Quality of Life, Psychosocial Well-Being, and Sexual Satisfaction in Women with Polycystic Ovary Syndrome

Polycystic ovary syndrome (PCOS) is a common endocrine disorder characterized by chronic anovulation and hyperandrogenism. PCOS is one of the leading causes of infertility and manifests with hirsutism, acne, and obesity. To investigate its impact on health-related quality of life and sexuality, 50 w...

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Bibliographic Details
Published in:	The journal of clinical endocrinology and metabolism Vol. 88; no. 12; pp. 5801 - 5807
Main Authors:	Elsenbruch, Sigrid, Hahn, Susanne, Kowalsky, Daniela, Öffner, Alexandra H., Schedlowski, Manfred, Mann, Klaus, Janssen, Onno E.
Format:	Journal Article
Language:	English
Published:	Bethesda, MD Endocrine Society 01-12-2003 Copyright by The Endocrine Society
Subjects:	Adult Biological and medical sciences Female Female genital diseases Gynecology. Andrology. Obstetrics Health Status Humans Interpersonal Relations Medical sciences Mental Disorders - etiology Mental Health Non tumoral diseases Obesity - physiopathology Obesity - psychology Personal Satisfaction Polycystic Ovary Syndrome - physiopathology Polycystic Ovary Syndrome - psychology Quality of Life Self Concept Sexuality Surveys and Questionnaires Tropical medicine Tumors Europe Germany Human Questionnaire Satisfaction Female sterility Well being Polycystic ovary Female genital diseases Quality of life Ovarian diseases Cyst Sexuality Female Benign neoplasm Comparative study Public health
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Summary:	Polycystic ovary syndrome (PCOS) is a common endocrine disorder characterized by chronic anovulation and hyperandrogenism. PCOS is one of the leading causes of infertility and manifests with hirsutism, acne, and obesity. To investigate its impact on health-related quality of life and sexuality, 50 women with PCOS and 50 controls were evaluated with standardized questionnaires (36-item short-form health survey, symptom checklist revised, and life satisfaction questionnaire). The impact of hirsutism, obesity, and infertility was assessed using five-point rating scales, and sexual satisfaction was analyzed with visual analog scales. Patients showed greater psychological disturbances on the symptom checklist revised dimensions, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, aggression, and psychoticism, along with a lower degree of life satisfaction in the life satisfaction questionnaire scales health, self, and sex. Health-related quality of life measured with the 36-item short-form health survey revealed significantly decreased scores for physical role function, bodily pain, vitality, social function, emotional role function, and mental health in patients with PCOS. Although patients had the same partner status and frequency of sexual intercourse, they were significantly less satisfied with their sex life and found themselves less attractive. Most of the differences were not affected by correction for body weight. In conclusion, PCOS causes a major reduction in the quality of life and severely limits sexual satisfaction.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0021-972X 1945-7197
DOI:	10.1210/jc.2003-030562