The Current Description and Future Need for Multidisciplinary PCOS Clinics
Abstract
:1. Introduction
2. Material and Methods
3. Results
3.1. Significance of the Problem
3.2. Efficacy of Multidisciplinary PCOS Clinics
4. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
- Okoroh, E.M.; Hooper, W.C.; Atrash, H.K.; Yusuf, H.R.; Boulet, S.L. Prevalence of polycystic ovary syndrome among the privately insured, United States, 2003–2008. Obstet. Gynecol. 2012, 207, 299.e1–299.e7. [Google Scholar] [CrossRef] [PubMed]
- March, W.A.; Moore, V.M.; Willson, K.J.; Phillips, D.I.; Norman, R.J.; Davies, M.J. The prevalence of polycystic ovary syndrome in a community sample assessed under contrasting diagnostic criteria. Hum. Reprod. 2010, 25, 544–551. [Google Scholar] [CrossRef] [PubMed]
- Azziz, R.; Carmina, E.; Dewailly, D.; Diamanti-Kandarakis, E.; Escobar-Morreale, H.F.; Futterweit, W.; Janssen, O.E.; Legro, R.S.; Norman, R.J.; Taylor, A.E.; et al. The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: The complete task force report. Fertil. Steril. 2009, 91, 456–488. [Google Scholar] [CrossRef] [PubMed]
- Barber, T.M.; McCarthy, M.I.; Wass, J.A.H.; Franks, S. Obesity and polycystic ovary syndrome. Clin. Endocrinol. 2006, 65, 137–145. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Azziz, R.; Sanchez, L.A.; Knochenhauer, E.S.; Moran, C.; Lazenby, J.; Stephens, K.C.; Taylor, K.; Boots, L.R. Androgen excess in women: Experience with over 1000 consecutive patients. J. Clin. Endocrinol. Metab. 2004, 89, 453–462. [Google Scholar] [CrossRef] [PubMed]
- Sirmans, S.M.; Pate, K.A. Epidemiology, diagnosis, and management of polycystic ovary syndrome. Clin. Epidemiol. 2013, 6, 1–13. [Google Scholar] [CrossRef] [PubMed]
- Shakerardekani, Z.; Nasehi, A.; Eftekhar, T.; Ghaseminezhad, A.; Ardekani, M.A.; Raisi, F. Evaluation of depression and mental health status in women with poly cystic ovary syndrome. J. Fam. Reprod. Health 2011, 5, 67–71. [Google Scholar]
- Coffey, S.; Bano, G.; Mason, H. Health-related quality of life in women with polycystic ovary syndrome: A comparison with the general population using the polycystic ovary syndrome questionnaire (PCOSQ) and the short form-36 (SF-36). Gynecol. Endocrinol. 2006, 22, 80–86. [Google Scholar] [CrossRef] [PubMed]
- Amato, M.C.; Galluzzo, A.; Finocchiaro, S.; Criscimanna, A.; Giordano, C. The evaluation of metabolic parameters and insulin sensitivity for a more robust diagnosis of the polycystic ovary syndrome. Clin. Endocrinol. 2008, 69, 52–60. [Google Scholar] [CrossRef] [PubMed]
- Carmina, E. Diagnosis of polycystic ovary syndrome: From NIH criteria to ESHRE-ASRM guidelines. Minerva Ginecol. 2004, 56, 1–6. [Google Scholar] [PubMed]
- Garad, R.; Teede, H.; Moran, L. An evidence-based guideline for polycystic ovary syndrome. Aust. Nurs. J. 2011, 19, 30–33. [Google Scholar] [PubMed]
- Meurer, L.N.; Kroll, A.P.; Jamieson, B.; Yousefi, P. Clinical inquiries: What is the best way to diagnose polycystic ovarian syndrome? J. Fam. Pract. 2006, 55, 351–352. [Google Scholar] [PubMed]
- Goodarzi, M.O.; Quinones, M.J.; Azziz, R.; Rotter, J.I.; Hsueh, W.A.; Yang, H. Polycystic ovary syndrome in Mexican-Americans: Prevalence and association with the severity of insulin resistance. Fertil. Steril. 2005, 84, 766–769. [Google Scholar] [CrossRef] [PubMed]
- Azziz, R.; Woods, K.S.; Reyna, R.; Key, T.J.; Knochenhauer, E.S.; Yildiz, B.O. The prevalence and features of the polycystic ovary syndrome in an unselected population. J. Clin. Endocrinol. Metab. 2004, 89, 2745–2749. [Google Scholar] [CrossRef] [PubMed]
