title: Body imaging and sexual behavior in lean women with polycystic ovary syndrome.
abstract: BACKGROUND
  In women with polycystic ovary syndrome (PCOS), changes in body appearance may influence the feminine identity of the patients with possible consequent depression and sexual dysfunction.
  
  
  OBJECTIVE
  The study aims to examine the differences in mood, perceived body image, sexual behavior, and clitoral vascularization between lean PCOS patients and healthy eumenorrheic controls.
  
  
  METHODS
  Thirty-three lean PCOS women (Group I) and 22 healthy nonhirsute volunteers (Group II) were submitted, on day 3-5 of the cycle, to ultrasonographic (US) and Doppler analyses, to clinical, hormonal, and biochemical evaluations, and to psychometric tests.
  
  
  METHODS
  Main outcome measures are Ferriman-Gallwey score (FG), clitoral volume, clitoral artery Pulsatility Index, the two-factor Italian McCoy female questionnaire (MFSQ), the Stunkard Figure Rating Scale (FRS), and the Beck Depression Inventory (BDI) questionnaire.
  
  
  RESULTS
  The FG score and the androgens resulted, as expected, more elevated in PCOS patients than in controls. However, the US assessment of the clitoral body volume and the resistances registered at the level of the dorsal clitoral artery did not show any difference between Group I and Group II patients. Moreover, the two-factor Italian MFSQ, the FRS, and the BDI were similar in both groups.
  
  
  CONCLUSIONS
  It seems that in lean PCOS women, the moderate hirsutism and hyperandrogenism do not have any important influence on body image and self-esteem and, as a consequence, on sexual function.
authors: Department of Gynecology and Pathophysiology of Human Reproduction, Alma Mater Studiorum-University of Bologna, Bologna, Italy.
authors: Elena
authors: E
authors: Morotti
authors: Nicola
authors: N
authors: Persico
authors: Bruno
authors: B
authors: Battaglia
authors: Raffaella
authors: R
authors: Fabbri
authors: Maria Cristina
authors: MC
authors: Meriggiola
authors: Stefano
authors: S
authors: Venturoli
authors: Cesare
authors: C
authors: Battaglia
mesh_terms: D000293:Adolescent; D000328:Adult; D001828:Body Image / Q000523:psychology*; D002987:Clitoris / Q000098:blood supply / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D006628:Hirsutism / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D011085:Polycystic Ovary Syndrome / Q000097:blood / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000523:psychology*; D011594:Psychometrics; D012725:Sexual Behavior / Q000502:physiology / Q000523:psychology*; D011795:Surveys and Questionnaires; D018615:Ultrasonography, Doppler, Color; D055815:Young Adult
keywords: Body Image; Clitoris; Depression; Genital Blood Flow; PCOS; Sexual Behavior; Ultrasound