P-30 Improving polycystic ovarian syndrome management in Kingston, Jamaica
Author(s):
K Sommerville
Year of Presentation:
2022
Objective: What are the opinions of general practitioners and women with polycystic ovarian syndrome (PCOS) using Metformin compared to lifestyle changes to treat menstrual irregularities in Kingston, Jamaica?
Design and Methods: This was a qualitative study using content analysis method held in the parish of Kingston & St. Andrew, Jamaica with women diagnosed with PCOS based on the Rotterdam criteria, and general practitioners who treat women. The data were collected via 12 semistructured interviews with women with PCOS between the ages of 18 to 40 years and from 18 online surveys by general practitioners. Analysis was performed using a framework approach.
Results: The analysis of the data noted five themes and fifteen sub-themes from discussion with participants. These include: 1) Knowledge of PCOS (Hormonal imbalance, Insulin resistance and Infertility); (2) PCOS Diagnosis by General Practitioner (Menstrual dysfunction, Pelvic Ultrasound and Hormonal panel); (3) PCOS comorbidities (Type 2 Diabetes and Dyslipidemia); (4) PCOS Management (Oral contraceptive pills, Metformin and Lifestyle change) and (5) Openness to PCOS Trial (Resistance to medication, Resistance to lifestyle change, Financial constraints and Poor patient compliance).
Conclusion: Diagnosis of PCOS in Kingston, Jamaica appears to be standardized, however there are varied opinions of women with PCOS and general practitioners regarding PCOS management, as OCPs and lifestyle changes were most commonly used for menstrual irregularities. The management of women with PCOS could be enhanced by earlier diagnosis, increased knowledge on hormonal panel testing and improved lifestyle support.