The Indian Practitioner

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

ABHIYAAN PCOS, A Consortium for Multidisciplinary Strategy for Management


Affiliations
1 Hon Consultant Dermatologist, Medical Research Centre- Kasturba Health Society, Mumbai, India. Hon Dermatologist, Saifee Hospital, Mumbai, India
2 Scientist F, Department of Operational Research, ICMR-National Institute for Research in Reproductive Health, Mumbai, India
3 Director, Division of Endocrine and Metabolic Disorders,Medical Research Centre- Kasturba Health Society, Mumbai, India
     

   Subscribe/Renew Journal


Polycystic Ovary Syndrome (PCOS), a common reproductive-endocrine-metabolic disorder of women with its galloping prevalence is reaching epidemic proportions today in India and abroad. Women suffering from PCOS have a wide spectrum of clinical manifestations like irregular menstrual cycles, infertility, hirsutism, acne and vulnerability for obesity. Besides these women are at a risk for concurrently manifesting obesity and prediabetes or subsequent development of type 2 diabetes mellitus and consequent cardiovascular diseases. Some of the manifestations have caused stigmatization and social isolation of women with PCOS contributing to its adverse psycho-social impact. This multiplicity of diverse manifestations makes it difficult for the patients to choose a specialist. As a consequence, there is often a fragmented attention to PCOS from diverse specialties like dermatology, gynecology, diabetology and psychiatrist. Additionally, the less known and poorly understood etiology of PCOS have also posed a challenge for medical science for committed research, education and organized services. This is more so due to the compartmentalization and divergence into super specialization in modern medical and biomedical sciences. Recognizing PCOS as a condition of great public health issue in India, a group of committed clinical and basic scientists from four major institutes of Mumbai formed, ABHIYAAN PCOS, a consortium for a co-operative endeavor in addressing the multiple aspects that concern women with PCOS. In the present article, we have covered the ground reality of the PCOS in India, the need to develop India-specific guidelines in-view of the pluralistic healthcare and the current efforts in the domain of PCOS by both private and public health-sectors.



Subscription Login to verify subscription
User
Notifications
Font Size


  • World Health Organization Regional Office for the Western. Global status report on noncommunicable diseases 2010 [Internet]. Geneva: World Health Organization; 2011 p. 164. Report No.: ISBN 978 92 4 068645 8. Available from: https://www.who.int/nmh/ publications/ncd_report_full_en.pdf

  • Indian Council of Medical Research, Public Health Foundation of India, Institute for Health Metrics And Evaluation. India: Health of the Nation’s States (India State-Level Disease Burden Initiative) [Internet]. [cited 2020 May 9]. Report No.: ISBN 978-0-9976462-14. Available from: https://phfi.org/the-work/research/ the-india-state-level-disease-burden-initiative/

  • Sivanantham P, Sahoo J, Lakshminarayanan S, Bobby Z, Kar SS (2021) Profile of risk factors for NonCommunicable Diseases (NCDs) in a highly urbanized district of India: Findings from Puducherry district-wide STEPS Survey, 2019–20. PLoS ONE 16(1): e0245254. https://doi.org/10.1371/journal.pone.0245254

  • Ganie MA, Vasudevan V, Wani IA, Baba MS, Arif T, Rashid A. Epidemiology, pathogenesis, genetics & management of polycystic ovary syndrome in India.Indian J Med Res. 2019;150(4):333-344.

  • Joshi B, Mukherjee S, Patil A, Purandare A, Chauhan S, Vaidya R. A cross-sectional study of polycystic ovarian syndrome among adolescent and young girls in Mumbai, India. Indian J Endocrinol Metab. 2014;18(3):317-324.

  • Chatterjee M, Bandyopadhyay SA. Assessment of the prevalence of polycystic ovary syndrome among the college students: A case–control study from Kolkata. J Mahatma Gandhi Inst Med Sci. 2020; 25:28-32.

  • Teede HJ, Misso ML, Deeks AA, Moran LJ, Bronwyn G A Stuckey BGA et al. Assessment and management of polycystic ovary syndrome: summary of an evidencebased guideline. Med J Aust 2011; 195 (6): S65.

