Reproductive Endocrinology
Halimah Khalil 1 , Jameela Sheikh 2 , Meghnaa Hebbar 2 , Nawal Zia 2 , Saskia Wicks 3 , Sindoora Jayaprakash 4 , Alisha Narendran 5 , Eka Melson 6 , Maureen Busby 7 , Abd A. Tahrani 8 , Sarah Hillman 9 , Rachel Chapman 10 , Helena Gleeson 11 , Ruchira Singh 12 , Lynne Robinson 12 , Konstantinos N. Manolopoulo 8 , Caroline D.T. Gillett 8 , Shakila Thangaratinam 8 , Wiebke Arlt 13 & Punith Kempegowda 13
1College of Medical and Dental Sciences, University of Birmingham; [email protected]; 2College of Medical and Dental Sciences, University of Birmingham, Birmingham; 3Barts Health NHS Trust, London; 4The Dudley Group NHS Foundation Trust, Dudley ; 5King Edward VI High School for Girls, Birmingham; 6Ninewells Hospital and Medical School, Dundee, DD1 9SY; Institute of Metabolism and Systems Research, University of Birmingham, Birmingham; 7CEO, PCOS Vitality; 8Institute of Metabolism and Systems Research, University of Birmingham, Birmingham; 9Warwick Medical School, Coventry; 10Birmingham City Council, Birmingham; 11Department of Endocrinology, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham; 12Birmingham Women’s Hospital, Birmingham Women’s and Children’s NHS Foundation Trust, Birmingham; 13Institute of Metabolism and Systems Research, University of Birmingham, Birmingham; Department of Endocrinology, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham
Background: The National Institute of Health and Care Excellence (NICE) recommends evaluating emotional wellbeing in people with polycystic ovary syndrome (PCOS).
Objectives: To study differences in various aspects of emotional wellbeing among young women with and without PCOS.
Methods: Women aged 18-24 years old at the University of Birmingham were invited to complete an online survey. The survey included validated questionnaires including the Hospital Anxiety and Depression Scale (HADS; score 8-10 borderline; score ≥11 cases of anxiety and depression, respectively), Body Image Concern Inventory (BICI; score ≥72 suggestive of body dysmorphic disorder, BDD), Beliefs About Obese Persons Scale (BAOP; higher score suggestive of weight bias) and Female Sexual Function Index (FSFI; higher score suggestive of psychosexual dysfunction). The results are reported as median and interquartile ranges (IQR).
Results: A total of 52 participants completed the survey (median age: 22 years; 27% identified as White British), with 26.9% (n=14) reporting a diagnosis of PCOS, and 73.1% (n=38) reporting no known diagnosis of PCOS. People with PCOS had higher prevalence of anxiety (42.9% (n=6) with PCOS vs 5.3% (n=2) without PCOS) and depression (14.3% (n=2) in PCOS vs 18.4% (n=7) without PCOS) compared to those without. Both groups have similar beliefs about obesity (BAOP score: 33(26.5-35) in PCOS vs 34(30-38) without PCOS) and similar body image concerns (BICI score: 60(46-73.5) vs 60(48-69.5)). Participants with a PCOS diagnosis had a higher FSFI score (25.6(9.7-37.7) in PCOS vs 18(5.7-23.9) without PCOS) compared to those without, suggesting a higher risk for psychosexual dysfunction.
Conclusion: Women with a PCOS diagnosis showed a higher prevalence of anxiety, alongside a higher HADS score for both anxiety and depression. Further research is needed to explore emotional wellbeing in young women with PCOS and address mental health concerns as part of their clinical care.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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