The effect of polycystic ovary syndrome on health-related quality of life
Abstract
This article reviews current literature regarding polycystic ovary syndrome (PCOS) and health-related quality of life (HRQoL), as well as examining how some of the manifestations of PCOS affect HRQoL. The only quantitative study was performed in adolescent girls. It used a well-validated instrument and showed that HRQol was worse in those with PCOS in the areas of general health perceptions, behavior, physical functioning and family activity. No comparable study exists for adults with PCOS. However, qualitative psychological studies have demonstrated higher levels of depression, psychological and psychosexual morbidity and an increased response to stress in women with PCOS compared with controls. Low self-esteem, decreased social activity and less romantic contentment were reported in women with PCOS. Weight and hirsutism consistently caused more concern than menstrual problems or infertility. The symptoms associated with PCOS, namely hirsutism, acne, diabetes mellitus and obstructive sleep apnea syndrome (OSAS) were all reported to reduce HRQoL in separate studies. Encouragingly, treatment for acne and OSAS improved the HRQoL, although treatment for hirsutism did not. Quantitative studies on the effect of PCOS on HRQoL and the benefit of treatments need to be conducted.
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Women with PCOS have a higher prevalence and greater severity of depression and anxiety, low self-esteem, negative body image, and psychosexual dysfunction.
“With a higher prevalence and greater severity of depression and anxiety, low self-esteem, negative body image, and psychosexual dysfunction, 5,25”
From Assessment and management of polycystic ovary syndrome: Summary of an evidence-based guideline (2011) · cites this paper as [25]
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- Authors
- Coffey, S., & Mason, H.
- Affiliations
- St George's, University of London (GB)
- ORCID
- Coffey, S.
- Venue
- Gynecological Endocrinology
- Publisher
- Informa UK Limited
- Published
- 2003-01
- Volume
- 17
- Issue
- 5
- Pages
- 379-386
- ISSN
- 0951-3590 (ISSN-L)
- 1473-0766
- OpenAlex
- W2012580632
- Cited by
- 94
- References
- 73
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 3 · 2023: 5 · 2022: 5 · 2021: 3 · 2020: 5 · 2019: 5 · 2018: 6 · 2017: 2 · 2016: 4 · 2015: 5 · 2014: 4 · 2013: 4 · 2012: 1
- FWCI
- 3.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Gynecological Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Keywords
- polycystic ovary syndrome, health-related quality of life, depression, psychological morbidity, hirsutism, acne, obstructive sleep apnea, diabetes mellitus, self-esteem, adolescent girls
- MeSH terms
- Female, Humans, Polycystic Ovary Syndrome, Quality of Life
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