Lifestyle and environmental contributions to ovulatory dysfunction in women of polycystic ovary syndrome

BMC Endocr Disord. 2020 Jan 30;20(1):19. doi: 10.1186/s12902-020-0497-6.


Background: Polycystic ovary syndrome (PCOS) is the most common reason of anovulatory infertility. Environmental factor is one of the main causes of PCOS, but its contribution to ovulatory dysfunction in PCOS remains unknown.

Methods: A total of 2217 infertile women diagnosed as PCOS according to Rotterdam criteria were recruited, including 1979 women with oligo-anovulation (OA group) and 238 women with normal -anovulation (non OA group). Besides, 279 healthy control women of reproductive age were enrolled as controls.

Results: Frequencies of snoring (PCOS-OA group, PCOS-non-OA group, control group: 29.30% vs 18.10% vs 11.50%, P < 0.01), smoking (37.70% vs 28.10% vs 12.20%, P < 0.01), plastic tableware usage (38.30% vs 28.10% vs 25.40%, P < 0.01) and indoor decoration (32.10% vs 24.80% vs 16.80%, P < 0.01) were highest in PCOS-OA group. After adjusted for multivariable, difference remained significant between PCOS-OA group and the other two groups. PCOS-OA women preferred a meat favorable diet compared to PCOS-non-OA group (54.60% vs 41.30%, P < 0.01). There was no difference between three groups in exercise, frequency of insomnia, and alcohol consumption.

Conclusions: Smoking, snoring, hyper-caloric diet, plastic tableware usage and indoor decoration were found to be associated with an increased risk for ovulatory dysfunction in women suffering from PCOS.

Keywords: Environmental factors; Lifestyle; Ovulatory dysfunction; PCOS.

MeSH terms

  • Adult
  • Anovulation / etiology*
  • Anovulation / pathology
  • Biomarkers / analysis
  • Case-Control Studies
  • Environment*
  • Female
  • Follow-Up Studies
  • Humans
  • Infertility, Female / etiology*
  • Infertility, Female / pathology
  • Life Style*
  • Ovulation
  • Polycystic Ovary Syndrome / complications*
  • Prognosis
  • Prospective Studies


  • Biomarkers