Polycystic ovary syndrome (PCOS) and COVID-19: an overlooked female patient population at potentially higher risk during the COVID-19 pandemic

Abstract Background In women of reproductive age, polycystic ovary syndrome (PCOS) constitutes the most frequent endocrine disorder. Women with PCOS are considered to typically belong to an age and sex group which is at lower risk for severe COVID-19. Main body Emerging data link the risk of severe...

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Main Authors: Ioannis Kyrou, Emmanouil Karteris, Tim Robbins, Kamaljit Chatha, Fotios Drenos, Harpal S. Randeva
Format: Article
Language:English
Published: BMC 2020-07-01
Series:BMC Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12916-020-01697-5
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author Ioannis Kyrou
Emmanouil Karteris
Tim Robbins
Kamaljit Chatha
Fotios Drenos
Harpal S. Randeva
author_facet Ioannis Kyrou
Emmanouil Karteris
Tim Robbins
Kamaljit Chatha
Fotios Drenos
Harpal S. Randeva
author_sort Ioannis Kyrou
collection DOAJ
description Abstract Background In women of reproductive age, polycystic ovary syndrome (PCOS) constitutes the most frequent endocrine disorder. Women with PCOS are considered to typically belong to an age and sex group which is at lower risk for severe COVID-19. Main body Emerging data link the risk of severe COVID-19 with certain factors such as hyper-inflammation, ethnicity predisposition, low vitamin D levels, and hyperandrogenism, all of which have known direct associations with PCOS. Moreover, in this common female patient population, there is markedly high prevalence of multiple cardio-metabolic conditions, such as type 2 diabetes, obesity, and hypertension, which may significantly increase the risk for adverse COVID-19-related outcomes. This strong overlap of risk factors for both worse PCOS cardio-metabolic manifestations and severe COVID-19 should be highlighted for the clinical practice, particularly since women with PCOS often receive fragmented care from multiple healthcare services. Comprehensively informing women with PCOS regarding the potential risks from COVID-19 and how this may affect their management is also essential. Conclusion Despite the immense challenges posed by the COVID-19 outbreak to the healthcare systems in affected countries, attention should be directed to maintain a high standard of care for complex patients such as many women with PCOS and provide relevant practical recommendations for optimal management in the setting of this fast moving pandemic.
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spelling doaj.art-b172660322a940f88bceecf0a7e775632022-12-22T02:34:14ZengBMCBMC Medicine1741-70152020-07-0118111010.1186/s12916-020-01697-5Polycystic ovary syndrome (PCOS) and COVID-19: an overlooked female patient population at potentially higher risk during the COVID-19 pandemicIoannis Kyrou0Emmanouil Karteris1Tim Robbins2Kamaljit Chatha3Fotios Drenos4Harpal S. Randeva5Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism (WISDEM), University Hospitals Coventry and Warwickshire NHS TrustCollege of Health and Life Sciences, Brunel University LondonWarwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism (WISDEM), University Hospitals Coventry and Warwickshire NHS TrustDepartment of Biochemistry and Immunology, University Hospitals Coventry and Warwickshire NHS TrustCollege of Health and Life Sciences, Brunel University LondonWarwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism (WISDEM), University Hospitals Coventry and Warwickshire NHS TrustAbstract Background In women of reproductive age, polycystic ovary syndrome (PCOS) constitutes the most frequent endocrine disorder. Women with PCOS are considered to typically belong to an age and sex group which is at lower risk for severe COVID-19. Main body Emerging data link the risk of severe COVID-19 with certain factors such as hyper-inflammation, ethnicity predisposition, low vitamin D levels, and hyperandrogenism, all of which have known direct associations with PCOS. Moreover, in this common female patient population, there is markedly high prevalence of multiple cardio-metabolic conditions, such as type 2 diabetes, obesity, and hypertension, which may significantly increase the risk for adverse COVID-19-related outcomes. This strong overlap of risk factors for both worse PCOS cardio-metabolic manifestations and severe COVID-19 should be highlighted for the clinical practice, particularly since women with PCOS often receive fragmented care from multiple healthcare services. Comprehensively informing women with PCOS regarding the potential risks from COVID-19 and how this may affect their management is also essential. Conclusion Despite the immense challenges posed by the COVID-19 outbreak to the healthcare systems in affected countries, attention should be directed to maintain a high standard of care for complex patients such as many women with PCOS and provide relevant practical recommendations for optimal management in the setting of this fast moving pandemic.http://link.springer.com/article/10.1186/s12916-020-01697-5Polycystic ovary syndromePCOSCOVID-19Severe acute respiratory syndrome coronavirus-2SARS-CoV-2Diabetes
spellingShingle Ioannis Kyrou
Emmanouil Karteris
Tim Robbins
Kamaljit Chatha
Fotios Drenos
Harpal S. Randeva
Polycystic ovary syndrome (PCOS) and COVID-19: an overlooked female patient population at potentially higher risk during the COVID-19 pandemic
BMC Medicine
Polycystic ovary syndrome
PCOS
COVID-19
Severe acute respiratory syndrome coronavirus-2
SARS-CoV-2
Diabetes
title Polycystic ovary syndrome (PCOS) and COVID-19: an overlooked female patient population at potentially higher risk during the COVID-19 pandemic
title_full Polycystic ovary syndrome (PCOS) and COVID-19: an overlooked female patient population at potentially higher risk during the COVID-19 pandemic
title_fullStr Polycystic ovary syndrome (PCOS) and COVID-19: an overlooked female patient population at potentially higher risk during the COVID-19 pandemic
title_full_unstemmed Polycystic ovary syndrome (PCOS) and COVID-19: an overlooked female patient population at potentially higher risk during the COVID-19 pandemic
title_short Polycystic ovary syndrome (PCOS) and COVID-19: an overlooked female patient population at potentially higher risk during the COVID-19 pandemic
title_sort polycystic ovary syndrome pcos and covid 19 an overlooked female patient population at potentially higher risk during the covid 19 pandemic
topic Polycystic ovary syndrome
PCOS
COVID-19
Severe acute respiratory syndrome coronavirus-2
SARS-CoV-2
Diabetes
url http://link.springer.com/article/10.1186/s12916-020-01697-5
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