{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:28:06Z","timestamp":1792042086924,"version":"4.4.0"},"reference-count":37,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2018,10,28]],"date-time":"2018-10-28T00:00:00Z","timestamp":1540684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009455","name":"West Virginia University","doi-asserted-by":"publisher","award":["Hatch WVA00641"],"award-info":[{"award-number":["Hatch WVA00641"]}],"id":[{"id":"10.13039\/100009455","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Polycystic Ovarian Syndrome (PCOS), with common symptoms of irregular menstrual cycles, ovarian cysts, and hirsutism, is thought to be the most common endocrine disorder found in women, and use of multidisciplinary teams has been shown to be effective. The purpose of this review is to determine the future need for specialized, comprehensive, multidisciplinary treatment for PCOS and the current description and efficacy of existing multidisciplinary clinics. The literature was searched using PubMed, CINAHL, PsycINFO, Medline, and the Cochrane Library. Keywords included treatment efficacy, polycystic ovary syndrome, treatment and collaboration. Results showed that while an increasing number of studies continue to come out expressing the need for multidisciplinary approaches to and clinics for the treatment of PCOS, there is still a large gap in the literature documenting actual multidisciplinary PCOS treatment facilities. The limited literature documenting the efficacy of multidisciplinary PCOS clinic have demonstrated increased weight loss, high patient satisfaction, and high retention compared to single-care providers. Data showed that these teams are most commonly made up of a combination of endocrinologists, psychologists, dietitians, gynecologists, and endocrine-specialized nurses. Data showed that there is a high degree of variability and rates of diagnosis between types of single-care providers, such as: endocrinology, dermatology, gynecology, and fertility. Individuals with PCOS are in need for specialized, individualized, and focused care from a diverse team of healthcare providers to treat PCOS comprehensively.<\/jats:p>","DOI":"10.3390\/jcm7110395","type":"journal-article","created":{"date-parts":[[2018,10,29]],"date-time":"2018-10-29T11:10:41Z","timestamp":1540811441000},"page":"395","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["The Current Description and Future Need for Multidisciplinary PCOS Clinics"],"prefix":"10.3390","volume":"7","author":[{"given":"Wendy M.","family":"Wolf","sequence":"first","affiliation":[{"name":"Physician Assistant and Registered Dietitian at Apex Family Medicine Denver, Denver, CO 80209, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel A.","family":"Wattick","sequence":"additional","affiliation":[{"name":"Department of Human Nutrition and Foods, West Virginia University, Morgantown, WV 26506, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia N.","family":"Kinkade","sequence":"additional","affiliation":[{"name":"Department of Human Nutrition and Foods, West Virginia University, Morgantown, WV 26506, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6686-3891","authenticated-orcid":false,"given":"Melissa D.","family":"Olfert","sequence":"additional","affiliation":[{"name":"Department of Human Nutrition and Foods, West Virginia University, Morgantown, WV 26506, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2018,10,28]]},"reference":[{"key":"ref_1","first-page":"299.e1","article-title":"Prevalence of polycystic ovary syndrome among the privately insured, United States, 2003\u20132008","volume":"207","author":"Okoroh","year":"2012","journal-title":"Obstet. Gynecol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1093\/humrep\/dep399","article-title":"The prevalence of polycystic ovary syndrome in a community sample assessed under contrasting diagnostic criteria","volume":"25","author":"March","year":"2010","journal-title":"Hum. Reprod."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.fertnstert.2008.06.035","article-title":"The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: The complete task force report","volume":"91","author":"Azziz","year":"2009","journal-title":"Fertil. Steril."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1111\/j.1365-2265.2006.02587.x","article-title":"Obesity and polycystic ovary syndrome","volume":"65","author":"Barber","year":"2006","journal-title":"Clin. Endocrinol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1210\/jc.2003-031122","article-title":"Androgen excess in women: Experience with over 1000 consecutive patients","volume":"89","author":"Azziz","year":"2004","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2147\/CLEP.S37559","article-title":"Epidemiology, diagnosis, and management of polycystic ovary syndrome","volume":"6","author":"Sirmans","year":"2013","journal-title":"Clin. Epidemiol."