Polycystic Ovarian Syndrome in Psychiatry – What should the Psychiatrist know?
PCOS is the most common endocrine disorder in women of reproductive age and consists of anovulation or menstrual dysfunction and hyperandrogenism. The main criteria are hyperandrogenism, anovulation and ovarian cysts. 2 out of 3 are required for diagnosis after other causes are excluded. In Australia, it affects 11% of Australian women of reproductive age and 21% of indigenous women. Australian research shows that 89% of women with PCOS saw more than one health professional before their diagnosis was made, 49% took greater than six months to have a diagnosis confirmed. The economic burden of PCOS is approximately $400 million per year in Australia.
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Teede HJ, Misso ML, Deeks AA, et al. Assessment and management of polycystic ovary syndrome: summary of an evidence-based guideline. Med J Aust 2011;195:S65–112.