Treatment pathways traversed by polycystic ovary syndrome (PCOS) patients: A mixed-method study.

<h4>Background</h4>This study was undertaken to explore the treatment-seeking pathways traversed by women with PCOS and elicit their behavior, experiences and perspectives regarding it.<h4>Methods</h4>This concurrent mixed-method study was conducted on 18-40 years old women d...

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Autores principales:	Ishwarpreet Kaur, Vanita Suri, Satya Vati Rana, Amarjeet Singh
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1c4311f2203c4ee08ce582a55df45009
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spelling	oai:doaj.org-article:1c4311f2203c4ee08ce582a55df450092021-12-02T20:18:31ZTreatment pathways traversed by polycystic ovary syndrome (PCOS) patients: A mixed-method study.1932-620310.1371/journal.pone.0255830https://doaj.org/article/1c4311f2203c4ee08ce582a55df450092021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255830https://doaj.org/toc/1932-6203<h4>Background</h4>This study was undertaken to explore the treatment-seeking pathways traversed by women with PCOS and elicit their behavior, experiences and perspectives regarding it.<h4>Methods</h4>This concurrent mixed-method study was conducted on 18-40 years old women diagnosed with PCOS at the Gynecology outpatient department, PGIMER, Chandigarh, India. Of the 275 women, who were administered a questionnaire to elicit their treatment-seeking behavior, 62 willing participants were subjected to in-depth interviews. Quantitative responses were descriptively analyzed and presented as count, proportion, mean or median. Framework analysis was performed for the qualitative data. The findings of both types of data were triangulated to construct the pathways to treatment traversed by PCOS patients.<h4>Findings</h4>Many (~45%) respondents had no information regarding PCOS. Only 9.1% received some information from their doctors. Though the internet was the primary source of information for 37.5% of respondents, they expressed dissatisfaction with the quality of information. Multiple health care agencies were consulted by most (85.8%) of the respondents. Allopathy was the preferred choice of treatment. The average delay in initiating the treatment was 3 months. The major reasons for this were ignorance, the concept of 'normality' and 'endurance'. Deviations from the normal self (like irregular-menstruation, obesity, hirsutism, infertility) were the concern that led them to consult a doctor. They were also dissatisfied with the treatment due to a late diagnosis, lack of relief, taboo, side-effects, expenses involved and the need for repeated laboratory tests. Participants' course of treatment was influenced by the interplay of individual, distress, health-system, and social-economic factors.<h4>Conclusions</h4>Women with PCOS were dissatisfied with the quality of the information and treatment received. There were treatment delays. The patients consulted multiple health agencies, including indigenous therapies, in the hope of relief. The findings provide an empirical basis on points to focus on for building better coping strategies for managing the condition.Ishwarpreet KaurVanita SuriSatya Vati RanaAmarjeet SinghPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255830 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ishwarpreet Kaur Vanita Suri Satya Vati Rana Amarjeet Singh Treatment pathways traversed by polycystic ovary syndrome (PCOS) patients: A mixed-method study.
description	<h4>Background</h4>This study was undertaken to explore the treatment-seeking pathways traversed by women with PCOS and elicit their behavior, experiences and perspectives regarding it.<h4>Methods</h4>This concurrent mixed-method study was conducted on 18-40 years old women diagnosed with PCOS at the Gynecology outpatient department, PGIMER, Chandigarh, India. Of the 275 women, who were administered a questionnaire to elicit their treatment-seeking behavior, 62 willing participants were subjected to in-depth interviews. Quantitative responses were descriptively analyzed and presented as count, proportion, mean or median. Framework analysis was performed for the qualitative data. The findings of both types of data were triangulated to construct the pathways to treatment traversed by PCOS patients.<h4>Findings</h4>Many (~45%) respondents had no information regarding PCOS. Only 9.1% received some information from their doctors. Though the internet was the primary source of information for 37.5% of respondents, they expressed dissatisfaction with the quality of information. Multiple health care agencies were consulted by most (85.8%) of the respondents. Allopathy was the preferred choice of treatment. The average delay in initiating the treatment was 3 months. The major reasons for this were ignorance, the concept of 'normality' and 'endurance'. Deviations from the normal self (like irregular-menstruation, obesity, hirsutism, infertility) were the concern that led them to consult a doctor. They were also dissatisfied with the treatment due to a late diagnosis, lack of relief, taboo, side-effects, expenses involved and the need for repeated laboratory tests. Participants' course of treatment was influenced by the interplay of individual, distress, health-system, and social-economic factors.<h4>Conclusions</h4>Women with PCOS were dissatisfied with the quality of the information and treatment received. There were treatment delays. The patients consulted multiple health agencies, including indigenous therapies, in the hope of relief. The findings provide an empirical basis on points to focus on for building better coping strategies for managing the condition.
format	article
author	Ishwarpreet Kaur Vanita Suri Satya Vati Rana Amarjeet Singh
author_facet	Ishwarpreet Kaur Vanita Suri Satya Vati Rana Amarjeet Singh
author_sort	Ishwarpreet Kaur
title	Treatment pathways traversed by polycystic ovary syndrome (PCOS) patients: A mixed-method study.
title_short	Treatment pathways traversed by polycystic ovary syndrome (PCOS) patients: A mixed-method study.
title_full	Treatment pathways traversed by polycystic ovary syndrome (PCOS) patients: A mixed-method study.
title_fullStr	Treatment pathways traversed by polycystic ovary syndrome (PCOS) patients: A mixed-method study.
title_full_unstemmed	Treatment pathways traversed by polycystic ovary syndrome (PCOS) patients: A mixed-method study.
title_sort	treatment pathways traversed by polycystic ovary syndrome (pcos) patients: a mixed-method study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/1c4311f2203c4ee08ce582a55df45009
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Treatment pathways traversed by polycystic ovary syndrome (PCOS) patients: A mixed-method study.

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