The Prevalence of PCOS in East Asia

Polycystic ovary syndrome (PCOS) has emerged as a significant international public health concern in East Asia and around the world. It is characterized by clinical manifestations such as oligo/anovulation, hyperandrogenism, and polycystic ovarian morphology, etc. The pathogenesis of PCOS is complex...

Full description

Bibliographic Details
Main Author: Rong Li
Format: Article
Language:English
Published: World Scientific Publishing 2023-12-01
Series:Fertility & Reproduction
Online Access:https://www.worldscientific.com/doi/10.1142/S2661318223740031
_version_ 1797236996842717184
author Rong Li
author_facet Rong Li
author_sort Rong Li
collection DOAJ
description Polycystic ovary syndrome (PCOS) has emerged as a significant international public health concern in East Asia and around the world. It is characterized by clinical manifestations such as oligo/anovulation, hyperandrogenism, and polycystic ovarian morphology, etc. The pathogenesis of PCOS is complex, involving the interaction of genetic and environmental factors. The prevalence of PCOS in China has reached 7.8% with variation across different regions, occupations, and age groups. Notably, the prevalence of PCOS among Chinese women has been increasing from 2010 to 2020. Similar upward trends in prevalence rates of PCOS have also been observed in other countries. The rise in prevalence is primarily driven by type III PCOS (O+P), while type IV PCOS (H+O+P) has remained relatively stable. PCOS is associated with significant metabolic consequences, including increased risk of impaired glucose tolerance and type 2 diabetes mellitus, atherogenic dyslipidemia, systemic inflammation due to increased secretion of pro-inflammatory factors by adipose tissue, non-alcoholic fatty liver disease, hypertension, and potential coagulation disorders. PCOS affects quality of life and can worsen anxiety and depression either due to its symptoms or due to the diagnosis of a chronic disease. Genetic studies have identified susceptibility loci for PCOS, shedding light on its genetic underpinnings. Treatment aims in PCOS include optimising healthy weight, improving underlying hormonal disturbances, prevention of future reproductive and metabolic complications, and improving quality of life. Effective intervention strategies for PCOS include pharmacological treatments, lifestyle modifications, and surgical treatments.
first_indexed 2024-04-24T17:12:44Z
format Article
id doaj.art-6198891c85f244fda5e0944634f8bbdb
institution Directory Open Access Journal
issn 2661-3182
2661-3174
language English
last_indexed 2024-04-24T17:12:44Z
publishDate 2023-12-01
publisher World Scientific Publishing
record_format Article
series Fertility & Reproduction
spelling doaj.art-6198891c85f244fda5e0944634f8bbdb2024-03-28T07:54:19ZengWorld Scientific PublishingFertility & Reproduction2661-31822661-31742023-12-01050418918910.1142/S2661318223740031The Prevalence of PCOS in East AsiaRong Li0Professor, Peking University Third Hospital, ChinaPolycystic ovary syndrome (PCOS) has emerged as a significant international public health concern in East Asia and around the world. It is characterized by clinical manifestations such as oligo/anovulation, hyperandrogenism, and polycystic ovarian morphology, etc. The pathogenesis of PCOS is complex, involving the interaction of genetic and environmental factors. The prevalence of PCOS in China has reached 7.8% with variation across different regions, occupations, and age groups. Notably, the prevalence of PCOS among Chinese women has been increasing from 2010 to 2020. Similar upward trends in prevalence rates of PCOS have also been observed in other countries. The rise in prevalence is primarily driven by type III PCOS (O+P), while type IV PCOS (H+O+P) has remained relatively stable. PCOS is associated with significant metabolic consequences, including increased risk of impaired glucose tolerance and type 2 diabetes mellitus, atherogenic dyslipidemia, systemic inflammation due to increased secretion of pro-inflammatory factors by adipose tissue, non-alcoholic fatty liver disease, hypertension, and potential coagulation disorders. PCOS affects quality of life and can worsen anxiety and depression either due to its symptoms or due to the diagnosis of a chronic disease. Genetic studies have identified susceptibility loci for PCOS, shedding light on its genetic underpinnings. Treatment aims in PCOS include optimising healthy weight, improving underlying hormonal disturbances, prevention of future reproductive and metabolic complications, and improving quality of life. Effective intervention strategies for PCOS include pharmacological treatments, lifestyle modifications, and surgical treatments.https://www.worldscientific.com/doi/10.1142/S2661318223740031
spellingShingle Rong Li
The Prevalence of PCOS in East Asia
Fertility & Reproduction
title The Prevalence of PCOS in East Asia
title_full The Prevalence of PCOS in East Asia
title_fullStr The Prevalence of PCOS in East Asia
title_full_unstemmed The Prevalence of PCOS in East Asia
title_short The Prevalence of PCOS in East Asia
title_sort prevalence of pcos in east asia
url https://www.worldscientific.com/doi/10.1142/S2661318223740031
work_keys_str_mv AT rongli theprevalenceofpcosineastasia
AT rongli prevalenceofpcosineastasia