title: Psychological well-being and sexarche in women with polycystic ovary syndrome.
abstract: BACKGROUND
  The characteristics of polycystic ovary syndrome (PCOS) such as hyperandrogenism and anovulation can be highly stressful and might negatively affect psychological well-being and sexuality. The objective of this study was to evaluate the association between PCOS characteristics and psychological well-being as well as sexarche.
  
  
  METHODS
  Patients (n = 1148) underwent standardized clinical evaluation. Psychological well-being was investigated in 480 patients with the Rosenberg self-esteem scale (RSES), the body cathexis scale (BCS) and the fear of negative appearance evaluation scale (FNAES). Sexarche was also assessed.
  
  
  RESULTS
  Amenorrhoea was associated with lower self-esteem (P = 0.03), greater fear of negative appearance evaluation (P = 0.01) and earlier sexarche (P= 0.004). Hyperandrogenism and acne were associated with poorer body satisfaction (P = 0.03, 0.02, respectively). Hirsutism and BMI were negatively associated with all psychological variables (RSES, P = 0.01; BCS, P = 0.05; FNAES, P = 0.02 and RSES, P = 0.03; BCS, P = 0.001; FNAES, P = 0.03, respectively).
  
  
  CONCLUSIONS
  Our results suggest that menstrual irregularities might be related to sexarche. Moreover, this study stresses that the treatment of women with PCOS should notably focus on physical but also on psychological and sexual characteristics.
authors.affiliation: Division of Reproductive Medicine, Department of Obstetrics and Gynaecology, Erasmus MC University Medical Centre, 3000 CA Rotterdam, The Netherlands. j.e.deniet@erasmusmc.nl
authors.forename: J E
authors.initials: JE
authors.lastname: de Niet
authors.forename: C M
authors.initials: CM
authors.lastname: de Koning
authors.forename: H
authors.initials: H
authors.lastname: Pastoor
authors.forename: H J
authors.initials: HJ
authors.lastname: Duivenvoorden
authors.forename: O
authors.initials: O
authors.lastname: Valkenburg
authors.forename: M J
authors.initials: MJ
authors.lastname: Ramakers
authors.forename: J
authors.initials: J
authors.lastname: Passchier
authors.forename: C
authors.initials: C
authors.lastname: de Klerk
authors.forename: J S E
authors.initials: JS
authors.lastname: Laven
mesh_terms: D000568:Amenorrhea / Q000150:complications / Q000523:psychology; D001828:Body Image; D003075:Coitus / Q000523:psychology*; D005260:Female; D006801:Humans; D017588:Hyperandrogenism / Q000150:complications / Q000523:psychology; D016014:Linear Models; D011085:Polycystic Ovary Syndrome / Q000150:complications / Q000523:psychology*; D012649:Self Concept; D013315:Stress, Psychological / Q000523:psychology*; D011795:Surveys and Questionnaires