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OC57 - A multinational observational study on the clinical characteristics and treatments offered to women with polycystic ovary syndrome (PCOS)-related skin conditions presenting to specialist clinics

A. Chu, J. Sawlani, A. Arshad, Ling-Jie A. Yee, A. Manta, S. Pandey, E. Attar, F. Kelestimur et al.

European Journal of Endocrinology, 2025

1,313 participants

Abstract

Although guidelines exist for managing skin conditions within the general population, there is paucity of data on how these are managed in women with polycystic ovary syndrome (PCOS) in real world setting. This study aimed to describe the clinical characteristics of women with PCOS presenting to specialist clinics, and to understand the trends in treatments offered to women with PCOS-related skin concerns.

A multi-centre retrospective observational study was conducted across the UK, Turkey, Greece, Georgia, and India. Patients referred to a PCOS clinic between January 2020 and December 2023 were included. Data, including details of the PCOS- related skin conditions and treatments offered after the specialist clinic consultation, was recorded on standardised Google Forms. The Chi-square test and Wilcoxon-rank- sum test were used to analyse categorical and continuous variables respectively using SPSS v30.0.

A total of 1313 participants with a diagnosis of PCOS were included, of which 1041 participants had PCOS-related skin concerns. The median age of the participants was 27.0 (IQR 24.0-31.0) years. Most participants were White (52.7%), followed by Asian (33.1%). Hirsutism was the most common skin manifestation across all five countries, affecting 90.1% of the cohort. Metformin and progesterone-only pill (POP) were the most prescribed first and second treatment options respectively. However, treatment options differed between countries; metformin was the most prescribed first…

How strong is the evidence?

Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 1,313 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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