Should doctors consider mental health screenings for patients diagnosed with PCOS?

### Understanding the Link Between PCOS and Mental Health Polycystic Ovary Syndrome (PCOS) is a condition that affects up to 15% of women of reproductive age in the United States, which is about 6 million people. PCOS is not just a reproductive issue; it is also linked to several metabolic disorders such as diabetes and metabolic syndrome, as well as cardiovascular problems like hypertension and stroke. Women with PCOS often experience symptoms like infertility, weight gain, excessive hair growth, and skin changes. These physical changes can negatively impact self-esteem and mental health, leading to conditions like depression and anxiety. A recent study published in the Annals of Internal Medicine found that women with PCOS are up to eight times more likely to attempt suicide compared to those without the condition. This alarming statistic highlights the importance of mental health screenings for patients diagnosed with PCOS. The study analyzed data from nearly 19,000 women with PCOS and compared it to a control group of 189,600 women without PCOS. The findings showed that women with PCOS had a significantly higher risk of suicide attempts over a 16-year follow-up period. Given these findings, it is crucial for healthcare providers to ask their patients with PCOS about their mental health and any thoughts of self-harm. Early identification of mental health issues can lead to timely interventions and referrals to mental health professionals. Simply asking patients about their mental well-being can open the door to important conversations and help identify those who may need additional support. In summary, PCOS is a complex condition that affects both physical and mental health. Healthcare providers should be vigilant in screening for mental health issues in patients with PCOS to reduce the risk of severe consequences like suicide attempts.