title: Antidepressants for polycystic ovary syndrome.
abstract: BACKGROUND
  The prevalence of depression in women with polycystic ovary syndrome (PCOS) is high; one study has shown it to be four times that of women without PCOS. Therefore, systematic evaluation of the effectiveness and safety of antidepressants for women with PCOS is important.
  
  
  OBJECTIVE
  To evaluate the effectiveness and safety of antidepressants in treating depression and other symptoms in women with PCOS.
  
  
  METHODS
  We searched the following databases from inception to June 2012: the Cochrane Menstrual Disorders and Subfertility Group Trials Register, the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, PsycINFO and Chinese National Knowledge Infrastructure, the metaRegister of Controlled Trials (controlled-trials.com), the National Institute of Health Clinical Trials register (clinicaltrials.gov) and the World Health Organization International Trials Registry Platform search portal (www.who.int/trialsearch/Default.aspx).
  
  
  METHODS
  Only randomised controlled trials (RCTs) studying the effectiveness and safety of antidepressants for women with PCOS were included in this review.
  
  
  METHODS
  The methodological quality of the trials was assessed independently by two review authors, in parallel with data extraction. The risk of bias in the included study was assessed in six domains: 1. sequence generation; 2. allocation concealment; 3. blinding of participants, personnel and outcome assessors; 4. completeness of outcome data; 5. selective outcome reporting; 6. other potential sources of bias.
  
  
  RESULTS
  We found no studies reporting any of our primary review outcomes (depression and allied mood disorder scores, quality of life and adverse events). Only one study with 16 women was eligible for inclusion. This study compared sibutramine versus fluoxetine in women with PCOS, and reported only endocrine and metabolic outcomes. It was unclear whether the participants had psychological problems at baseline. No significant difference was found between the groups for any of the measured outcomes.
  
  
  CONCLUSIONS
  There is no evidence on the effectiveness and safety of antidepressants in treating depression and other symptoms in women with PCOS.
authors.affiliation: Department of Obstetrics and Gynecology, West China Second Hospital, Sichuan University, Chengdu, China. liangzxu@126.com
authors.forename: Jing
authors.initials: J
authors.lastname: Zhuang
authors.forename: Xianding
authors.initials: X
authors.lastname: Wang
authors.forename: Liangzhi
authors.initials: L
authors.lastname: Xu
authors.forename: Taixiang
authors.initials: T
authors.lastname: Wu
authors.forename: Deying
authors.initials: D
authors.lastname: Kang
mesh_terms: D000928:Antidepressive Agents / Q000627:therapeutic use*; D003503:Cyclobutanes / Q000627:therapeutic use; D003863:Depression / Q000188:drug therapy*; D005260:Female; D005473:Fluoxetine / Q000627:therapeutic use; D006801:Humans; D011085:Polycystic Ovary Syndrome / Q000523:psychology*; D016032:Randomized Controlled Trials as Topic
chemical_list: D000928:Antidepressive Agents; D003503:Cyclobutanes; D005473:Fluoxetine; C058254:sibutramine