New approaches to early detection of polycystic ovary syndrome in obese women
Objectives: development of an algorithm for the early detection of comorbid pathology polycystic ovary syndrome (PCOS) in obese women. Materials and methods. The study included 56 women aged 28.02 ± 2.25 years with a diagnosis of obesity who had no history of PCOS. The examination was carried out by...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Publishing House TRILIST
2022-08-01
|
| Series: | Репродуктивная эндокринология |
| Subjects: | |
| Online Access: | http://reproduct-endo.com/article/view/268765 |
| _version_ | 1797946382470873088 |
|---|---|
| author | V.V. Artyomenko V.I. Velychko D.O. Lahoda |
| author_facet | V.V. Artyomenko V.I. Velychko D.O. Lahoda |
| author_sort | V.V. Artyomenko |
| collection | DOAJ |
| description | Objectives: development of an algorithm for the early detection of comorbid pathology polycystic ovary syndrome (PCOS) in obese women.
Materials and methods. The study included 56 women aged 28.02 ± 2.25 years with a diagnosis of obesity who had no history of PCOS. The examination was carried out by a multidisciplinary group of doctors consisting of a family doctor, a gynecologist and an endocrinologist.
The patient’s history of life and diseases was studied, an anthropometric еxamination and a survey according to the modified Ferriman–Gallwey scale were performed with a further ultrasound examination and a gynecologist consultation.
Results. The majority of patients (55.36%) had acne, hirsutism and seborrhea occurred in 41.07 and 26.76% of women, respectively, and 14.29% of patients had alopecia. Often, the patient had not one, but several symptoms at the same time.
According to the modified Ferriman–Gallwey scale, the majority of women (58.92%) had no manifestations of hirsutism along with obesity, 17.8% had moderate manifestations of hirsutism, 16.07 and 7.14% had mild and moderate hirsutism, respectively.
The patients had no complaints and did not know whether they had PCOS. PCOS were diagnosed in 31 (55.36%) women after ultrasound examination and gynecologist consultation. It was also found that patients with longer obesity and a higher body mass index were more likely to have a diagnosis of PCOS (ρ = 0.77). The largest number of PCOS patients was among women with a body mass index over 40 kg/m2, i.e. with the III degree of obesity.
Conclusions. The algorithm we developed for the diagnosis of PCOS in obese patients allowed us to detect this disease early in 55.36% of cases. We consider it appropriate to recommend screening for PCOS to all obese patients of reproductive age. This tactic will help maintain the fertility of this category of patients. |
| first_indexed | 2024-04-10T21:10:06Z |
| format | Article |
| id | doaj.art-a1d77c4d7d5040f796bf04eb4de65a05 |
| institution | Directory Open Access Journal |
| issn | 2309-4117 2411-1295 |
| language | English |
| last_indexed | 2024-04-10T21:10:06Z |
| publishDate | 2022-08-01 |
| publisher | Publishing House TRILIST |
| record_format | Article |
| series | Репродуктивная эндокринология |
| spelling | doaj.art-a1d77c4d7d5040f796bf04eb4de65a052023-01-20T22:46:40ZengPublishing House TRILISTРепродуктивная эндокринология2309-41172411-12952022-08-0166202510.18370/2309-4117.2022.66.20-25306779New approaches to early detection of polycystic ovary syndrome in obese womenV.V. Artyomenko0https://orcid.org/0000-0003-2490-375XV.I. Velychko1https://orcid.org/0000-0002-1936-3421D.O. Lahoda2https://orcid.org/0000-0003-0783-6225ОOdesa National Medical University, Odesa, UkraineOdesa National Medical University; Association of Family Doctors of the Odesa Region, Odesa, UkraineОOdesa National Medical University, Odesa, UkraineObjectives: development of an algorithm for the early detection of comorbid pathology polycystic ovary syndrome (PCOS) in obese women. Materials and methods. The study included 56 women aged 28.02 ± 2.25 years with a diagnosis of obesity who had no history of PCOS. The examination was carried out by a multidisciplinary group of doctors consisting of a family doctor, a gynecologist and an endocrinologist. The patient’s history of life and diseases was studied, an anthropometric еxamination and a survey according to the modified Ferriman–Gallwey scale were performed with a further ultrasound examination and a gynecologist consultation. Results. The majority of patients (55.36%) had acne, hirsutism and seborrhea occurred in 41.07 and 26.76% of women, respectively, and 14.29% of patients had alopecia. Often, the patient had not one, but several symptoms at the same time. According to the modified Ferriman–Gallwey scale, the majority of women (58.92%) had no manifestations of hirsutism along with obesity, 17.8% had moderate manifestations of hirsutism, 16.07 and 7.14% had mild and moderate hirsutism, respectively. The patients had no complaints and did not know whether they had PCOS. PCOS were diagnosed in 31 (55.36%) women after ultrasound examination and gynecologist consultation. It was also found that patients with longer obesity and a higher body mass index were more likely to have a diagnosis of PCOS (ρ = 0.77). The largest number of PCOS patients was among women with a body mass index over 40 kg/m2, i.e. with the III degree of obesity. Conclusions. The algorithm we developed for the diagnosis of PCOS in obese patients allowed us to detect this disease early in 55.36% of cases. We consider it appropriate to recommend screening for PCOS to all obese patients of reproductive age. This tactic will help maintain the fertility of this category of patients.http://reproduct-endo.com/article/view/268765polycystic ovary syndromeobesityearly detectionferriman–gallwey score |
| spellingShingle | V.V. Artyomenko V.I. Velychko D.O. Lahoda New approaches to early detection of polycystic ovary syndrome in obese women Репродуктивная эндокринология polycystic ovary syndrome obesity early detection ferriman–gallwey score |
| title | New approaches to early detection of polycystic ovary syndrome in obese women |
| title_full | New approaches to early detection of polycystic ovary syndrome in obese women |
| title_fullStr | New approaches to early detection of polycystic ovary syndrome in obese women |
| title_full_unstemmed | New approaches to early detection of polycystic ovary syndrome in obese women |
| title_short | New approaches to early detection of polycystic ovary syndrome in obese women |
| title_sort | new approaches to early detection of polycystic ovary syndrome in obese women |
| topic | polycystic ovary syndrome obesity early detection ferriman–gallwey score |
| url | http://reproduct-endo.com/article/view/268765 |
| work_keys_str_mv | AT vvartyomenko newapproachestoearlydetectionofpolycysticovarysyndromeinobesewomen AT vivelychko newapproachestoearlydetectionofpolycysticovarysyndromeinobesewomen AT dolahoda newapproachestoearlydetectionofpolycysticovarysyndromeinobesewomen |