VOLUME 116, ISSUE 1, P87-88
Author:
Ricardo Azziz, M.D., M.P.H., M.B.A.
Abstract:
Reflections on "Accelerated subcutaneous abdominal stem cell adipogenesis predicts insulin sensitivity in normal-weight polycystic ovary syndrome women" by Dumesic et al.
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We thank Dr. Azziz for his insightful comments and agree with his call for increased government funding for PCOS research, particularly with an emphasis on a multidisciplinary translational research approach. Equally important, women with PCOS are often dissatisfied with their healthcare (1-4), so that a revised healthcare strategy for PCOS women also is crucial to address their increased susceptibility to subfertility and metabolic disease in today’s obesogenic environment. An improved understanding of PCOS during obstetrics and gynecology residency as well as reproductive endocrinology and infertility fellowship should promote a greater knowledge of reproductive dysfunction, cardiometabolic comorbidities, mood-affective disorders and reduced quality of life; and should provide a better understanding of lifestyle modification and other beneficial interventions. Clinical exposure to complex reproductive-metabolic abnormalities with adverse implications to mother and offspring also is essential when caring for PCOS women who wish to conceive. Improved healthcare for PCOS women calls not only for government agencies to increase research funding, but also for academic medical institutions to improve education for this most common endocrine disorder of women.
Daniel Dumesic, M.D.
References