NSG 6330 Week 4 Assignment: Practicum II Adult Health Womens Health

What would be the most important questions to ask while taking the medical and social history of a patient with polycystic ovary syndrome (PCOS)?
What emotional issues would you have to consider with a PCOS patient?

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Women’s Health W4R1

Polycystic ovarian syndrome (PCOS) is characterized by abnormalities in androgen and estrogen metabolism and the control of androgen synthesis. The critical questions to ask while taking the medical and social history of a patient with PCOS are:

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Which type of abnormal menstruation patterns do you experience? Patients with PCOS usually have a history of menstrual disturbance, which dates back to menarche (Trent & Gordon, 2020).
Do you have excess terminal body hair occurring in a male distribution pattern? PCOS is characterized by hyperandrogenism, which presents with excess body hair.
Have you had difficulties in trying to become pregnant? Some women with PCOS become infertile, and in others, conception takes longer.
Do you experience excessive thirst, hunger, or increased urine production? Diabetes is a comorbidity of PCOS, and ACOG recommends screening for diabetes and impaired glucose tolerance in patients with PCOS (Pfieffer, 2019).
Do you experience excessive daytime sleepiness? To establish if she has obstructive sleep apnea, a risk factor for cardiovascular disease.
Do you have family members with menstrual disorders, hirsutism, infertility, obesity, or diabetes? Patients with PCOS often have a positive family history of these conditions (Trent & Gordon, 2020).

PCOS is associated with emotional distress in patients due to infertility, especially for women who desire to get pregnant. Conception can take longer, or a woman may have fewer children than they plan. Besides, excessive hair growth in a male pattern affects self-esteem due to a disturbed body image. Brutocao et al. (2018) explain that PCOS is linked with an increased risk of patients developing psychiatric disorders like anxiety, depression, bipolar disorder, and obsessive-compulsive disorder. Furthermore, it is connected with worsening anxiety, depression, OCD, and somatization symptoms. Therefore, clinicians are recommended to screen for these disorders and implement early interventions (Brutocao et al., 2018).

References

Brutocao, C., Zaiem, F., Alsawas, M., Morrow, A. S., Murad, M. H., & Javed, A. (2018). Psychiatric disorders in women with polycystic ovary syndrome: a systematic review and meta-analysis. Endocrine, 62(2), 318–325. https://doi.org/10.1007/s12020-018-1692-3

Pfieffer, M. L. (2019). Polycystic ovary syndrome: Diagnosis and management. The Nurse practitioner, 44(3), 30–35. https://doi.org/10.1097/01.NPR.0000553398.50729.c0

Trent, M., & Gordon, C. M. (2020). Diagnosis and Management of Polycystic Ovary Syndrome in Adolescents. Pediatrics, 145(Suppl 2), S210–S218. https://doi.org/10.1542/peds.2019-2056J

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NSG 6330 Week 4 Assignment: Practicum II Adult Health Womens Health