TLDR Women with PCOS should be screened for heart disease risk and manage their health to prevent it.
The 2010 consensus statement by the Androgen Excess and Polycystic Ovary Syndrome (AE-PCOS) Society concluded that women with PCOS are at an increased risk for cardiovascular disease (CVD), particularly if they have additional risk factors such as obesity, smoking, dyslipidemia, hypertension, impaired glucose tolerance, and subclinical vascular disease. The statement recommended comprehensive screening for CVD risk factors in women with PCOS, including body mass index, waist circumference, serum lipid/glucose levels, and blood pressure, with oral glucose tolerance testing for those at higher risk. Lifestyle management was advised as the primary prevention strategy for CVD, with the potential addition of insulin-sensitizing and other drugs if necessary. The document also noted the presence of mood disorders as independent risk factors for CVD in PCOS patients and suggested that early and ongoing CVD risk assessment and prevention are crucial. It mentioned the inconsistent data on metformin's effects on CVD prevention, the potential benefits of statins, and the options of antihypertensives, antiobesity drugs, and bariatric surgery for weight management. The guidelines provided are not guaranteed to ensure specific outcomes or establish standards of care.
Cited in this study
6 / 6 results
1540 citations
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February 2009 in “Fertility and Sterility” The report concludes that PCOS is mainly a condition of excess male hormones and its definition may change as new information is discovered.
286 citations
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January 2009 in “Human Reproduction Update” Women with the NIH type of PCOS have more obesity and higher risk of diabetes and heart disease than those with other types of PCOS.
270 citations
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July 2007 in “The Journal of Clinical Endocrinology and Metabolism” Women with PCOS often have more belly fat and higher insulin levels, but belly fat isn't the only cause of their insulin resistance.
1744 citations
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November 2006 in “The Journal of Clinical Endocrinology and Metabolism” Polycystic Ovary Syndrome should be seen mainly as a condition of excess male hormones, with a focus on this in its definition.
155 citations
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April 2006 in “The American Journal of Medicine” Women with PCOS have heart-related issues not because of obesity, but due to insulin resistance and low adiponectin levels.
4025 citations
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January 2004 in “Human Reproduction” The 2003 consensus updated PCOS diagnosis criteria and linked PCOS to higher risks of diabetes and heart problems, recommending lifestyle changes to lower these risks.
15 citations
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December 2016 in “Revista Da Associacao Medica Brasileira” Polycystic ovary syndrome is a common hormonal disorder in women, linked to increased risk of metabolic and heart diseases, and needs more research for better understanding and treatment.
10 citations
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November 2010 in “Skin therapy letter” Women with PCOS often have acne because of high androgen levels, and the article reviewed how to treat this type of acne.
212 citations
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September 2010 in “American Journal of Obstetrics and Gynecology” Diagnosing PCOS in teenagers is challenging and should use strict criteria to avoid misdiagnosis and unnecessary worry.
4809 citations
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January 2004 in “Fertility and Sterility” The 2003 consensus updated PCOS diagnosis criteria and highlighted increased risks of diabetes and heart disease for those affected.
4025 citations
,
January 2004 in “Human Reproduction” The 2003 consensus updated PCOS diagnosis criteria and linked PCOS to higher risks of diabetes and heart problems, recommending lifestyle changes to lower these risks.