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Epidemiology, pathogenesis, genetics & management of polycystic ovary syndrome in India
Open accessAbstract
Polycystic ovary syndrome (PCOS) is a common endocrine disorder predominantly affecting women of reproductive age. Clinical manifestations are diverse including hyperandrogenism, anovulation, infertility and increased risk of metabolic diseases besides psychosocial dysfunction. This review provides information on the problem of PCOS in India, its pathophysiology, genetics and an overview of current management options to instigate further research in this field. Prevalence of PCOS in India ranges from 3.7 to 22.5 per cent depending on the population studied and the criteria used for diagnosis. Abnormalities in leptin-adiponectin (adipocyte biology), oxidative stress and autoimmunity are among the mechanisms studied regarding pathogenesis of PCOS. Many candidate gene studies have shown associations with PCOS in various studies. Studies have consistently demonstrated the relationship between the well-known manifestation of hyperandrogenism among Indian PCOS women and the metabolic morbidities including insulin resistance, glucose intolerance and cardiovascular risk. Management of individual components of PCOS can be achieved by medications or surgical methods, though further clarification regarding pathogenesis of PCOS is needed to sharpen our therapeutic armamentarium.
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“In general, obese phenotypes have more severe clinical forms of PCOS than their lean equivalent.”
From PCOS and nutritional approaches: Differences between lean and obese phenotype (2021) · cites this paper as [4]
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“However, both share many central pathophysiological processes (hyperandrogenemia, IR, oxidative stress, chronic inflammation) [4].”
From PCOS and nutritional approaches: Differences between lean and obese phenotype (2021) · cites this paper as [4]
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Metadata
- Authors
- Ganie, M. A., Vasudevan, V., Wani, I. A., Baba, M. S., Arif, T., & Rashid, A.
- Affiliations
- Sher-i-Kashmir Institute of Medical Sciences (IN)
- Corresponding author
- Ganie, Mohammad Ashraf
- Venue
- Indian Journal of Medical Research
- Publisher
- Scientific Scholar
- Published
- 2019-10
- Volume
- 150
- Issue
- 4
- Pages
- 333-344
- ISSN
- 0971-5916 (ISSN-L)
- PMC
- PMC6902362
- OpenAlex
- W2989778925
- Cited by
- 232
- References
- 95
- Citations by year
- 2026: 28 · 2025: 46 · 2024: 55 · 2023: 45 · 2022: 31 · 2021: 21 · 2020: 6
- FWCI
- 2.04
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- The Indian Journal of Medical Research (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Kidney Cyst Diseases
- Keywords
- polycystic ovary syndrome, PCOS pathogenesis, hyperandrogenism, insulin resistance, impaired glucose tolerance, cardiovascular risk, oxidative stress, autoimmunity, candidate gene association, PCOS management, infertility, anovulation, metabolic comorbidities
- MeSH terms
- Female, Humans, India, Polycystic Ovary Syndrome
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