Psychiatric disorders in reproductive age women with polycystic ovarian syndrome: A Literature Review

Background: Polycystic ovarian syndrome (PCOS) is one of the most common endocrine disorders that affect 5-10% of reproductive age women and also it is an important cause of infertility. It seems most of the women diagnosed with PCOS have experienced significant levels of psychiatric disorders in all dimensions of their life compared to healthy general population. The objective of this study is to investigate psychiatric disorders in reproductive age women with polycystic ovarian syndrome.Methods: The present study is a review in which researchers conducted their computer search in public databases like Google Scholar and more specifically PubMed, ProQuest, web of science, Science direct, SID, IranMedex. The keywords used for finding relevant research articles were polycystic ovarian syndrome, mood disorders, psychological issues, personality disorder and reproductive-aged women. Research articles published from 1983 till 2017 with the relevant topic were selected for the purpose of this study. Overall 60 articles have been searched. Researchers reviewed the summary of all articles searched, 15 articles are excluded due to non-relevance and ultimately, they applied the data from 45 full articles to compile this review.Result: Psychiatric disorders in women with PCOS were organized in five categories. They are included as depressive disorders (major depressive disorder, dysthymic disorder and depressive disorder not otherwise specified), bipolar disorders (bipolar disorder I, bipolar disorder II and unspecified bipolar disorder), Anxiety disorders (generalized anxiety disorder , Social phobia and isolation, obsessive compulsive disorder), eating disorders (anorexia nervosa, bulimia nervosa, and periodic overeating such as binge-eating disorder), personality disorder (borderline personality disorders). According to the literature, depressive and anxiety disorders are the most prevalent psychiatric diagnoses of PCOS.Conclusion: Given the high prevalence of psychiatric disorders in PCOS women, clinicians should pay attention to this condition and considered a multi-dimensional treatment actions for high risk women before pregnancy. Additionally, it is suggested that health care providers improve PCOS women’s coping strategies through providing psychosocial education and support during pregnancy.

کلیدواژه ها:

Mood disorders ، Personality disorder ، Psychological issues ، Polycystic ovarian syndrome