A cross sectional study on, prevalence of polycystic ovarian syndrome and its health effects, in reproductive age women (15-45 years) in a rural area, Telangana, India

Kusuma, Purushotham; Anusha, Doddoju Veera Bhadreshwara; Jagannivas, Swetha Srirangavaram; Shridevi, Kotina; Krishna, Noule Vamshi

doi:10.33545/gynae.2021.v5.i3f.949

Cited by 3 publications

(3 citation statements)

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“…A total of 30 articles were reviewed for a full text, and 11 articles were included in the present study [21][22][23][24][25][26][27][28][29][30][31]. Most of the selected studies were from Southern India, and none of the studies selected were from Eastern India.…”

Section: Resultsmentioning

confidence: 99%

“…Most selected papers give details about oligo/amenorrhea except for one paper, Bhuvanashree et al [23], where no detailed information was available for the study's diagnostic criteria. [31], reported the proportion of females presenting with biochemical hyperandrogenism, and most of them took more than two standard deviation of serum testosterone level in comparison to average women in their reproductive age groups as the cut-off for biochemical hyperandrogenism. Only five studies reported the prevalence of polycystic ovaries, and most of them took the total number of cysts per ovary (n>10-12) and ovarian volume > 10 ml as diagnostic criteria; in addition to, one study, Bhuvanashree et al [23], also took bilateral presence of multiple sub-cortical ovarian cysts arranged in a necklace pattern as diagnostic criteria for polycystic ovaries.…”

Section: Resultsmentioning

confidence: 99%

“…For example, Nidhi et al's study stated that they reported prevalence according to Rotterdam's criteria, which included women with an F-G score cut-off of ≥6 to diagnose hirsutism [21]. However, five studies have stated that they have used an F-G score cut-off of ≥8 to classify it as hirsutism [24,[28][29][30][31]. Similarly, Skiba et al's study found a lack of adherence to the recognized PCOS diagnostic criteria across various studies.…”

Section: Excluded Studiesmentioning

confidence: 99%

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Prevalence of Polycystic Ovarian Syndrome in India: A Systematic Review and Meta-Analysis

Bharali¹,

Rajendran²,

Goswami³

et al. 2022

Cureus

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Stein-Leventhal syndrome, often known as polycystic ovarian syndrome (PCOS), is a syndrome that affects women's reproductive health. PCOS is one of the most common endocrine and metabolic disorders in women of reproductive age. The etiology of PCOS remains unknown mainly, and the estimation of PCOS burden in a specific geographical location will impact disease control strategies. Hence, this study estimated the pooled prevalence of PCOS in Indian women. Databases such as PubMed, CINHAL, Scopus, and Google Scholar were thoroughly searched. Only those published Indian studies that reported the prevalence of PCOS from 2010 to 2021 and had at least one of the following diagnostic PCOS criteria were included in the systematic review: the National Institutes of Health (NIH), Rotterdam's criteria, or/and Androgen Excess Society (AES). MetaXL version 5.3 software was used for data analysis. The risk of bias was assessed using modified Joanna Briggs Institute criteria for cross-sectional studies. Out of 17132 articles, 11 articles were selected for systematic review and meta-analysis. The pooled prevalence of PCOS was 11.33(7.69-15.59) using the random effect. The proportion of Hirsute using the Ferriman-Gallwey score was highly variable, ranging from 1.6% to 37.9% (n=6). The prevalence rate of PCOS is high among Indian women. The pooled prevalence of PCOS was close to 10% using Rotterdam's criteria and AES criteria, while it was 5.8% using NIH criteria. The study's overall finding emphasizes the need for more acceptable and uniform diagnostic criteria for screening PCOS. At the same time, policy-makers should consider giving more importance to PCOS in their effort to control non-communicable diseases.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Excluded Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of Polycystic Ovarian Syndrome in India: A Systematic Review and Meta-Analysis

Bharali¹,

Rajendran²,

Goswami³

et al. 2022

Cureus

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Normative Data for Modified Ferriman-Gallwey Score and the Prevalence of Hirsutism in Young South Indians

