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Polycystic ovarian syndrome : an under-recognised problem?
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Hillman, Sarah C and Dale, Jeremy (2018) Polycystic ovarian syndrome : an under-recognised problem? British Journal of General Practice, 68 (670). p. 244. doi:10.3399/bjgp18X696101
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Official URL: http://dx.doi.org/10.3399/bjgp18X696101
Abstract
Polycystic ovarian syndrome (PCOS) is a multisystem condition that can blight the course of a woman’s life. The condition is common and for many is associated with considerable distress. We argue the importance of diagnosis in what is currently an under-recognised condition.
Diagnosis of PCOS requires two of the three Rotterdam criteria to be present.1 Introducing the criteria led to an increase in PCOS prevalence from 6% to 10% in screened women of childbearing age.2 However, this is unlikely to be a true reflection of the prevalence among women who choose to consult their GP. A recent retrospective cohort study of over 2 million women in the UK reported that the prevalence of women of reproductive age with PCOS was just 1.34%, rising to 2.27% if probable cases were included.3 The authors suggested that there is significant under-diagnosis occurring, with only about 50% of women with at least two of the three criteria having a recorded diagnosis of PCOS. This might imply that GPs are attempting to avoid overmedicalisation, or it might reflect a lack of awareness. It may also indicate that it is only those women with a more severe phenotype who consult their GP.
Item Type: | Journal Item | ||||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
Journal or Publication Title: | British Journal of General Practice | ||||||
Publisher: | Royal College of General Practitioners | ||||||
ISSN: | 0960-1643 | ||||||
Official Date: | May 2018 | ||||||
Dates: |
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Volume: | 68 | ||||||
Number: | 670 | ||||||
Page Range: | p. 244 | ||||||
DOI: | 10.3399/bjgp18X696101 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Restricted or Subscription Access |
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