  • Teede HJ, Misso ML, Costello MF, Dokras A, Laven J et al. International PCOS Network, Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Human Reproduction. 2018;33(9):1602– 1618.

  • Malik S, Jain K, Talwar P, Prasad S, Dhorepatil B, Devi G et al. Management of Polycystic Ovary Syndrome in India. Fertility Science and Research 2014; Vol 1(Issue 1): 23-43.

  • Multidisciplinary Opinion on Challenges in Medical Management of PCOS. An Indian Perspective. By Eminent physicians, Clinical and Basic Scientists.March 2016 Edition.

  • Sharma S, Aggarwal N. Multidisciplinary opinion on challenges in the medical management of polycystic ovarian syndrome. J Mid-life Health 2017; 8:48-9.

  • Joshi B, Hasan G, Tyebkhan G, Udipi S, Patil A et al. Knowledge and Management practices about Polycystic Ovarian Syndrome among Health Care Providers in Mumbai, India: a cross-sectional study. The Indian Practitioner. 2021; 74:15-22.

  • Vaidya R, Pandey S, Vaidya A. Polycystic ovarian syndrome: Is it a Chronic Inflammatory Disease? ECAB Clinical Update: Obstetrics and Gynecology Elsevier Clinical Advisory panel 2008; 1:42-73.

  • Vaidya RA. Maitreyi: An Initiative for Comprehensive Health-Care Programme for Menopausal Women. The Indian Practitioner. 2019;72(9):42-44.

  • Patil A D, Vaidya A, Pathak S D, Chauhan L, Surve S et al. Yoga Therapy: The Fourth Dimension in the Multidisciplinary Management of Women with Polycystic Ovary Syndrome, A Narrative Review. The Indian Practitioner. 2018; 71:45-51.


Abstract Views: 199

PDF Views: 0




  • ABHIYAAN PCOS, A Consortium for Multidisciplinary Strategy for Management

Abstract Views: 199  |  PDF Views: 0

Authors

Gulrez Tyebkhan
Hon Consultant Dermatologist, Medical Research Centre- Kasturba Health Society, Mumbai, India. Hon Dermatologist, Saifee Hospital, Mumbai, India
Beena Joshi
Scientist F, Department of Operational Research, ICMR-National Institute for Research in Reproductive Health, Mumbai, India
Rama Vaidya
Director, Division of Endocrine and Metabolic Disorders,Medical Research Centre- Kasturba Health Society, Mumbai, India

Abstract


Polycystic Ovary Syndrome (PCOS), a common reproductive-endocrine-metabolic disorder of women with its galloping prevalence is reaching epidemic proportions today in India and abroad. Women suffering from PCOS have a wide spectrum of clinical manifestations like irregular menstrual cycles, infertility, hirsutism, acne and vulnerability for obesity. Besides these women are at a risk for concurrently manifesting obesity and prediabetes or subsequent development of type 2 diabetes mellitus and consequent cardiovascular diseases. Some of the manifestations have caused stigmatization and social isolation of women with PCOS contributing to its adverse psycho-social impact. This multiplicity of diverse manifestations makes it difficult for the patients to choose a specialist. As a consequence, there is often a fragmented attention to PCOS from diverse specialties like dermatology, gynecology, diabetology and psychiatrist. Additionally, the less known and poorly understood etiology of PCOS have also posed a challenge for medical science for committed research, education and organized services. This is more so due to the compartmentalization and divergence into super specialization in modern medical and biomedical sciences. Recognizing PCOS as a condition of great public health issue in India, a group of committed clinical and basic scientists from four major institutes of Mumbai formed, ABHIYAAN PCOS, a consortium for a co-operative endeavor in addressing the multiple aspects that concern women with PCOS. In the present article, we have covered the ground reality of the PCOS in India, the need to develop India-specific guidelines in-view of the pluralistic healthcare and the current efforts in the domain of PCOS by both private and public health-sectors.



References