{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:13:22Z","timestamp":1787314402507,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,10,19]],"date-time":"2017-10-19T00:00:00Z","timestamp":1508371200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Polycystic ovarian syndrome (\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      ) is the most common condition among reproductive\u2010aged women. However, its exact prevalence is unknown.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>\n                      To determine the prevalence of\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      in Australian women aged 16\u201329\u00a0years using the National Institutes of Health (\n                      <jats:styled-content style=\"fixed-case\">NIH<\/jats:styled-content>\n                      ) criteria compared to self\u2010reported\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      , to compare co\u2010morbidities between the groups and to determine the most distressing aspect of a diagnosis of\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      for these young women.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      Participants were recruited from the Young Female Health Initiative (\n                      <jats:styled-content style=\"fixed-case\">YFHI<\/jats:styled-content>\n                      ) and Safe\u2010D studies. Participants completed questionnaires, physical examinations and blood tests from 2012 to 2016. In March 2016, two supplementary questionnaires were distributed: the first, comprising questions on reproductive health and impact of diagnosis, was sent to participants who self\u2010reported having\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      in the original studies. The second, comprising general reproductive health questions, was sent to the remainder.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The prevalence of\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      , according to the\n                      <jats:styled-content style=\"fixed-case\">NIH<\/jats:styled-content>\n                      criteria, was 12% (31\/254), while the prevalence of self\u2010reported\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      was 8% (23\/300). Only 35% (8\/23) of those with self\u2010reported\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      actually fulfilled the\n                      <jats:styled-content style=\"fixed-case\">NIH<\/jats:styled-content>\n                      criteria for\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      . Comorbidities were relatively similar among groups. Finally, approximately 65% (15\/23) were unhappy or worried about their initial\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      diagnosis, with 72% (13\/18) stating fertility concerns were the most distressing aspect of their diagnosis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The lack of consistent and accurate diagnosis of\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      in young women potentially leads to over\u2010diagnosis. This creates unnecessary fears of health complications, particularly infertility. Therefore, we recommend the development of standardised criteria with set parameters that allow for better diagnosis of\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.12730","type":"journal-article","created":{"date-parts":[[2017,10,19]],"date-time":"2017-10-19T23:16:42Z","timestamp":1508455002000},"page":"222-233","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Polycystic ovarian syndrome: Prevalence and impact\u00a0on the wellbeing of Australian women aged 16\u201329\u00a0years"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3248-739X","authenticated-orcid":false,"given":"L. Chitra","family":"Varanasi","sequence":"first","affiliation":[{"name":"Department of Medicine Royal Melbourne Hospital University of Melbourne  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asvini","family":"Subasinghe","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Infectious Diseases Royal Women's Hospital  Parkville Australia"},{"name":"Infection and Immunity Theme Murdoch Childrens Research Institute  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasmin L.","family":"Jayasinghe","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Royal Women's Hospital University of Melbourne  Parkville Australia"},{"name":"Department of Gynaecology Royal Children's Hospital  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma T.","family":"Callegari","sequence":"additional","affiliation":[{"name":"Department of Medicine Royal Melbourne Hospital University of Melbourne  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne M.","family":"Garland","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Infectious Diseases Royal Women's Hospital  Parkville Australia"},{"name":"Infection and Immunity Theme Murdoch Childrens Research Institute  Parkville Australia"},{"name":"Department of Obstetrics and Gynaecology Royal Women's Hospital University of Melbourne  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Gorelik","sequence":"additional","affiliation":[{"name":"Melbourne EpiCentre Royal Melbourne Hospital University of Melbourne  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John D.","family":"Wark","sequence":"additional","affiliation":[{"name":"Department of Medicine Royal Melbourne Hospital University of Melbourne  Parkville Australia"},{"name":"Bone and Mineral Medicine Royal Melbourne Hospital  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,10,19]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2003-032046"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2011.09.024"},{"key":"e_1_2_5_4_1","first-page":"377","volume-title":"Polycystic Ovary Syndrome","author":"Zawadzki J","year":"1992"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2003.10.004"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2006-0178"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dep399"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12123"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S70314"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmm030"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1978"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.4081\/jphr.2015.594"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.83.6.1976"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-21-11-1440"},{"key":"e_1_2_5_15_1","first-page":"373","article-title":"Hirsutism in women","volume":"85","author":"Bode D","year":"2012","journal-title":"Am Fam Physician"},{"key":"e_1_2_5_16_1","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1017\/S0033291702006074","article-title":"Short screening scales to monitor population prevalences and trends in non\u2010specific psychological distress","volume":"32","author":"Kessler RC","year":"2002","journal-title":"Psychol Med"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2001.tb00310.x"},{"issue":"47","key":"e_1_2_5_18_1","first-page":"1","article-title":"Epidemiology of polycystic ovary syndrome: a cross sectional study of university students at an\u2010Najah National University\u2010Palestine","volume":"11","author":"Musmar S","year":"2013","journal-title":"Reprod Biol Endocrinol"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.11.002"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/der102"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja11.10553"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2016.05.003"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-3188(02)00205-X"},{"key":"e_1_2_5_24_1","first-page":"673","article-title":"The polycystic ovary syndrome\u2013a medical condition but also an important psychosocial problem","volume":"25","author":"Eggers S","year":"2001","journal-title":"Coll Antropol"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(01)00034-X"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2016.05.006"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajo.12730","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.12730","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T20:14:07Z","timestamp":1695500047000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.12730"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,19]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1111\/ajo.12730"],"URL":"https:\/\/doi.org\/10.1111\/ajo.12730","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,19]]},"assertion":[{"value":"2017-01-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-09-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-10-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}