A sustainable public health framework for PCOS management in low- and middle-income countries: a narrative review.

Background: Polycystic Ovary Syndrome is an endocrine disorder that affects reproductive, metabolic, and mental health. In LMICs, PCOS management is hindered by late diagnosis, lack of awareness, and high treatment costs which leads to long-term complications. Objective: The aim of the review is to document the challenges in PCOS diagnosis and management in LMICs and provide public health solution to overcome these barriers in accordance with SDG goals. Methods: A narrative review synthesizing existing literature on PCOS epidemiology, barriers to diagnosis and treatment, and potential solutions relevant to LMICs. Results: Key challenges include lack of uniformity in diagnosis and treatment, lack of trained HR and equipment. High cost of care, stigma and fragmented health care. Outcomes/proposed solutions: Develop national PCOS guidelines, bring the management of PCOS under the reproductive health program, shift some of the tasks to primary health workers, like generating awareness and screening for symptoms. Invest in research to find public health solutions. Conclusion: Addressing PCOS in LMICs requires a multi-sectoral public health approach, including prevention, early detection, and affordable care. Strengthening healthcare systems through policy reforms and community-based interventions can improve outcomes for affected women.