A Prevalence of Polycystic Ovarian Syndrome in Maharashtra: A Systematic Review and Meta-Analysis

Nivedita Wahengbam, Dr. Venice Mairya David

Abstract: Background: Polycystic Ovarian Syndrome (PCOS) is a common endocrine disorder affecting women of reproductive age. Despite its widespread occurrence, data specific to the prevalence of PCOS in Maharashtra is fragmented. Objective: This systematic review and meta-analysis aims to synthesize existing evidence to estimate the pooled prevalence of PCOS among women in Maharashtra, India. Methods: A comprehensive literature search was conducted using databases such as PubMed, Scopus, Web of Science, and Google Scholar for studies published between January 2000 and December 2024. Inclusion criteria were observational studies conducted in Maharashtra reporting PCOS prevalence using standard diagnostic criteria (NIH, Rotterdam, AES). Data were extracted independently by two reviewers. A random-effects model was used for meta-analysis. Heterogeneity was assessed using I? statistics. Results: Out of 127 identified studies, 11 met the inclusion criteria, encompassing a total sample size of 100 women. The pooled prevalence of PCOS in Maharashtra was found to be 11.3% (95% CI: 9.1?13.8). Significant heterogeneity was observed (I? = 78.5%). Subgroup analysis indicated higher prevalence among urban populations (13.7%) compared to rural populations (8.4%). Conclusion: The prevalence of PCOS among women in Maharashtra is considerable, highlighting the need for targeted public health interventions, early diagnosis, and standardized treatment protocols.

Keywords: PCOS, prevalence, Maharashtra, meta-analysis, women?s health, systematic review