背景:多囊卵巢综合征(PCOS)的管理直到最近几年才标准化。有一个准确的,由欧洲人类生殖和胚胎学学会(ESHRE)发布的循证指南。然而,目前还不清楚在多大程度上,如果有的话,卫生保健提供者遵循该指南.目的是探讨患有美学投诉的PCOS女性的主观感知的妇科医疗质量。材料和方法:以标准化的方式构建了一份未经验证的问卷,涵盖了以下领域:美学方面,新陈代谢,月经周期,繁殖,心理健康,和预防慢性非传染性疾病。结果:共有1960名患有美学投诉的参与者,如痤疮(66.2%),脱发(43.9%),多毛症(77.9%),或超重/肥胖(72.3%)被纳入.接受咨询的女性比例较低(痤疮20.3%,脱发12.9%,多毛症17.5%,超重/肥胖36.2%)。咨询满意度中等(40.4-44.1分)。许多妇女尝试了至少一种治疗方法(75.9%),而只有少数人被建议接受治疗(痤疮27.0%,脱发24.6%,多毛症24.0%,超重/肥胖18.8%),对高雄激素血症的满意度中等(平均55.1-59.5分),对超重/肥胖的满意度良好(平均60.8分)。总体满意度在0至100的范围内平均为30.5分(标准偏差27.1),因此认为“不满意”。“更少的投诉与更高的满意度显着相关。大多数女性希望获得更多咨询(80.8%),以及更多的诊断(63.2%)和治疗选择(70.2%)。结论:根据ESHRE指南,受PCOS影响的女性没有得到适当的管理。的确,本指南推荐临床高雄激素血症的综合病史和体格检查,以及整体治疗方法,包括对患者的教育和咨询。尽管如此,总体咨询率和满意度较差.
Background: Polycystic ovary syndrome (PCOS) management has hardly been standardized until recent years. There is an accurate, evidence-based guideline published by the European Society of Human Reproduction and Embryology (ESHRE). However, it remains unclear to which extent, if at all, the guideline is followed by health care providers. The aim was to explore the subjectively perceived quality of gynecological medical care in women with PCOS suffering from aesthetic complaints. Materials and Methods: A nonvalidated questionnaire was constructed in a standardized manner covering the domains: aesthetic aspects, metabolism, menstrual cycle, reproduction, mental health, and prevention of chronic noncommunicable diseases. Results: A total of 1960 participants with aesthetic complaints, such as acne (66.2%), alopecia (43.9%),
hirsutism (77.9%), or overweight/obesity (72.3%) were included. The percentage of women being counseled was low (acne 20.3%, alopecia 12.9%,
hirsutism 17.5%, overweight/obesity 36.2%). Satisfaction with counseling was moderate (40.4-44.1 points). Many women tried at least one therapeutic method (75.9%), whereas only a few were counseled for therapy (acne 27.0%, alopecia 24.6%,
hirsutism 24.0%, overweight/obesity 18.8%) with moderate satisfaction for hyperandrogenism (mean 55.1-59.5 points) and good satisfaction for overweight/obesity (mean 60.8 points). Overall satisfaction was rated with a mean of 30.5 points (standard deviation 27.1) on a scale from 0 to 100 and thus considered \"not satisfied.\" Fewer complaints were significantly correlated with higher satisfaction. Most women wished for more counseling (80.8%), as well as more diagnostic (63.2%) and therapeutic options (70.2%). Conclusions: Women affected by PCOS are not properly managed according to the ESHRE guideline. Indeed, this guideline recommends comprehensive history and physical examination for clinical hyperandrogenism as well as holistic approaches in therapy, including education and counseling of patients. Still, overall consultation rates and satisfaction were poor.