Compressive analysis of polycystic ovarian syndrome in female students of Kursk from India, Malaysia and Africa

Abstract

Background: Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine disorder affecting reproductive-aged women, characterized by hyperandrogenism, ovulatory dysfunction, and polycystic ovarian morphology [1,2]. Beyond fertility concerns, PCOS has been associated with metabolic syndrome, insulin resistance, cardiovascular risk, and significant psychosocial distress [4,10,12]. The condition also profoundly affects health-related quality of life (HRQoL), with symptoms such as hirsutism, obesity, and menstrual irregularities contributing to psychological burden, especially among adolescents and women in culturally sensitive contexts [6,9,16].

Materials and Methods: This study employed a systematic literature review of peer-reviewed articles published between 1996 and 2023. Databases searched included PubMed, Scopus, and Web of Science using keywords such as "PCOS", "quality of life", "metabolic syndrome", and "psychological distress". A total of 16 key studies were included based on relevance, methodological rigor, and population diversity [1–16]. Data were extracted on diagnostic criteria, metabolic and psychological outcomes, and HRQoL assessments including validated instruments like SF-36 and PCOSQ [13,15].

Results: Findings indicate that PCOS is strongly associated with reduced HRQoL across multiple domains, particularly emotional well-being, body image, and social functioning [8,14]. Hirsutism was identified as the most impactful symptom on HRQoL in Iranian and South Asian populations [6,9]. Adolescents with PCOS reported greater psychosocial distress compared to their peers [11,16]. Furthermore, variations in diagnostic criteria (NIH, Rotterdam, AES) influenced prevalence estimates and clinical management strategies [7]. Several studies reported a bidirectional relationship between metabolic dysfunction and mental health deterioration [5,12].

Conclusion: PCOS significantly impairs both physical and mental health, with profound effects on quality of life that extend beyond reproductive concerns. Addressing PCOS requires a multidisciplinary approach that includes not only medical and hormonal management but also psychosocial support and culturally sensitive counseling. Future research should focus on individualized interventions targeting both metabolic and psychological outcomes to improve long-term health in women with PCOS.