Rabail Javed, Bisma Daud, Naseem Jahan


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ABSTRACT
Objective: To get an in depth knowledge of various factors affecting polycystic ovarian syndrome and also find the frequency of polycystic ovarian syndrome.
Study Design: Descriptive study
Place and Duration of Study: Department of Gynecology and National Health Research Complex (NHRC), Shaikh Zayed Medical Complex Lahore from 1st January 2019 to 30th June 2019. Methodology: One hundred and forty seven participants (18-26 years) were enrolled in this study with 46 clinically confirmed polycystic ovarian syndrome females through Rotterdam criteria. Five ml of blood was withdrawn from each participant, serum separated and stored at -20°C until biochemical analysis of LH, FSH and prolactin of these patients. Ferriman Gallwey score was adopted for hirsutism in each participants and BMI was measured by using analogue weighing scale. Food frequency charts were used for recording dietary habits of each participant. The activity rate charts were used for analyzing activity level of each participant. Results: Thirty one percent of polycystic ovarian syndrome among college going girls with 50% hirsute with majority between 18-20 years. The familial history was present in 23.9% females with 84.7% suffering from oligomenorrhea. The prolactin was normal within polycystic ovarian syndrome. However, the mean LH/FSH ratio was 13:8mIU/ml, whereas, it was 5:5 mIU/ml among controls. Stress followed by sleep apnea was seen in 65% and 35% participants, respectively with 56.5% having sedentary to slow activity rate and 41.3% participants being over-weight to obese. Only 26% participants were having diet according to recommended dietary allowance.
Conclusion: The 31% college going females especially between 18-20 years were suffering from polycystic ovarian syndrome. Stress, activity rate and obesity play a major role in formulation of polycystic ovaries.
Key words: Polycystic ovarian syndrome, Hirsutism, Dietary habits, Fertility, Adolescent females, Lifestyle


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