Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Case Study Volume 4 Issue 2

Polycystic Ovarian Syndrome - A Pain for Young Women? An Autobiographical Case Studies

Jyotsna Gupta1* and Suresh Kishanrao2

1Bachelor’s in Occupational Therapy (BOT) (MPH), Karnataka State Rural Development and Panchayat Raj University, Gadag, Karnataka, India
2Public Health Consultant and Visiting Professor, MPH, Karnataka State Rural Development and Panchayat Raj University, Gadag, Karnataka, India

*Corresponding Author: JJyotsna Gupta, Bachelor’s in Occupational Therapy (BOT) (MPH), Karnataka State Rural Development and Panchayat Raj University, Gadag, Karnataka, India.

Received: December 27, 2021; Published: January 31, 2022

Abstract

Polycystic ovary syndrome (PCOS) is a common endocrine disorder predominantly affecting young women of reproductive age. Current Diagnostic Criteria as per NIH, USA International PCOS Guidelines 2018, 2 of 3 ensuing criteria are needed i) Hyperandrogenism 2) Oligo-and/or anovulation 3) Polycystic ovaries. In 1990 NIH recommended presence of both Hyperandrogenism and Chronic Anovulation. Changes in the diagnostic criteria greatly affect the prevalence of PCOS. Prevalence rates have been reported as low as 1.6% using a combination of all three criteria and as high as 18% in USA [1]. Studies of PCOS in India carried out in convenience samples reported a prevalence of 3.7% to 22.5%, with 9.13% to 36% prevalence in adolescents only. World Health Organization (WHO) estimates that PCOS had affected 3.4% of women worldwide in 2012. Globally, prevalence estimates of PCOS are highly variable, ranging from 2.2% to as high as 26%. The condition is often misdiagnosed and poorly understood, is a lifelong disorder that can be managed with appropriate medical care. Most common symptoms are Missed periods, excess body hair including the face (hirsutism) and Weight gain in especially around the abdomen, more Acne during the periods, baldness, or thinning hair occurs and Infertility occurs if not treated for long. Hormonal assessment and Ultrasonography that shows large ovaries and multiple cysts in the ovary clinch the diagnosis. The management protocol depends upon hormonal therapy and monitoring associated metabolic syndromes like weight gain, Diabetes, Obesity and Cardiovascular symptoms. We present an autobiographical case of myself, a 25-year girl now, presenting the current and third episode of PCOS. I consulted a gynecologist at a private hospital in GADAG, Karnataka, 582101, with the complaints of white discharge, backache, hirsutism and hair fall, acne, feeling stressed apart from irregular periods and adding fat around my waist since 13 JANUARY 2021. She on clinical examination found breasts normal but with darkening of areola and nipple, a few hairs, and some milk like fluid oozing on squeezing the nipple. My blood pressure was 130\90 mm hg, pulse rate - 102/minute, RR - 20/ minute, weight 63 kg, height - 155.4 cm. Based on increased testosterone, low FSH, elevated LH, elevated estrogens, increased prolactin, and USC showing bilateral enlarged ovaries with multiple cysts with more than 15 follicles, I was diagnosed as a case of PCOS and put on hormonal therapy. I was first put on oral contraceptive pill for 3 months and then on Myo-Inositol (Myo Inositol, D-Chiro Inositol with Folic Acid) one tablet twice a day for 3 months, once a day for the last 2 months. All signs have disappeared now except for periodical episodes of headache and my menstrual cycles are normal for last 2 months.

Keywords: Missing or Delayed Monthly Periods; Hirsutism; Weight Gain; Acne, and Central Alopecia; Hormonal Assays; Ultrasonography; Oligomenorrhoea; Fear of Infertility; Depression

References

  1. Jingjing Liu., et al. “Measuring the global disease burden of polycystic ovary syndrome in 194 countries: Global Burden of Disease Study 2017”. Human Reproduction4 (2021): 1108-1119.
  2. Wendy M Wolf., et al. “Geographical Prevalence of Polycystic Ovary Syndrome as Determined by Region and Race/Ethnicity”. International Journal of Environmental Research and Public Health11 (2018): 2589.
  3. Mohammad Ashraf Ganie., et al. “Epidemiology, pathogenesis, genetics & management of polycystic ovary syndrome in India”. Indian Journal of Medical Research 4 (2019): 333-344.
  4. Gill H., et al. “Prevalence of polycystic ovary syndrome in young women from North India: A community-based study”. Indian Journal of Endocrinology and Metabolism 16 (2012): S389-392.
  5. Sonia Malik., et al. “Management of Polycystic Ovary Syndrome in India”. President, Indian Fertility Society (2015): 182.69.98.25.
  6. Roshan Dadachanji., et al. “TYPES OF PCOS”. (2021).
  7. Beena Joshi., et al. “A cross-sectional study of polycystic ovarian syndrome among adolescent and young girls in Mumbai, India”. Indian Journal of Endocrinology and Metabolism3 (2014): 317-324.
  8. Ritu Deswal., et al. “The Prevalence of Polycystic Ovary Syndrome: A Brief Systematic Review”. Journal of Human Reproductive Sciences 4 (2020): 261-271.
  9. Nitin Joseph., et al. “Study on the proportion and determinants of polycystic ovarian syndrome among health sciences students in South India”. Journal of Natural Science, Biology, and Medicine 2 (2016): 166-172.
  10. Nidhi R., et al. “Prevalence of polycystic ovarian syndrome in Indian adolescents”. Journal of Pediatric and Adolescent Gynecology 24 (2011): 223.

Citation

Citation: Jyotsna Gupta and Suresh Kishanrao. “Polycystic Ovarian Syndrome - A Pain for Young Women? An Autobiographical Case Studies". Acta Scientific Women's Health 4.2 (2022): 52-57.

Copyright

Copyright: © 2022 Jyotsna Gupta and Suresh Kishanrao. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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