The Prevalence of Polycystic Ovarian Syndrome and It's Associated Symptoms in Selected Samples of Women in Al-Hilla City, Iraq

This study aim to investigate the prevalence of Polycystic Ovarian Syndrome(pcos) and It's associated symptoms in selected sample of women in Al-Hilla city/middle of Iraq

This study was conducted from Sep 21, 2017 to Sep 21, 2018 at infertility and outpatient clinics in Babylon Teaching Hospital at al-hilla city. A total of 2152 women aged between 15–45 years old were evaluated through full history and examination including: age, parity, BMI, history of menstrual dysfunction (amenorrhea, oligomenorrhea, menorrhagia), history of acne, hirsutism, galactorrhea, history of primary or secondary infertility, any family history of PCOS, hormonal assay and ultrasound for assessment of ovarian morphology. The Rotterdam 2003 criteria adopted by European Society were used for the diagnosis of pcos which is based on presence 2 out of the 3 of the following 1. Oligo &/or anovulation 2. Hyperandrogenism whether clinical or biochemical 3. polycystic ovarian morphology by ultrasound).

All groups were comparable in their demographic criteria. The prevalence of pcos in current study at al-hilla city was 28.9%. About 19.9%of them were adolescent while majority of them were young age group(76.9%) with less prevalence over 40 years about 3.2%. Menstrual dysfunction present in(89.1%) of patients in form of oligomenorrhea 77.7% while menorrhagia &amenorrhea present in 13.7% & 8.6% respectively and only10.9% had regular cycle. This study show that 45.2% had history of infertility in which about half of them is primary infertility. About 19.1% of patients were overweight while 21.5% were obese but majority of them (53.7%) were of normal body weight. Also the majority of patients were nillpara 43.5% & 10.2% were unmarried.

About 11.9% had positive family history of pcos while acne, hirsutism & galactorrhea present in 15.1%, 25%, 11.2% respectively. Women with pcos at urban area form about 57.7% while about 42.3% were from rural area. The number of patients who show full blown criteria of this syndrome ie: all 3 clinical features present was about 19.4% while those with possible pcos form about 80.9%. pcos is common endocrine disorder that affect about one-third of women & need to pay attention and search for the causes to treat and prevent long term sequels.