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Scholars Journal of Applied Medical Sciences | Volume-6 | Issue-02
Relation of obesity to Polycystic Ovarian Syndrome
Dr. Shalini Gupta
Published: Feb. 28, 2018 | 156 141
DOI: 10.36347/sjams.2018.v06i02.033
Pages: 637-641
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Abstract
Polycystic ovarian syndrome is the most common female endocrine disorder of reproductive age group with highly variable prevalence estimates ranging from 2.2 to 26 %. PCOS can be viewed as a heterogeneous androgen excess disorder with varying degrees of reproductive and metabolic abnormalities, whose diagnosis is based on anthropometric, biochemical and radiological abnormalities. Pcos is often linked to obesity. Obesity has been found to exacerebate the underlying insulin resistance. This is a prospective observational study done at St. Stephen’s hospital Delhi over 2 year of period. 225 cases of age group 15-30 years who had attended the outpatient with menstrual symptoms were selected. Pcos was diagnosed by clinical hyperandrogenism (HA), irregular menstruation (IM), and polycystic ovary (PCO) using Rotterdam criteria.The Prevalence of PCOS was 33.3% according to Rotterdam criteria. More prevalent in obese patient (BMI 25.0-29.9Kg/m20) 42.7%. Lean patient prevalence was very low 4%. Oligomenorrhoea was present in 82.7% and polycystic ovaries in ultrasound were 28.88%. Polycystic ovarian syndrome is affecting the lives of young adolescent’s girls. The disease is on its rise because of lifestyle and environmental changes occurring with modernization. The clinical manifestations are variable with obesity playing the key role.