{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T04:04:30Z","timestamp":1784693070818,"version":"3.55.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Inselgruppe AG Bern","award":["Prof. Stute FFR-001"],"award-info":[{"award-number":["Prof. Stute FFR-001"]}]},{"name":"Johann Wolfgang Goethe-Universit\u00e4t, Frankfurt am Main"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Gynecol Obstet"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Polycystic ovary syndrome (PCOS) is associated with a broad range of reproductive, metabolic, and psychosocial symptoms. This study aimed to evaluate whether body mass index (BMI) and dysglycemia independently predict symptom burden and to explore how these factors relate to patient-perceived care gaps, as reflected by satisfaction with counselling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional analysis of 1,926 self-identified women with PCOS. Participants reported symptom prevalence and rated satisfaction with counselling across six clinical domains using a 0\u2013100 scale. Logistic regression models assessed associations between BMI, dysglycemia (prediabetes, gestational diabetes, type 2 diabetes), and PCOS symptoms. Multivariate linear regression was used to identify predictors of satisfaction with counselling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The most frequently reported symptoms were body image dissatisfaction (78.2%), hirsutism (75.0%), and menstrual irregularity (65.0%). Both higher BMI and dysglycemia were independently associated with increased odds of infertility (BMI: OR 1.48, 95% CI 1.38\u20131.58,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; dysglycemia: OR 1.85, 95% CI 1.50\u20132.28,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), as well as with depression, anxiety, alopecia, and hirsutism (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001)Dysglycemia was not significantly associated with acne or menstrual irregularity. Mean satisfaction with PCOS counselling was low (35.1\u2009\u00b1\u200926.9), with the lowest scores reported for aesthetic concerns (31.4\u2009\u00b1\u200927.8). In adjusted models, depression, alopecia, body image dissatisfaction, and hirsutism were independently associated with lower satisfaction. BMI and dysglycemia were not independently associated with satisfaction after accounting for symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While obesity and dysglycemia contribute to increased PCOS symptom burden, they do not explain low satisfaction with care. Perceived care gaps are most pronounced in emotional and aesthetic domains, indicating the need for more holistic, patient-centered PCOS care models.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00404-025-08219-9","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T17:00:54Z","timestamp":1760720454000},"page":"2241-2250","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Obesity and dysglycemia independently predict symptom burden but not satisfaction with care in polycystic ovary syndrome: a cross-sectional study"],"prefix":"10.1007","volume":"312","author":[{"given":"Annette","family":"Bachmann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Estermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Sourouni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Karn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norman","family":"Bitterlich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanna","family":"Weidlinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra","family":"Stute","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"issue":"4","key":"8219_CR1","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1016\/j.fertnstert.2023.06.022","volume":"120","author":"HJ Teede","year":"2023","unstructured":"Teede HJ, Misso ML, Costello MF, Dokras A, Laven J, Moran L et al (2023) Recommendations from the 2023 international evidence-based guideline for the assessment and management of polycystic ovary syndrome. 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The authors have no relevant financial or non-financial interests to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Ethical approval was granted by the Cantonal Ethics Committee Bern (Req-2020\u201300801) and Ethics Committee Goethe University Frankfurt. Both committees declared \u201cnot responsible\u201d due to anonymous data collection\n                      .","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Patients agreed to anonymous data collection and analysis by filling in the questionnaire as approved by the ethical committees Bern, Switzerland and Frankfurt, Germany.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}