Polycystic ovary syndrome (PCOS) is a hormonal disorder common among women of reproductive age, often accompanied by metabolic complications. One significant concern in PCOS patients is metabolic syndrome—a cluster of conditions that increase the risk of heart disease, stroke, and type 2 diabetes. Recognizing and managing metabolic syndrome is crucial for improving long-term health outcomes in women with PCOS.

Here are the key diagnostic criteria for metabolic syndrome in PCOS patients:
- Abdominal Obesity
Measured by waist circumference, abdominal obesity is defined as a waist measurement greater than 88 centimeters. Excess fat around the abdomen is linked to increased cardiovascular and metabolic risks. - Elevated Triglycerides
Triglyceride levels above 150 mg/dL indicate lipid metabolism disturbances commonly seen in metabolic syndrome. - Low HDL Cholesterol
High-density lipoprotein (HDL) cholesterol, often called “good” cholesterol, is considered low when below 50 mg/dL, contributing to increased cardiovascular risk. - High Blood Pressure
A blood pressure reading greater than 130/85 mm Hg reflects hypertension, one of the components of metabolic syndrome. - Impaired Glucose Tolerance
Elevated fasting glucose levels over 110 mg/dL or two-hour post-glucose load levels exceeding 140 mg/dL suggest insulin resistance or prediabetes conditions.
Conclusion
Metabolic syndrome in PCOS patients encompasses abdominal obesity, unfavorable lipid profile, elevated blood pressure, and impaired glucose metabolism. Early detection and intervention through lifestyle modification, medical management, and regular monitoring can mitigate associated health risks and improve overall quality of life for women affected by PCOS.