Polycystic Ovary Syndrome and Pelvic Floor Dysfunction: A Narrative Review

Marzieh Saei Ghare Naz,1 Fahimeh Ramezani Tehrani,2 Tahereh Behroozi-Lak,3 Farnaz Mohammadzadeh,4 Farhnaz Kholosi Badr,4 Giti Ozgoli5 1Student Research Committee, Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Te...

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Main Authors: Saei Ghare Naz M, Ramezani Tehrani F, Behroozi-Lak T, Mohammadzadeh F, Kholosi Badr F, Ozgoli G
Format: Article
Language:English
Published: Dove Medical Press 2020-05-01
Series:Research and Reports in Urology
Subjects:
Online Access:https://www.dovepress.com/polycystic-ovary-syndrome-and-pelvic-floor-dysfunction-a-narrative-rev-peer-reviewed-article-RRU
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author Saei Ghare Naz M
Ramezani Tehrani F
Behroozi-Lak T
Mohammadzadeh F
Kholosi Badr F
Ozgoli G
author_facet Saei Ghare Naz M
Ramezani Tehrani F
Behroozi-Lak T
Mohammadzadeh F
Kholosi Badr F
Ozgoli G
author_sort Saei Ghare Naz M
collection DOAJ
description Marzieh Saei Ghare Naz,1 Fahimeh Ramezani Tehrani,2 Tahereh Behroozi-Lak,3 Farnaz Mohammadzadeh,4 Farhnaz Kholosi Badr,4 Giti Ozgoli5 1Student Research Committee, Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 2Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 3Reproductive Health Research Center, Department of Infertility, Urmia University of Medical Sciences, Urmia, Iran; 4Department of Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 5Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IranCorrespondence: Giti OzgoliDepartment of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IranTel/Fax +98 21 88202512Email gozgoli@gmail.comAbstract: Pelvic floor dysfunction is one of the most common disorders in women that is associated with social and economic consequences. In general, this disorder imposes direct and indirect costs on the economy of various societies. This review aimed to investigate pelvic floor dysfunction in women with polycystic ovary syndrome (PCOS). In this narrative review, the published articles on pelvic floor dysfunction were examined in PubMed, Scopus, Web of Sciences and Google Scholar. We searched for terms related to polycystic ovary syndrome and pelvic floor dysfunction. Inclusion criteria of this research were observational, experimental, and review studies. In this investigation, the complications associated with polycystic ovary syndrome were examined as risk factors for pelvic floor dysfunction. In this narrative review, we discuss about changes in hormone levels, obesity and overweight, hormonal medications and complications such as diabetes and metabolic disorders and obstetric complications of PCOS can be involved in the pathophysiology of pelvic floor dysfunctions, including stress urinary incontinence and pelvic organ prolapse in women with PCOS. This review highlights knowledge gaps about protective effect of hyperandrogenism on pelvic floor dysfunction as well as destructive effect of metabolic changes on pelvic floor dysfunction in women with PCOS. Further cohort and prospective studies are recommended in women with PCOS to investigate the concept of pelvic organ dysfunction in these women.Keywords: pelvic floor, muscles, urinary stress incontinence, polycystic ovary syndrome
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spelling doaj.art-48d86b50a34240beb37c92264c61a3432022-12-22T01:12:54ZengDove Medical PressResearch and Reports in Urology2253-24472020-05-01Volume 1217918553606Polycystic Ovary Syndrome and Pelvic Floor Dysfunction: A Narrative ReviewSaei Ghare Naz MRamezani Tehrani FBehroozi-Lak TMohammadzadeh FKholosi Badr FOzgoli GMarzieh Saei Ghare Naz,1 Fahimeh Ramezani Tehrani,2 Tahereh Behroozi-Lak,3 Farnaz Mohammadzadeh,4 Farhnaz Kholosi Badr,4 Giti Ozgoli5 1Student Research Committee, Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 2Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 3Reproductive Health Research Center, Department of Infertility, Urmia University of Medical Sciences, Urmia, Iran; 4Department of Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 5Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IranCorrespondence: Giti OzgoliDepartment of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IranTel/Fax +98 21 88202512Email gozgoli@gmail.comAbstract: Pelvic floor dysfunction is one of the most common disorders in women that is associated with social and economic consequences. In general, this disorder imposes direct and indirect costs on the economy of various societies. This review aimed to investigate pelvic floor dysfunction in women with polycystic ovary syndrome (PCOS). In this narrative review, the published articles on pelvic floor dysfunction were examined in PubMed, Scopus, Web of Sciences and Google Scholar. We searched for terms related to polycystic ovary syndrome and pelvic floor dysfunction. Inclusion criteria of this research were observational, experimental, and review studies. In this investigation, the complications associated with polycystic ovary syndrome were examined as risk factors for pelvic floor dysfunction. In this narrative review, we discuss about changes in hormone levels, obesity and overweight, hormonal medications and complications such as diabetes and metabolic disorders and obstetric complications of PCOS can be involved in the pathophysiology of pelvic floor dysfunctions, including stress urinary incontinence and pelvic organ prolapse in women with PCOS. This review highlights knowledge gaps about protective effect of hyperandrogenism on pelvic floor dysfunction as well as destructive effect of metabolic changes on pelvic floor dysfunction in women with PCOS. Further cohort and prospective studies are recommended in women with PCOS to investigate the concept of pelvic organ dysfunction in these women.Keywords: pelvic floor, muscles, urinary stress incontinence, polycystic ovary syndromehttps://www.dovepress.com/polycystic-ovary-syndrome-and-pelvic-floor-dysfunction-a-narrative-rev-peer-reviewed-article-RRUpelvic floor musclesstress incontinencepolycystic ovary syndrome
spellingShingle Saei Ghare Naz M
Ramezani Tehrani F
Behroozi-Lak T
Mohammadzadeh F
Kholosi Badr F
Ozgoli G
Polycystic Ovary Syndrome and Pelvic Floor Dysfunction: A Narrative Review
Research and Reports in Urology
pelvic floor muscles
stress incontinence
polycystic ovary syndrome
title Polycystic Ovary Syndrome and Pelvic Floor Dysfunction: A Narrative Review
title_full Polycystic Ovary Syndrome and Pelvic Floor Dysfunction: A Narrative Review
title_fullStr Polycystic Ovary Syndrome and Pelvic Floor Dysfunction: A Narrative Review
title_full_unstemmed Polycystic Ovary Syndrome and Pelvic Floor Dysfunction: A Narrative Review
title_short Polycystic Ovary Syndrome and Pelvic Floor Dysfunction: A Narrative Review
title_sort polycystic ovary syndrome and pelvic floor dysfunction a narrative review
topic pelvic floor muscles
stress incontinence
polycystic ovary syndrome
url https://www.dovepress.com/polycystic-ovary-syndrome-and-pelvic-floor-dysfunction-a-narrative-rev-peer-reviewed-article-RRU
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