},{"key":"ref_7","first-page":"67","article-title":"Evaluation of depression and mental health status in women with poly cystic ovary syndrome","volume":"5","author":"Shakerardekani","year":"2011","journal-title":"J. Fam. Reprod. Health"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1080\/09513590600604541","article-title":"Health-related quality of life in women with polycystic ovary syndrome: A comparison with the general population using the polycystic ovary syndrome questionnaire (PCOSQ) and the short form-36 (SF-36)","volume":"22","author":"Coffey","year":"2006","journal-title":"Gynecol. Endocrinol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1111\/j.1365-2265.2007.03145.x","article-title":"The evaluation of metabolic parameters and insulin sensitivity for a more robust diagnosis of the polycystic ovary syndrome","volume":"69","author":"Amato","year":"2008","journal-title":"Clin. Endocrinol."},{"key":"ref_10","first-page":"1","article-title":"Diagnosis of polycystic ovary syndrome: From NIH criteria to ESHRE-ASRM guidelines","volume":"56","author":"Carmina","year":"2004","journal-title":"Minerva Ginecol."},{"key":"ref_11","first-page":"30","article-title":"An evidence-based guideline for polycystic ovary syndrome","volume":"19","author":"Garad","year":"2011","journal-title":"Aust. Nurs. J."},{"key":"ref_12","first-page":"351","article-title":"Clinical inquiries: What is the best way to diagnose polycystic ovarian syndrome?","volume":"55","author":"Meurer","year":"2006","journal-title":"J. Fam. Pract."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1016\/j.fertnstert.2005.03.051","article-title":"Polycystic ovary syndrome in Mexican-Americans: Prevalence and association with the severity of insulin resistance","volume":"84","author":"Goodarzi","year":"2005","journal-title":"Fertil. Steril."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2745","DOI":"10.1210\/jc.2003-032046","article-title":"The prevalence and features of the polycystic ovary syndrome in an unselected population","volume":"89","author":"Azziz","year":"2004","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.jpag.2009.04.004","article-title":"Characteristics of adolescents presenting to a multidisciplinary clinic for polycystic ovarian syndrome","volume":"23","author":"Bekx","year":"2010","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/j.jpag.2012.06.008","article-title":"Factors contributing to initial weight loss among adolescents with polycystic ovary syndrome","volume":"25","author":"Geier","year":"2012","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"S186","DOI":"10.1016\/j.fertnstert.2007.07.639","article-title":"A multidisciplinary polycystic ovarian syndrome (PCOS) clinic: A new model for care and research","volume":"88","author":"Lamb","year":"2007","journal-title":"Fertil. Steril."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"188","DOI":"10.4274\/jcrpe.v1i4.50","article-title":"Evaluation of adolescents for polycystic ovary syndrome in an urban population","volume":"1","author":"Shah","year":"2009","journal-title":"J. Clin. Res. Pediatr. Endocrinol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"261","DOI":"10.3109\/14647273.2011.632058","article-title":"Full investigation of patients with polycystic ovary syndrome (PCOS) presenting to four different clinical specialties reveals significant differences and undiagnosed morbidity","volume":"14","author":"Sivayoganathan","year":"2011","journal-title":"Hum. Fertil."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.fertnstert.2018.05.004","article-title":"Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome","volume":"110","author":"Teede","year":"2018","journal-title":"Fertil. Steril."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"S429","DOI":"10.1016\/j.dsx.2017.03.030","article-title":"Nutritional management in women with polycystic ovary syndrome: A review study","volume":"11","author":"Faghfoori","year":"2017","journal-title":"Diabetes Metab. Syndr. Clin. Res. Rev."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.jpag.2012.03.004","article-title":"Clinical variability in approaches to polycystic ovary syndrome","volume":"25","author":"Bonny","year":"2012","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_23","first-page":"79","article-title":"A 2 year audit of the polycystic ovary syndrome (PCOS) clinic at the Royal Berkshire Hospital","volume":"9","author":"Ghosh","year":"2005","journal-title":"Endocr. Abstr."