Prevalence of polycystic ovary syndrome in women seeking treatment from community electrologists

Lisa Farah, A. Jan Lazenby, Larry R. Boots, Ricardo Azziz

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

OBJECTIVE: To determine the prevalence of the poly- cystic ovary syndrome (PCOS) among women seeking electrology, clients presenting to nine electrology centers completed a questionnaire. STUDY DESIGN: Women with potential risk 'factors were referred to the University of Alabama at Birmingham. They underwent a detailed history and physical examination, including hirsutism scoring by a modified Ferriman-Gallwey (F-G) method. Serum was assayed for total testosterone, sex hormone binding globulin and dehydroepiandrosterone sulfate. RESULTS: Three hundred fifteen (40%) of 779 patients had potential risk'factors for hyperandrogenism and were referred. Eighty-two (26%) completed their evaluation. Six were excluded secondary to prepubertal or menopausal status. Of the remaining 76 patients, 20% had F-G scores of 7 or 8, 13% had scores of 9 or 10, and 21% had scores > 10. Forty- nine (64%) patients reported irregular menstrual cycles. Sixty-four patients were not receiving hormonal therapy: 25 reported regular menstrual cycles, and 39 reported irregular cycles. Seventeen (68%) of the 25 had at least one abnormal androgen value, while 33 (85%) of the 39 women had at least one abnormal value (nonsignificant difference). Overall, PCOS was evident in 39 of the 76 women, or 12% of the 315 patients who were referred for further evaluation. CONCLUSION: Thirty-nine of the 315 referred patients (12%) fulfilled the diagnostic criteria 'for PCOS. However, they were not receiving medical care or this condition. In addition, this percentage is a conservative estimate in that 74% of the referred patients did not pursue a medical evaluation. Therefore, efforts to educate both electrologists and their clients of the possibility of underlying endocrine disorders and subsequent metabolic morbidity should be undertaken.

Original languageEnglish (US)
Pages (from-to)870-874
Number of pages5
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume44
Issue number10
StatePublished - Oct 1 1999

Fingerprint

Polycystic Ovary Syndrome
Ovary
Menstrual Cycle
Therapeutics
Hyperandrogenism
Hirsutism
Sex Hormone-Binding Globulin
Dehydroepiandrosterone Sulfate
Androgens
Physical Examination
Testosterone
History
Morbidity
Serum

Keywords

  • Androgens
  • Hirsutism
  • Polycystic ovary syndrome

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Prevalence of polycystic ovary syndrome in women seeking treatment from community electrologists. / Farah, Lisa; Lazenby, A. Jan; Boots, Larry R.; Azziz, Ricardo.

In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist, Vol. 44, No. 10, 01.10.1999, p. 870-874.

Research output: Contribution to journalArticle

Farah, Lisa ; Lazenby, A. Jan ; Boots, Larry R. ; Azziz, Ricardo. / Prevalence of polycystic ovary syndrome in women seeking treatment from community electrologists. In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist. 1999 ; Vol. 44, No. 10. pp. 870-874.
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abstract = "OBJECTIVE: To determine the prevalence of the poly- cystic ovary syndrome (PCOS) among women seeking electrology, clients presenting to nine electrology centers completed a questionnaire. STUDY DESIGN: Women with potential risk 'factors were referred to the University of Alabama at Birmingham. They underwent a detailed history and physical examination, including hirsutism scoring by a modified Ferriman-Gallwey (F-G) method. Serum was assayed for total testosterone, sex hormone binding globulin and dehydroepiandrosterone sulfate. RESULTS: Three hundred fifteen (40{\%}) of 779 patients had potential risk'factors for hyperandrogenism and were referred. Eighty-two (26{\%}) completed their evaluation. Six were excluded secondary to prepubertal or menopausal status. Of the remaining 76 patients, 20{\%} had F-G scores of 7 or 8, 13{\%} had scores of 9 or 10, and 21{\%} had scores > 10. Forty- nine (64{\%}) patients reported irregular menstrual cycles. Sixty-four patients were not receiving hormonal therapy: 25 reported regular menstrual cycles, and 39 reported irregular cycles. Seventeen (68{\%}) of the 25 had at least one abnormal androgen value, while 33 (85{\%}) of the 39 women had at least one abnormal value (nonsignificant difference). Overall, PCOS was evident in 39 of the 76 women, or 12{\%} of the 315 patients who were referred for further evaluation. CONCLUSION: Thirty-nine of the 315 referred patients (12{\%}) fulfilled the diagnostic criteria 'for PCOS. However, they were not receiving medical care or this condition. In addition, this percentage is a conservative estimate in that 74{\%} of the referred patients did not pursue a medical evaluation. Therefore, efforts to educate both electrologists and their clients of the possibility of underlying endocrine disorders and subsequent metabolic morbidity should be undertaken.",
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