- Bekx, M.T.; Connor, E.C.; Allen, D.B. Characteristics of adolescents presenting to a multidisciplinary clinic for polycystic ovarian syndrome. J. Pediatr. Adolesc. Gynecol. 2010, 23, 7–10. [Google Scholar] [CrossRef] [PubMed]
- Geier, L.M.; Bekx, M.T.; Connor, E.L. Factors contributing to initial weight loss among adolescents with polycystic ovary syndrome. J. Pediatr. Adolesc. Gynecol. 2012, 25, 367–370. [Google Scholar] [CrossRef] [PubMed]
- Lamb, J.; Closshey, W.; Huddleston, H.; Davis, G.; Zane, L.; Cedars, M. A multidisciplinary polycystic ovarian syndrome (PCOS) clinic: A new model for care and research. Fertil. Steril. 2007, 88, S186. [Google Scholar] [CrossRef]
- Broder-Fingert, S.; Shah, B.; Kessler, M.; Pawelczak, M.; David, R. Evaluation of adolescents for polycystic ovary syndrome in an urban population. J. Clin. Res. Pediatr. Endocrinol. 2009, 1, 188–193. [Google Scholar] [CrossRef] [PubMed]
- Sivayoganathan, D.; Maruthini, D.; Glanville, J.M.; Balen, A.H. Full investigation of patients with polycystic ovary syndrome (PCOS) presenting to four different clinical specialties reveals significant differences and undiagnosed morbidity. Hum. Fertil. 2011, 14, 261–265. [Google Scholar] [CrossRef] [PubMed]
- Teede, H.J.; Misso, M.L.; Costello, M.F.; Dokras, A.; Laven, J.; Moran, L.; Norman, R.J. Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Fertil. Steril. 2018, 110, 364–379. [Google Scholar] [CrossRef] [PubMed]
- Faghfoori, Z.; Fazelian, S.; Shadnoush, M.; Goodarzi, R. Nutritional management in women with polycystic ovary syndrome: A review study. Diabetes Metab. Syndr. Clin. Res. Rev. 2017, 11 (Suppl. 1), S429–S432. [Google Scholar] [CrossRef] [PubMed]
- Bonny, A.E.; Appelbaum, H.; Connor, E.L.; Cromer, B.; Di Vasta, A.; Gomez-Lobo, V.; Harel, Z.; Huppert, J.; Sucato, G.; NASPAG Research Committee. Clinical variability in approaches to polycystic ovary syndrome. J. Pediatr. Adolesc. Gynecol. 2012, 25, 259–261. [Google Scholar] [CrossRef] [PubMed]
- Ghosh, D.; Murphy, C.; Elsheikh, M. A 2 year audit of the polycystic ovary syndrome (PCOS) clinic at the Royal Berkshire Hospital. Endocr. Abstr. 2005, 9, 79. [Google Scholar]
- Eldridge, S.; Murphy, C.; Elsheikh, M. Audit of the polycystic ovary syndrome (PCOS) nurse led weight management clinic. Endocr. Abstr. 2007, 13, P255. [Google Scholar]
- Zaremobini, F.; Kazemi, A.; Farajzadegan, Z. A comprehensive mental health care program for women with polycystic ovary syndrome: Protocol for a mixed methods study. Reprod. Health 2018, 15, 46. [Google Scholar] [CrossRef] [PubMed]
- Carron, R.C. The Effects of Depressive and Anxiety Symptoms, Perceived Stress, Body Mass Index, and Coping Processes on the Health-Related Quality of Life of Adult Women with Polycystic Ovary Syndrome. Ph.D. Thesis, University of Colorado, Denver, CO, USA, May 2014. [Google Scholar]
- Moran, L.J.; Pasquali, R.; Teede, H.J.; Hoeger, K.M.; Norman, R.J. Treatment of obesity in polycystic ovary syndrome: A position statement of the Androgen Excess and Polycystic Ovary Syndrome Society. Fertil. Steril. 2009, 92, 1966–1982. [Google Scholar] [CrossRef] [PubMed]
- Moran, L.J.; Lombard, C.B.; Lim, S.; Noakes, M.; Teede, H.J. Polycystic ovary syndrome and weight management. Womens Health 2010, 6, 271–283. [Google Scholar] [CrossRef] [PubMed]
- Stefanaki, C.; Bacopoulou, F.; Livadas, S.; Kandaraki, A.; Karachalios, A.; Chrousos, G.P.; Diamanti-Kandarakis, E. Impact of a mindfulness stress management program on stress, anxiety, depression and quality of life in women with polycystic ovary syndrome: A randomized controlled trial. Int. J. Biol. Stress 2015, 18, 57–66. [Google Scholar] [CrossRef] [PubMed]