},{"key":"ref_24","first-page":"P255","article-title":"Audit of the polycystic ovary syndrome (PCOS) nurse led weight management clinic","volume":"13","author":"Eldridge","year":"2007","journal-title":"Endocr. Abstr."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/s12978-018-0488-5","article-title":"A comprehensive mental health care program for women with polycystic ovary syndrome: Protocol for a mixed methods study","volume":"15","author":"Zaremobini","year":"2018","journal-title":"Reprod. Health"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Carron, R.C. (May 2014). The Effects of Depressive and Anxiety Symptoms, Perceived Stress, Body Mass Index, and Coping Processes on the Health-Related Quality of Life of Adult Women with Polycystic Ovary Syndrome. [Ph.D. Thesis, University of Colorado].","DOI":"10.1016\/j.fertnstert.2014.07.105"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1966","DOI":"10.1016\/j.fertnstert.2008.09.018","article-title":"Treatment of obesity in polycystic ovary syndrome: A position statement of the Androgen Excess and Polycystic Ovary Syndrome Society","volume":"92","author":"Moran","year":"2009","journal-title":"Fertil. Steril."},{"key":"ref_28","first-page":"271","article-title":"Polycystic ovary syndrome and weight management","volume":"6","author":"Moran","year":"2010","journal-title":"Womens Health"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"57","DOI":"10.3109\/10253890.2014.974030","article-title":"Impact of a mindfulness stress management program on stress, anxiety, depression and quality of life in women with polycystic ovary syndrome: A randomized controlled trial","volume":"18","author":"Stefanaki","year":"2015","journal-title":"Int. J. Biol. Stress"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.fertnstert.2018.03.028","article-title":"Cognitive-behavioral therapy improves weight loss and quality of life in women with polycystic ovary syndrome: A pilot randomized clinical trial","volume":"110","author":"Cooney","year":"2018","journal-title":"Fertil. Steril."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1089\/jwh.2016.5792","article-title":"Lifestyle and behavioral management of polycystic ovary syndrome","volume":"26","author":"Brennan","year":"2017","journal-title":"J. Women\u2019s Health"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1002\/2327-6924.12073","article-title":"Lifestyle modification intervention among infertile overweight and obese women with polycystic ovary syndrome","volume":"26","author":"Mahoney","year":"2014","journal-title":"J. Am. Assoc. Nurse Practit."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Thomson, R.L., Buckley, J.D., and Brinkworth, G.D. (2016). Perceived exercise barriers are reduced and benefits are improved with lifestyle modification in overweight and obese women with polycystic ovary syndrome: A randomised controlled trial. BMC Womens Health, 16.","DOI":"10.1186\/s12905-016-0292-8"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1016\/j.jand.2012.11.018","article-title":"Dietary composition in the treatment of polycystic ovary syndrome: A systematic review to inform evidence-based guidelines","volume":"113","author":"Moran","year":"2013","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.jad.2017.12.049","article-title":"The effects of omega-3 and vitamin E co-supplementation on parameters of mental health and gene expression related to insulin and inflammation in subjects with polycystic ovary syndrome","volume":"229","author":"Jamilian","year":"2018","journal-title":"J. Affect. Disord."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s12978-017-0295-4","article-title":"A three-component cognitive behavioural lifestyle program for preconceptional weight-loss in women with polycystic ovary syndrome (PCOS): A protocol for a randomized controlled trial","volume":"14","author":"Jiskoot","year":"2017","journal-title":"Reprod. Health"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"2886","DOI":"10.1111\/j.1743-6109.2008.01010.x","article-title":"PCOS, sexuality, and clitoral vascularisation: A pilot study","volume":"5","author":"Battaglia","year":"2008","journal-title":"J. Sex. Med."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/7\/11\/395\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T15:26:41Z","timestamp":1760196401000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/7\/11\/395"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,28]]},"references-count":37,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2018,11]]}},"alternative-id":["jcm7110395"],"URL":"https:\/\/doi.org\/10.3390\/jcm7110395","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10,28]]}}}