Introduction
Polycystic ovarian disorder is very recurrent endocrine condition in child bearing age with occurrence of around 6–8% in the reproductive years.1 Worldwide the total prevalence and phenotypic highlights of polycystic ovary syndrome (PCOS) is the utmost widely renowned endocrine trouble among reproductive age women .2 This alteration in occurrence of PCOS around the world is generally due to diverse diagnostic criteria and because of racial antithetic groups. And so, to overcome these major investigative dissimilarities it is essential to consider for racial and cultural specific approaches for PCOS.3 PCOS is a set of symptoms characterized and labelled by irregular menstrual cycle, barrenness, androgen superfluous and insulin resistance.4 Polycystic ovarian syndrome has long-term risks such as cardiovascular illnesses, Type-2 Diabetes Mellitus, dyslipidemia and endometrial carcinoma.5
Body image is perception of one’s appearance, and disappointment with one’s. It is the psychosomatic involvement of the look and function of her body which influenced on PCOS females very badly and may lead to miserable, stressed and low quality of life.6 PCOS patients also experience higher rates of depression and disquiet than normal healthy females in the concurrence on ladies’ health features of polycystic ovary syndrome (PCOS). Emotional aspects must also be considered in all women with PCOS so they must be evaluated for psychological disorder7.Many studies have been showing negative body image perception in PCOS than non PCOS even with no difference in body mass index (BMI) 8.It is seen that one’s personality perception is the psychological depiction of one’s body image appearance, and state of well-being, and completeness of life9. PCOS is as well linked by psychological complications, comprising chronic stress, dejection, anxiety and low self-confidence that may affect individual’s personality consciousness10.It is proved from one the past research that PCOS patients are more prone to have depression as compared to healthy one11.
Obesity and negative self-esteem have shown association with depression in PCOS than in the normal persons. Also, PCOS with Hyperandrogenism symptoms including excessive body hairs and acne have more chances of negative personality perceptions than non PCOS12. Displeased physical appearance perception of PCOS include disappointment with general body look, loss of femininity and sense of less sexually appealing13. Feeling of self-confident may help in managing with new and chronic illness, whereas lack of confidence is associated with anxiety, depression and general psychiatric symptoms14
The World Health Organization (WHO) has assessed that by the end of year 2020, depressive disorders will be recognized as the leading mental disability in women15. In some of published data prevalence of depression globally is about 40% women with PCOS16. The PCOS patients are at high risk of negative body image perception and low self-esteem as compared to general population which may cause a serious damage to social, professional and intimate affiliations. 17 PCOS women were associated with a possibility for higher body discontent at age 31 and 46 (Odds ratio, OR 2.39,  ) was found by one of the study18.