Lathia Tejal, Joshi Ameya, Behl Arti, Dhingra Atul, Kalra Bharti, Dua Charu, Bajaj Kiran, Verma Komal, Malhotra Neharika, Galagali Preeti, Sahay Rakesh, Mittal Samta, Bajaj Sarita, Moorthy Smitha, Sharma Suresh, Kalra Sanjay
Department of Endocrinology, Fortis, Apollo, MGM and Cloud Nine Hospitals, Navi Mumbai, Maharashtra, India.
Department of Endocrinology, Bhaktivedanta Hospital and Research Institute, Mira Road, Maharashtra, India.
Indian J Endocrinol Metab. 2022 Jan-Feb;26(1):17-25. doi: 10.4103/ijem.ijem_411_21. Epub 2022 Apr 27.
Polycystic ovary syndrome (PCOS), a frequently occurring health issue, has a significant effect on the cosmetic, metabolic, psychosocial and fertility aspects of women. A multidisciplinary team approach based on the core pillars of screening, assessment and counselling to detect, prevent and treat physiological and psychological issues in PCOS is very essential. Women are treated medically, but the psychosocial part is often forsaken. Hence, counselling forms an integral part of PCOS management that enables enhanced clinical outcomes and patient satisfaction. Digital tools and PCOS support groups have built an opportunity for physicians to create awareness, help timely diagnosis and overcome PCOS symptoms. The absence of clear guidelines to tackle the often less discussed aspects of PCOS warrants the need for consensus on PCOS counselling. This review summarizes the biopsychosocial health, clinical assessment and treatment strategies of PCOS and associated co-morbidities. The review article will discuss the clinician's role in patient education with the special focus on counselling of females with PCOS regardless of age group.
多囊卵巢综合征(PCOS)是一种常见的健康问题,对女性的外貌、代谢、心理社会和生育等方面都有重大影响。基于筛查、评估和咨询这三大核心支柱的多学科团队方法,对于检测、预防和治疗PCOS中的生理和心理问题至关重要。女性接受药物治疗,但心理社会方面往往被忽视。因此,咨询是PCOS管理不可或缺的一部分,有助于提高临床疗效和患者满意度。数字工具和PCOS支持小组为医生提供了一个提高认识、帮助及时诊断和克服PCOS症状的机会。由于缺乏处理PCOS中常被较少讨论方面的明确指南,因此有必要就PCOS咨询达成共识。本综述总结了PCOS的生物心理社会健康、临床评估和治疗策略以及相关的合并症。这篇综述文章将讨论临床医生在患者教育中的作用,特别关注对不同年龄组PCOS女性的咨询。