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)

ManifestationReferenceSamplePrevalence

Manifestations of hyperandrogenism

HirsutismMarcondes et al. [34]73 83.8%
Baldani et al. [35]365 73.2%
Jedel et al. [36]30 73%

AcneJedel 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]11534.8%

Manifestations of ovarian dysfunction

OligomenorrheaValkenburg et al. [39]412 74%
Baldani et al. [35]365 69.2%
Jedel et al. [36]30 20%

AmenorrheaValkenburg et al. [39]412 26%
Baldani et al. [35]365 21.5%
Jedel et al. [36]30 43%

Ultrasound polycystic ovariesBaldani et al. [35]365 97.3%
Valkenburg et al. [39]412 89%
Hahn et al. [40]200 83%

(b)

ConditionReferenceSamplePrevalence

Associated conditions

ObesityEhrmann 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]20071%

Impaired fasting glucoseEhrmann et al. [41]12235%
Legro et al. [44]254 31.1%

Type 2 diabetes mellitusLegro et al. [44]254 7.5%
Ehrmann et al. [41]394 6.6%

Arterial hypertensionEhrmann et al. [41]394 21%
Elting et al. [45]3469%

DyslipidemiaHahn et al. [40]200 46.3%
Ehrmann et al. [41]394 32%

Metabolic syndromeDokras et al. [46]129 47.3%
Apridonidze et al. [13]10643%

Mood disordersJedel et al. [36]30 53%
Hollinrake et al. [47]103 21%

All studies cited were carried out in adults.