Josyula,

Guttula,

Lakkudi

et al. 2024

Indian Journal of Endocrinology and Metabolism

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Introduction: The modified Ferriman-Gallwey score (mFGS) cut-offs to define hirsutism vary with ethnicity, whereas no such cut-offs are established for Indian women. Well-conducted studies that report the prevalence of hirsutism in Indian women are limited. Hence, this study was conducted to report the prevalence of hirsutism and population-specific cut-offs for mFGS in South-Indian women. Methods: In this cross-sectional, community-based study, adult women in reproductive age (18–40 years) were screened for hirsutism by two trained medical students. Hirsutism was assessed using the mFGS and case record file. Results: A total of 453 women were included in the study [age: 22.15 ± 5.27 years; body mass index (BMI): 22.5 ± 3.58 kg/m2]. The median (IQR) mFGS was 1(0-3); only eight participants (1.8%) had mFGS ≥8, and all these eight women had at least another PCOS-related feature (irregular menstrual cycles and/or topical therapy-resistant acne). The median (IQR) mFGS in the PCOS phenotype group (n = 52), non-PCOS-phenotype group (n = 401), non-obese group (<25 kg/m2), non-PCOS-phenotype group (n = 322), obese group (≥ 25 kg/m2), non-PCOS-phenotype group (n = 79), overweight group (BMI: 23–25 kg/m2), non-PCOS-phenotype group (n = 74), normal BMI group (<23 kg/m2), and non-PCOS-phenotype group (n = 248) were 4 (1–6), 1 (0–2), 1 (0–2), 2 (1–3), 1 (0–2), and 1 (0–2), respectively. The 97.5th centile mFGS in all groups except the PCOS phenotype group and the obese and non-PCOS phenotype groups was 5. Conclusion: We propose a new mFGS cut-off of 5 in the South-Indian population for evaluation of hirsutism, and the prevalence rates of hirsutism in the South-Indian population were 1.8% and 9.9% using mFGS of ≥8 and ≥5 to define hirsutism, respectively.

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A Prospective Study on the Prevalence of Polycystic Ovary Syndrome at a Tertiary Care Hospital of North Karnataka, India

Jain,

Neravi,

Kumar

et al. 2024

Journal of Preventive, Diagnostic and Treatment Strategies in Medicine

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BACKGROUND: The global incidence of polycystic ovarian syndrome (PCOS) is on the rise, yet the etiological variables influencing PCOS remain unclear. The lack of a standardized diagnostic and treatment protocol adds complexity to managing PCOS. This study aimed to determine the prevalence of PCOS at SDM College of Medical Sciences and Hospital in Dharwad, Karnataka, India, utilizing the Rotterdam criteria over a period of 9 months from January to September 2023. METHODS: A prospective, observational and cross-sectional study was conducted, enrolling 150 women from the tertiary care hospital. PCOS diagnosis was based on the Rotterdam criteria, considering factors such as age, marital status, education, occupation, nutrition, and biochemical parameters. Data analysis employed GraphPad Prism version 9 and SPSS software version 20. RESULTS: Of the 150 participants, 72.47% met the Rotterdam criteria for PCOS, with oligomenorrhea, clinical/biochemical hyperandrogenism, and polycystic ovaries on ultrasonography identified. The highest prevalence was in the age group of 27–30 years (31.19%). Significant associations were observed between PCOS and dietary habits, with P < 0.001. Demographic profiles indicated a higher prevalence among married individuals (81.65%) and those with primary education (69.72%). Body mass index and waist-to-hip ratio were significantly different between PCOS and control groups (P = 0.0326 and < 0.001, respectively). Biochemical parameters such as luteinizing hormone/follicle-stimulating hormone ratio and anti-Müllerian hormone levels showed significant differences (P < 0.001). CONCLUSION: PCOS prevalence was notable among reproductive age women at the tertiary care hospital. The study underscores the importance of considering both clinical and biochemical parameters for PCOS diagnosis using the Rotterdam criteria. Lifestyle management, including dietary changes and physical activity, emerged as the essential components. Further research and awareness initiatives are needed to address the increasing prevalence of PCOS and improve diagnostic and therapeutic strategies.

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A cross sectional study on, prevalence of polycystic ovarian syndrome and its health effects, in reproductive age women (15-45 years) in a rural area, Telangana, India

Cited by 3 publications

References 12 publications

Prevalence of Polycystic Ovarian Syndrome in India: A Systematic Review and Meta-Analysis

Prevalence of Polycystic Ovarian Syndrome in India: A Systematic Review and Meta-Analysis

Normative Data for Modified Ferriman-Gallwey Score and the Prevalence of Hirsutism in Young South Indians

A Prospective Study on the Prevalence of Polycystic Ovary Syndrome at a Tertiary Care Hospital of North Karnataka, India

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