Quality Of Life, Mental Health, And Sexuality In Women With Polycystic Ovary Syndrome, And Their Correlations

Objective We made an investigation on quality-of-life, mental health and sexuality,and analyzed the relationship between the above indicators and the major manifestations of PCOS, which are hirsutism, acne, obesity, infertility, menstrual cycle disturbances and hyperandrogenism.Methods Forty-four PCOS patients and thirty-two PCOS infertile patients were sampled in the experimental groups. Thirty-four patients with pure tubal factor and/or male factor infertility and 33 healthy person were randomly assigned as control groups. All of those four research subjects had to complete related questionnaire independently, which were SCL-90 used to assess the psychological health and VAS used to assess the sexuality. Also, PCOS patients need to complete one more MPCOSQ questionnaire.Result1. Compared to health controls,patients of PCOS showed greater psychological disturbances on the symptom checklist revised dimensions, obsessive-compulsive, interpersonal sensitivity, depression, anxiety and aggression. Excessive body hair impacted the sexuality much more. Additionally,, patients of PCOS demonstrate less satisfactionon with their sexual life and found themselves less sexually attractive. 2. In contrast to non-PCOS infertility, patients of PCOS infertility showed greater psychological disturbances on the symptom checklist revised dimensions, obsessive-compulsive, interpersonal sensitivity and depression. Excessive body hair impacted the sexuality much more. Patients of PCOS infertility found themselves less sexually attractive. 3. PCOS patients showed significant reductions in quality-of-life. The most common concern was infertility, followed in descending order by menstrual predictability, weight,emotional disturbances, hirsutism, acne and menstrual symptoms. 4. BMI was significantly correlated with weight in MPCOSQ, somatization scale in SCL-90 R, sexually attractiveness in VAS. The m FG score negatively impacted with hirsutism in MPCOSQ, somatization scale in SCL-90 R,body hair impact in VAS. The GAGS score was negatively correlated with acne in MPCOSQ. Significant correlations were both found between hyperandrogenism and hirsutism in MPCOSQ,sexual desire in VAS. 5. Patients of PCOS were divided into groups respectively by taking infertility(Yes or No), obesity(Yes or No), hirsutism(Yes or No), hyperandrogenism(Yes or No),acne severity(Mild, Moderate, and Severe), menstrual cycle(Normal, Oligomenorrhea, and Amenorrhea), type of infertility(Primary or Secondary) as grouping variables, compared with each other in quality of life, mental health, and sexuality, there were significant differences between the infertile patients and the non-infertile in infertility factor of MPCOSQ. The same thing happened to the weight factor between the obese and the non-obese. We also found patients with hyperandrogenism enjoy higher sexual desire than the non- hyperandrogenism. There were no statistically significant differences between the rest of the groups.Conclusion1. PCOS patients show significant reduction in quality of life, which relates to obesity, hirsutism, acne, infertility and hyperandrogenism. The most common concern in quality-of-life is infertility, followed in descending order by menstrual predictability, weight and emotions. 2. PCOS patients show increased psychological disturbances. While neither obesity nor hirsutism nor infertility nor acne nor hyperandrogenism nor menstrual irregularity is the key factor of the impaired mental health. 3. Besides, PCOS appear to negatively affect women’s sexual functioning as ndicated by lower levels of overall sexual satisfaction which is correlated with obesity, hirsutism and hyperandrogenism. Women with PCOS fell hirsutism do harm to the sexuality and view themselves as less sexually attractive.