Yasmin Afrin, Roychoudhury Shubhadeep, Paul Choudhury Arun, Ahmed A B Fuzayel, Dutta Sulagna, Mottola Filomena, Verma Vivek, Kalita Jogen C, Kumar Dhruv, Sengupta Pallav, Kolesarova Adriana
Department of Life Science and Bioinformatics, Assam University, Silchar 788011, India.
Department of Obstetrics and Gynecology, Silchar Medical College and Hospital, Silchar 788014, India.
Life (Basel). 2022 Nov 25;12(12):1974. doi: 10.3390/life12121974.
Polycystic ovary syndrome (PCOS) is one of the most common heterogeneous conditions of the endocrine reproductive system in women of childbearing age. Hyperandrogenism and oligomenorrhea are the two core characteristics of PCOS, a complicated and multifaceted illness. The condition is also linked to several major side effects, which include type 2 diabetes, early atherosclerosis, infertility, and endometrial cancer. There are few facts and statistics available on PCOS prevalence internationally due to the significant degree of geographic and ethnic variance and inconsistency caused by different diagnosis standards. Limited ( = 179) explorations have been made in the context of the prevalence of this complicated illness so far, and out of these, only 55 studies have discussed its association with race and/or ethnicity. However, those studies remain restricted due to the small sample size, biased selection, and the lack of comparative studies. Variations in PCOS prevalence frequency also arise due to different diagnostic criteria, as well as racial and ethnic differences, associated lifestyle factors, and subsequent illnesses that affect the accuracy of the diagnosis. The main objective behind this systematic review is to provide comprehensive epidemiological data on PCOS that is organized geographically. This evidence-based study also provides an overview of the clinical management of PCOS to instigate further research on this complex endocrinological condition and the subsequent development of preventive treatment strategies.
多囊卵巢综合征(PCOS)是育龄期女性内分泌生殖系统最常见的异质性疾病之一。高雄激素血症和月经稀发是PCOS这一复杂多面性疾病的两个核心特征。该疾病还与多种主要副作用相关,包括2型糖尿病、早期动脉粥样硬化、不孕和子宫内膜癌。由于地理和种族差异程度较大以及不同诊断标准导致的不一致性,国际上关于PCOS患病率的事实和统计数据很少。到目前为止,针对这种复杂疾病的患病率仅进行了有限的(= 179项)探索,其中只有55项研究讨论了其与种族和/或民族的关联。然而,由于样本量小、选择有偏差以及缺乏比较研究,这些研究仍然受到限制。PCOS患病率的差异还由于不同的诊断标准、种族和民族差异、相关的生活方式因素以及影响诊断准确性的后续疾病而产生。本系统评价的主要目的是提供按地理区域整理的关于PCOS的全面流行病学数据。这项基于证据的研究还概述了PCOS的临床管理,以推动对这种复杂内分泌疾病的进一步研究以及后续预防治疗策略的制定。