Assessment of Clinical Profile, Perceptions of Polycystic Ovarian Syndrome & Its Associated Factors among Adolescents Girls Attending O&G OPD

Abstract

Background: Polycystic ovarian syndrome is a complex disorder wherein numerous genetic variants and
environmental factors interact, combine & contribute to its pathophysiology.
Objectives: 1) To find out the differences in clinical manifestations, hormonal & biochemical parameters among
adolescent girls from urban and rural area with PCOS. 2) To assess the perceptions about PCOS among the study
respondents.3) To determine the association between the various factors with perception among the adolescents
girls.
Methodology: It was a cross-sectional study conducted for a period of four months (Feb. to May 2022) among
236 adolescent girls (10-19 years) of age, from urban and rural area attending Obst. & Gynaec OPD of Bhimo Bhoi
Medical college & Hospital (BBMCH), Balangir, Odisha.
Results: Adolescent girls from urban area 23(19.5%) had shown more proportion of PCOS Compared to their
12(10.2%) rural counterparts. The difference in clinical presentation among the respondents residing in urban
and rural area was found to be significant with yates correction X2 value =12.8481, p=0.00338 in case of acne and
X2 value = 6.843, p=0.00889 for hirsutism. The perceptions regarding PCOS disease process and its management
was found to be better among adolescent girls of urban area compared to their rural counterparts. Respondents
from both urban and rural had no idea regarding the long term sequel of PCOS. The difference between the level
of perception with the educational qualification level of the adolescent girls was found to be significant with
X2 = 105.0399, p=0.001.
Conclusion: Awareness regarding the importance of healthy diet, lifestyle changes, Yoga, meditation, stress
management to be done through proper counseling.