Department of Obstetrics and Gynaecology, Norvic International Hospital, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2020 Nov 22;58(231):875-888. doi: 10.31729/jnma.5694.
Polycystic ovarian syndrome is the most common endocrinological disorder in women of reproductive age and has a considerable metabolic, reproductive, and cardiovascular consequences. This study was designed to provide an overview of the presentation of he clinical profile and hormonal presentation of the patients with polycystic ovarian syndrome attending a tertiary care hospital.
A descriptive cross-sectional study was conducted between September 14, 2019 to October 16, 2019 on patients presenting to a tertiary care hospital, after obtaining ethical clearance from Institutional Review Committee (Dated 03/09/2019) and informed consent from the patient or patient relatives. Data entry and analysis were done in Microsoft Excel 10. The data was statistically analysed using Statistical Package for the Social Sciences (SPSS) version 20.0.
The study included 100 PCOS patients. The mean age of the patients was 24.9±4.52 years and the most common group was 26-34 years. The most common presenting symptom was menstrual irregularity which was seen in 86 (86%) of the patients, followed by weight gain in 55 (55%) of the patients. Thirty percent (30 in number) of the patients were overweight, while eleven (11%) of the patients had grade I obesity. LH/FSH ratio was more than or equal to 2 in eighty-three percent 83 (83%) of the patients.
Polycystic ovarian syndrome has varying clinical manifestations, most commonly affecting the young women of reproductive age group. The commonest presenting complaint in the current study was menstrual abnormality. Majority of the patients had deranged hormonal profile which can lead to an increased risk of cardiovascular disease and type 2 DM. Thus, awareness regarding PCOS is important for early diagnosis and to prevent its sequalae to various complications.
多囊卵巢综合征(PCOS)是育龄妇女最常见的内分泌疾病,对代谢、生殖和心血管系统都有重大影响。本研究旨在概述在一家三级保健医院就诊的多囊卵巢综合征患者的临床表现和激素表现。
本研究为描述性横断面研究,于 2019 年 9 月 14 日至 10 月 16 日在一家三级保健医院进行,研究获得了机构审查委员会的伦理批准(2019 年 9 月 3 日),并获得了患者或患者家属的知情同意。数据录入和分析在 Microsoft Excel 10 中进行。使用社会科学统计软件包(SPSS)版本 20.0 对数据进行统计分析。
本研究纳入了 100 名 PCOS 患者。患者的平均年龄为 24.9±4.52 岁,最常见的年龄组为 26-34 岁。最常见的首发症状是月经不规律,86 名(86%)患者有此症状,其次是体重增加,55 名(55%)患者有此症状。30%(30 名)患者超重,11%(11 名)患者肥胖程度为 I 级。83%(83 名)患者的 LH/FSH 比值大于或等于 2。
多囊卵巢综合征的临床表现多种多样,最常影响育龄期年轻女性。目前研究中最常见的首发症状是月经异常。大多数患者的激素谱异常,这可能导致心血管疾病和 2 型糖尿病的风险增加。因此,对 PCOS 的认识对于早期诊断和预防其各种并发症的后果非常重要。