EYES2024 ESE Young Endocrinologists and Scientists (EYES) 2024 Reproductive Endocrinology (10 abstracts)
Variations in the assessment and education of polycystic ovary syndrome (PCOS) during initial consultations across europe and india: a multinational study
Agatha Chu 1 , Meri Davitadze 2 , Amynta Arshad 3 , Sahrish Khan 4 , Alexander Wilde 5 , Angharad James 5 , Raghavendar Palani 6 , Elmira Abdullayeva 7 , Kyranna Lafara 8 , Gesthimani Mintziori 8 & PCOS SEva Working Group 9
1Hull University Teaching Hospital NHS Trust, Hull, United Kingdom; 2Clinic NeoLab, Tbilisi, Georgia; 3Birmingham Medical School, University of Birmingham, Birmingham, United Kingdom; 4Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, United Kingdom; 5South Tyneside and Sunderland, NHS Foundation Trust, United Kingdom; 6Royal Free Hospital London, United Kingdom; 7PCOS and Hirsutism Clinic, Yeditepe University Hospital, Istanbul, Turkey; 8Unit of Reproductive Endocrinology, 1st Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Greece; 9Institute of Applied Health Research, University of Birmingham, United Kingdom
Introduction: Women with polycystic ovary syndrome (PCOS) are often dissatisfied with the assessment and management of the condition. We aimed to understand the variations in the assessment and education of PCOS during initial consultations.
Methods: This retrospective multinational study was conducted across Europe and India. All women aged above 18 who had their initial consultation in PCOS clinics between 2020 and 2023 were included. Those without PCOS or who were undergoing follow-up were excluded. Data were collected on participants’ health and sociodemographic status, reasons for PCOS clinic referral, and parameters assessed during consultation. Data were further analysed according to the year of consultation. Descriptive statistics were performed using SPSS v28.0.
Results: A total of 917 participants were included in this study. 55% (n = 505) were from the UK, 26% (n = 241) were from Turkey, and 10% (n = 92) were from Greece. 629 (68.6%) participants were White. The commonest reasons for referral were irregular menses (62.9%), excess hair growth (56.2%), and acne (31.6%). Irregular menses was the most common reason for referral across all ethnic groups and countries except India, where infertility accounted for most referrals. Participants frequently reported comorbidities, including anxiety (9.2%), hypothyroidism (9.1%), and depression (7.1%). Anxiety was the most common comorbidity in the UK and Georgia and among White and Black/mixed/other ethnic groups. Interestingly, participants from India reported no comorbidity. During consultations, the most assessed parameters were dermatological concerns (89.6%), cardiometabolic (80.0%), and lifestyle management (79.9%). Dermatological concerns were most assessed across ethnicities. Long-term risk management was among the least assessed parameters across ethnic groups. There have been improvements in assessing emotional well-being in recent years, although it was particularly poorly assessed in Black/mixed/other ethnic individuals.
Conclusion: This study highlights the need to assess emotional well-being and long-term risk management during consultations to ensure consistent care across ethnic groups.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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