Shah Kaushal, Kulkarni Ritu, Singh Romil, Pannu Harmandeep S, Kamrai Dhwani
Psychiatry, Griffin Memorial Hospital, Norman, USA.
Psychology, University of Oklahoma, Norman, USA.
Cureus. 2020 Nov 5;12(11):e11343. doi: 10.7759/cureus.11343.
Polycystic ovary syndrome (PCOS) is a common endocrine disorder that affects women of reproductive age. Women with PCOS may present with obesity, amenorrhea, oligomenorrhea, infertility, or androgenic features. Studies have shown the association of psychiatric disorders with endocrine disorders, including PCOS. We present a case of a PCOS patient with no prior psychiatric history who presented with suicidal ideation. We emphasize the importance of screening women for PCOS when presented with mental disorders through this clinical case. It is crucial to rule out any medical causes in patients predominantly presented with psychiatric symptoms. We highlight the possible role of bupropion and naltrexone in managing PCOS symptoms, depression with suicidal ideation, and trichotillomania through this unique and rare case.
多囊卵巢综合征（PCOS）是一种常见的内分泌紊乱疾病，影响育龄女性。患有PCOS的女性可能出现肥胖、闭经、月经过少、不孕或雄激素过多的特征。研究表明，精神障碍与包括PCOS在内的内分泌紊乱有关。我们报告一例既往无精神病史的PCOS患者出现自杀意念的病例。通过这个临床病例，我们强调在女性出现精神障碍时筛查PCOS的重要性。对于主要表现为精神症状的患者，排除任何医学原因至关重要。通过这个独特而罕见的病例，我们强调安非他酮和纳曲酮在管理PCOS症状、伴有自杀意念的抑郁症和拔毛癖方面可能发挥的作用。
