issue 2
Abstract
Background: Polycystic Ovarian Syndrome (PCOS) is a physiological disorder that causes many negative effects involving a variety of systems in the body, such as the endocrine, metabolic, psychological, and reproductive systems. The manifestation and expression of PCOS symptoms are variable from person to person. The controversy concerning the PCOS diagnosis and treatment contributes to the overall current complexities of the syndrome. Method: Descriptive, prospective cross-sectional study design. Women of reproductive age group (15-35yrs), presenting with infertility, irregular menstruation, acne, hirsuitism, obesity were included. Detailed history with specific emphasis on history of infertility, menstrual history i.e. history of oligomenorrhoea; regular or irregular menses, obesity, and presence of hirsuitism; acne; alopecia; change of voice was done. Medical (OCP’s, Metformin, ART, Ovulation Induction followed by follicular monitoring), Surgical (LOD), Combined (medical + surgical) were recorded. Result:In the current study, the prevalence of PCOS was found to be 1.49%. Maximum patients presented with the symptoms of PCOS in the 3 rd decade of life. Maximum no of patients age of menarche was 14 Yrs (34.5%), common chief complaint of the patients was infertility 113. Out of 139 cases, 106 (76.3%) cases presented with irregular menses. Patients presenting with oligomenorrhoea were 66 (47.5%), 102 (73.4%) showed no evidence of hyperandrogenism. Out of 139 patients studied, 74 (53.2%) patients underwent medical management in which 34 patients received only OCP’s, and 40 patients received combination of drugs for ovulation induction and/ or hyperandrogenism; 21(15.1%) patients underwent diagnostic hysterolaparoscopy followed by LOD (exclusive surgical management); 44 (%) patients received combined medical and surgical management. Conclusion: In conclusion, PCOS is becoming a more prevalent disorder among women of reproductive age with lifelong complications. One of the most challenging aspects of this syndrome is its ambiguous diagnostic criteria and vast complexity of characteristics.
Authors and Affiliations
Nikita Singh, Deepak Kamat, Parth Patel, Tupe NB
Keywords
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