Beyond Diagnosis: The Psychological Realities of Women with PCOS – A Systematic Review

Abstract

Polycystic Ovary Syndrome (PCOS) is a multifaceted endocrine disorder affecting women of reproductive age, with profound implications for physical and psychological well-being. This systematic review, conducted in accordance with PRISMA guidelines, aimed to synthesize empirical evidence on the psychological dimensions of PCOS, including depression, anxiety, coping mechanisms, ego-resiliency, and body image dissatisfaction. A total of 346 articles were initially identified through comprehensive database searches. After screening and eligibility assessment, 102 articles met the inclusion criteria. The results indicate elevated rates of depression and anxiety among PCOS populations, significant associations with maladaptive coping styles, and prevalent body dissatisfaction. Notably, ego-resiliency emerged as a potential protective factor, though under-researched. Identified gaps include limited longitudinal studies, cultural perspectives, and intervention-based research. This review emphasizes the need for integrative clinical approaches that consider both physical and psychological care in PCOS management.