Integrated Model of Care for Polycystic Ovary Syndrome

    January 2018 in “ Seminars in Reproductive Medicine
    Chau Thien Tay, Lisa J. Moran, Chandrika N. Wijeyaratne, Leanne M. Redman, Robert J. Norman, Helena Teede, Anju E. Joham
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    Studysummary This review discusses the challenges in diagnosing and managing polycystic ovary syndrome and highlights the need for an integrated, multidisciplinary healthcare model tailored to the diverse needs of women with PCOS; it reports no new clinical findings.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    The document from 2018 outlines the challenges faced by women with Polycystic Ovary Syndrome (PCOS) in receiving adequate care and the need for an integrated model of care. It emphasizes that PCOS, affecting approximately 14% of women worldwide, requires a patient-centered approach that addresses reproductive, metabolic, and psychological aspects. The paper advocates for an evidence-based clinical model co-developed by consumers and health professionals, noting the importance of lifestyle management and psychological support as first-line therapy. It also highlights the need for dermatological care, preconception counseling, and monitoring for complications during pregnancy. The document describes the implementation of multidisciplinary PCOS services in Australia and the development of a core outcome set for monitoring outcomes. The proposed model aims to improve quality of life and health outcomes for women with PCOS and is to be evaluated for feasibility in other healthcare systems with the potential for national and international scaling.
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