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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    TLDR The document concludes that women with PCOS need a comprehensive care model that covers reproductive, metabolic, and psychological health to improve their quality of life.
    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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