SFEBES2021 Poster Presentations Reproductive Endocrinology (31 abstracts)
PCOS SEVa: High prevalence anxiety and body dysmorphia in women with PCOS in the UK and India
Meghnaa Hebbar 1 , Salomi Shaikh 2 , Nawal Zia 1 , Jameela Sheikh 1 , Saskia Wicks 3 , Sindoora Jayaprakash 4 , Alisha Narendran 5 , Halimah Khalil 1 , Helena Gleeson 6 , Lynne Robinson 7 , Justin J. Chu 7 , Tejal Lathia 8 , Chitra Selvan 9 , Wiebke Arlt 6,10 & Punith Kempegowda 6,10
1College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom; 2Padmashree D.Y. Patil School of Medicine, Navi Mumbai, India; 3Barts Health NHS Trust, London, United Kingdom; 4The Dudley Group NHS Foundation Trust, Dudley, United Kingdom; 5King Edward VI High School for Girls, Birmingham, United Kingdom; 6Department of Endocrinology, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom; 7Birmingham Women’s Hospital, Birmingham Women’s and Children’s NHS Foundation Trust, Birmingham, United Kingdom; 8Apollo Hospitals, Navi Mumbai, India; 9Department of Endocrinology, MS Ramaiah Medical College, Bengaluru, India; 10Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, United Kingdom
Introduction: National Institute of Health and Care Excellence (NICE) recommends screening for emotional wellbeing as part of consultations for polycystic ovary syndrome (PCOS).
Aim: We evaluated several dimensions of emotional wellbeing in people attending PCOS consultation in the UK and India.
Methods: All people attending reproductive endocrine clinic for PCOS at three centres: Queen Elizabeth Hospital Birmingham, UK; Apollo Hospitals, in Navi Mumbai, India; and MS Ramaiah Medical College, Bengaluru, India from October 2020 to June 2021 were invited to complete a survey before attending the clinic. This survey had questions on demographics, 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). Comparison between women of the two countries was made with Mann-Whitney U test.
Results: A total of 109 women (43 UK and 66 India) completed the survey. The prevalence of anxiety and depression were 46.8% (51.2% UK vs 47.0% India; P = 0 .402) and 11.0% (12.2% UK vs 10.6% India, P = 0 .937), respectively, with no significant difference between the two groups. Overall, 24.8% had BDD with higher prevalence in the UK women (39.5% UK vs 15.2% India; P = 0 .005). Participants had higher scores for BAOP (overall: 30.5/48 (25.0-36.0)) with higher scores for UK women (UK: 32.5 (27.25-38.0); vs India: 29.0 (24.25-33.0); P = 0 .033). The overall scores for FSFI were towards the upper end of the scale (22.3/36 (8.4-26.7)) with no significant difference between the two groups (UK: 23.15 (15.08-26.73); vs India: 20.9 (6.8-26.8); P = 0 .204).
Conclusions: High prevalence of emotional illbeing with PCOS both in UK and India suggest a need to improve screening and management for this globally.
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Endocrine Abstracts
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