PCOS is one of the most common endocrine disorders in women of reproductive age, often complicated by chronic anovulatory infertility and hyperandrogenism with the clinical manifestations of oligomenorrhoea, hirsutism, and acne. Many women with this condition are obese and have a higher prevalence of impaired glucose tolerance, type II diabetes and sleep apnoea than is observed in the general population. They exhibit an adverse cardiovascular risk profile, as suggested by a higher reported incidence of hypertension, dyslipidemia, visceral obesity, insulin resistance and hyperinsulinemia. PCOS is frequently diagnosed by gynecologists and it is therefore important that there is a good understanding of the long-term implications of the diagnosis in order to offer a holistic approach to the disorder.
Women should be made aware of the long-term implications of their condition, including their cardiovascular risk, by their doctor, in a way that is tailored to their individual circumstances. Women should be made aware of the positive effect of lifestyle modification, including weight loss, for improving their symptoms. Especially those women who are overweight or obese.