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Assessment of Health-Related Quality of Life Using PCOSQ Tool, Its Determinants and Coping Mechanisms Used by Women with Polycystic Ovarian Syndrome Attending Multidisciplinary Clinic in Mumbai, India

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Abstract

Background

Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorder having most impact on women of reproductive age group, affecting their quality of life (HRQOL) and psychological well-being.

Objective

This paper aims to determine QOL among women affected with PCOS attending a multidisciplinary clinic using PCOSQ tool and its association with socio-economic status, phenotypes, anxiety, depression and metabolic comorbidities and evaluate the coping strategies adapted by these women.

Design

Retrospective study.

Setting

Integrated multidisciplinary PCOS clinic.

Patient(s)

Two hundred and nine women diagnosed with PCOS as per Rotterdam criteria.

Results

Infertility was an important condition for reduced HRQOL and psychological morbidity across all socio-economic status and phenotypes. The poor psychological status and obesity were identified as determinants of HRQOL among women affected with PCOS. Those who suffered from anxiety, depression and showed lower HRQOL used emotional maladaptive coping strategies.

Conclusion

Results reveal that HRQOL of PCOS women is worsened in the presence of comorbidities. Maladaptive and disengagement coping strategies used by women may worsen their psychological status. Holistic assessment of comorbidities and its management can help improve HROL of affected women. Personalised counselling based on the assessment of coping strategies used by women could empower women to cope better with PCOS.

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Acknowledgements

We acknowledge the encouragement and support provided by Dr. Smita Mahale, Director, Indian Council of Medical Research—National Institute for Research in Reproductive and Child Health (ICMR-NIRRCH). We acknowledge and thank all participants of the survey without whom this was an impossible task.

Funding

This study was conducted as an Intramural project of ICMR-NIRRH, and hence there was no sourced funding agency and no financial conflicts.

Author information

Authors and Affiliations

  1. Department of Operational Research, ICMR-National Institute for Research in Reproductive and Child Health, Jahangir Merwanji Street, Parel, Mumbai, 400012, India

    Beena Joshi & Sharmeen A. Shaikh

  2. Department of Clinical Research, ICMR-National Institute for Research in Reproductive and Child Health, Mumbai, 400012, India

    Anushree Patil

  3. Department of Clinical Research, National Institute for Research in Reproductive and Child Health, Mumbai, 400012, India

    Pratibha P. Kokate, Anamika J. Akula & Deepti Tandon

  4. Department of Psychiatry, Grant Medical College and KEM Hospital, Parel, Mumbai, 400012, India

    Ajita S. Nayak

  5. Ex -Dept of Operational Research, ICMR National Institute for Research in Reproductive and Child Health, Parel, Mumbai, India

    Sharmeen A. Shaikh

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  1. Beena Joshi
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Corresponding author

Correspondence to Beena Joshi.

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Ethics Approval

All necessary ethical approvals were obtained from NIRRCH Ethical Committee for Clinical Studies and use of retrospective data. The study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments.

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The authors have no conflicts of interest to declare that are relevant to the content of this manuscript.

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Joshi, B., Patil, A., Kokate, P.P. et al. Assessment of Health-Related Quality of Life Using PCOSQ Tool, Its Determinants and Coping Mechanisms Used by Women with Polycystic Ovarian Syndrome Attending Multidisciplinary Clinic in Mumbai, India. J Obstet Gynecol India 73, 172–179 (2023). https://doi.org/10.1007/s13224-022-01723-x

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