DISCUSSION:
Body image is very important aspect among PCOS patients. In current study, vast number of PCOS subjects were showing positive body image same as controls (fig 1), which reflects healthy state of mind, but there is significant difference found between case and control body image perception (table 2). Also over more than half of PCOS, females were having depression due to Body image perception (fig. 2). However, there is no significant association found between depression and PCOS females (tab 3). Various literary studies are showing antithetic findings regarding body image perception. Also 96% more risk of negative body image perception were found in cases as compared to controls. Along with these PCOS (cases) have 2.27 times more odds to develop depression as compared to those without PCOS
As one of study was showing same results as current study of increased risk of Body-image perception in women with polycystic ovary syndrome which is the cause of life time distress21.Similar to our results, one of the published research was showing that there was a difference of body perception between PCOS and non-PCOS. PCOS women were having less score of body image as compared to healthy females22.Another finding from one study is in accordance with our results showing bad impact exerted by self-pride, increased risk of body image perception, unhealthy and unhappy sexual life of PCOS as in contrast to healthy subjects23.
Another study found that body excess weight is the primary cause of low self-esteem, unhealthy mind state and depression. Further these patients are more willing to go for weight loss plan of action24.Similar to this study result one of published data was showing body image dissatisfaction odds ratio higher (OR 2.39) than non PCOS 25.
One of the study showing high prevalence of Depression among young PCOS which considered a very important health issues commonly seen in PCOS. It may be because of some underline pathophysiology of PCOS like metabolic dysfunctions and different reproductive pathologies.26One of the research published data found increased odds of depression and body image perception in PCOS females same as seen in this study 27
Similar to our result one of the research study had shown the increase incidence of depressive symptoms in PCOS females in comparison to healthy individual 28A systemic review on depression in PCOS females was found an increased odds of depression as OR 3.78; to OR 4.18; in different studies which are similar to this study29
Like this current study some other research found insignificant relationship between depression and PCOS.30Besides these promising findings, some of the limitations of this study was its sample size and inability to perform invasive investigations. Another limitation of this study is that the newly diagnosed subject could not show that long-lasting hormonal imbalance effect in PCOS women.