- Cooney, L.G.; Milman, L.W.; Hantsoo, L.; Kornfield, S.; Sammel, M.D.; Allison, K.; Dokras, A. Cognitive-behavioral therapy improves weight loss and quality of life in women with polycystic ovary syndrome: A pilot randomized clinical trial. Fertil. Steril. 2018, 110, 161–171. [Google Scholar] [CrossRef] [PubMed]
- Brennan, L.; Teede, H.; Skouteris, H.; Linardon, J.; Hill, B.; Moran, L. Lifestyle and behavioral management of polycystic ovary syndrome. J. Women’s Health 2017, 26, 836–848. [Google Scholar] [CrossRef] [PubMed]
- Mahoney, D. Lifestyle modification intervention among infertile overweight and obese women with polycystic ovary syndrome. J. Am. Assoc. Nurse Practit. 2014, 26, 301–308. [Google Scholar] [CrossRef] [PubMed]
- Thomson, R.L.; Buckley, J.D.; Brinkworth, G.D. Perceived exercise barriers are reduced and benefits are improved with lifestyle modification in overweight and obese women with polycystic ovary syndrome: A randomised controlled trial. BMC Womens Health 2016, 16, 14. [Google Scholar] [CrossRef] [PubMed]
- Moran, L.J.; Ko, H.; Misso, M.; Marsh, K.; Noakes, M.; Talbot, M.; Frearson, M.; Thondan, M.; Stepto, N.; Teede, H.J. Dietary composition in the treatment of polycystic ovary syndrome: A systematic review to inform evidence-based guidelines. J. Acad. Nutr. Diet. 2013, 113, 520–545. [Google Scholar] [CrossRef] [PubMed]
- Jamilian, M.; Shojaei, A.; Samimi, M.; Ebrahimi, F.A.; Aghadavod, E.; Karamali, M.; Asemi, Z. The effects of omega-3 and vitamin E co-supplementation on parameters of mental health and gene expression related to insulin and inflammation in subjects with polycystic ovary syndrome. J. Affect. Disord. 2018, 229, 41–47. [Google Scholar] [CrossRef] [PubMed]
- Jiskoot, G.; Benneheij, S.H.; Beerthuizen, A.; de Niet, J.E.; de Klerk, C.; Timman, R.; Laven, J.E. A three-component cognitive behavioural lifestyle program for preconceptional weight-loss in women with polycystic ovary syndrome (PCOS): A protocol for a randomized controlled trial. Reprod. Health 2017, 14, 34. [Google Scholar] [CrossRef] [PubMed]
- Battaglia, C.; Nappi, R.E.; Mancini, F.; Cianciosi, A.; Persico, N.; Busacchi, P.; Sisti, G. PCOS, sexuality, and clitoral vascularisation: A pilot study. J. Sex. Med. 2008, 5, 2886–2894. [Google Scholar] [CrossRef] [PubMed]
NIH 1990 | Rotterdam 2003 | AE-PCOS Society 2006 |
---|---|---|
• Hyperandrogenism • Chronic Anovulation ---Both criteria needed | • Hyperandrogenism • Oligo-and/or anovulation • Polycystic ovaries ---2 of 3 criteria needed | • Hyperandrogenism • Ovarian dysfunction ---Both criteria needed |
First developed and most commonly used criteria today | Formulated to expand on NIH diagnostic definition | Formulated to provide an evidence-based definition |
© 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Share and Cite
Wolf, W.M.; Wattick, R.A.; Kinkade, O.N.; Olfert, M.D. The Current Description and Future Need for Multidisciplinary PCOS Clinics. J. Clin. Med. 2018, 7, 395. https://doi.org/10.3390/jcm7110395
Wolf WM, Wattick RA, Kinkade ON, Olfert MD. The Current Description and Future Need for Multidisciplinary PCOS Clinics. Journal of Clinical Medicine. 2018; 7(11):395. https://doi.org/10.3390/jcm7110395
Chicago/Turabian StyleWolf, Wendy M., Rachel A. Wattick, Olivia N. Kinkade, and Melissa D. Olfert. 2018. "The Current Description and Future Need for Multidisciplinary PCOS Clinics" Journal of Clinical Medicine 7, no. 11: 395. https://doi.org/10.3390/jcm7110395