Review Article
Polycystic Ovary Syndrome, Insulin Resistance, and Obesity: Navigating the Pathophysiologic Labyrinth
Table 1
Clinical manifestations and conditions associated with polycystic ovary syndrome.
| (a) |
| | Manifestation | Reference | Sample | Prevalence |
| | Manifestations of hyperandrogenism |
| | Hirsutism | Marcondes et al. [34] | 73 | 83.8% | | Baldani et al. [35] | 365 | 73.2% | | Jedel et al. [36] | 30 | 73% |
| | Acne | Jedel et al. [36] | 30 | 63% | |
Özdemir et al. [37] | 115 | 53% | | Baldani et al. [35] | 365 | 49.6% |
| | Alopecia |
Özdemir et al. [37] | 115 | 34.8% | |
Sivayoganathan et al. [38] | 70 | 16% |
| | Seborrhea |
Özdemir et al. [37] | 115 | 34.8% |
| | Manifestations of ovarian dysfunction |
| | Oligomenorrhea | Valkenburg et al. [39] | 412 | 74% | | Baldani et al. [35] | 365 | 69.2% | | Jedel et al. [36] | 30 | 20% |
| | Amenorrhea | Valkenburg et al. [39] | 412 | 26% | | Baldani et al. [35] | 365 | 21.5% | | Jedel et al. [36] | 30 | 43% |
| | Ultrasound polycystic ovaries | Baldani et al. [35] | 365 | 97.3% | | Valkenburg et al. [39] | 412 | 89% | | Hahn et al. [40] | 200 | 83% |
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| (b) |
| | Condition | Reference | Sample | Prevalence |
| | Associated conditions |
| | Obesity | Ehrmann et al. [41] | 394 | 80% | | Hahn et al. [40] | 200 | 52% | | Azziz et al. [42] | 267 | 42% |
| | Insulin resistance |
Carmina and Lobo [43] | 267 | 77% | | Hahn et al. [40] | 200 | 71% |
| | Impaired fasting glucose | Ehrmann et al. [41] | 122 | 35% | | Legro et al. [44] | 254 | 31.1% |
| | Type 2 diabetes mellitus | Legro et al. [44] | 254 | 7.5% | | Ehrmann et al. [41] | 394 | 6.6% |
| | Arterial hypertension | Ehrmann et al. [41] | 394 | 21% | | Elting et al. [45] | 346 | 9% |
| | Dyslipidemia | Hahn et al. [40] | 200 | 46.3% | | Ehrmann et al. [41] | 394 | 32% |
| | Metabolic syndrome | Dokras et al. [46] | 129 | 47.3% | | Apridonidze et al. [13] | 106 | 43% |
| | Mood disorders | Jedel et al. [36] | 30 | 53% | | Hollinrake et al. [47] | 103 | 21% |
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All studies cited were carried out in adults.
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