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Polycystic Ovary Syndrome (PCOS) Workbook<\/p>\n\n

This is a small booklet that should take no more than 10 minutes to complete. It will give you basic knowledge about PCOS so you can further understand the disorder. It is an interactive booklet that contains visuals, videos, and a small quiz to test your knowledge at the end. <\/p>\n\n

<\/p>\n\n

If you have any questions after completing the booklet reach out to your doctor or a healthcare provider.<\/p>\n"},"chapters":[{"params":{"content":[{"content":{"params":{"decorative":true,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-6720198f3d56f.jpg","mime":"image\/jpeg","copyright":{"license":"U"},"width":1414,"height":2000}},"library":"H5P.Image 1.1","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"a8a7798a-ef81-4fe4-8617-c3fe1937d258"},"useSeparator":"auto"}]},"library":"H5P.Column 1.18","subContentId":"bd7c41ba-e622-4f37-9460-a5ebe888c105","metadata":{"contentType":"Column","license":"U","title":"Polycystic Ovary Syndrome in Young Adult Canadian Women"}},{"params":{"content":[{"content":{"params":{"text":"

What is Polycystic Ovary Syndrome?<\/strong><\/h2>\n"},"library":"H5P.AdvancedText 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"d65f0f51-f703-4034-ae36-027677014634"},"useSeparator":"auto"},{"useSeparator":"auto","content":{"params":{"text":"
Polycystic Ovary Syndrome (PCOS) is an endocrine disorder that affects women who are in the reproductive age group of 15-44 (Benjamin et al., 2021). An endocrine disorder occurs when there are hormonal imbalances. Hormones in our body regulate functions like our growth and development, moods, immune system, and reproductive system. Women carry a male hormone called androgens in small amounts. In women with PCOS, those androgens are found in high amounts (Polycystic ovary syndrome (PCOS), 2024). <\/p>\n\n
Androgens can cause women to not release an egg during their ovulation period. The egg not releasing can cause cysts to develop on the ovaries, and the cysts can cause symptoms of infertility and irregular periods (Polycystic ovary syndrome (PCOS), 2024).<\/p>\n"},"library":"H5P.AdvancedText 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"accea524-2db8-420c-b913-ed7428fe57ae"}},{"content":{"params":{"decorative":false,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-671ac2396bd28.jpg","mime":"image\/jpeg","copyright":{"license":"U"},"width":1080,"height":1080}},"library":"H5P.Image 1.1","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"1112c3d0-8b8e-488b-bf95-e8792ec67fb6"},"useSeparator":"auto"},{"content":{"params":{"text":"
The exact cause of PCOS is unknown but there are many environmental factors that can contribute to PCOS. Your diet, your physical acitivity levels, obesity, and something called insulin resistance (Ashraf et al., 2021). <\/p>\n\n
Insulin is a hormone that is used to regulate our blood sugar levels. Insulin resistance is when the body is making too much insulin because our cell's are not taking up insulin like it should (Insulin Resistance & Prediabetes, 2024).<\/p>\n\n
There is no cure for PCOS, but symptoms can be managed through medications or changes in lifestyle (Ashraf et al., 2021). <\/p>\n"},"library":"H5P.AdvancedText 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"3b5262fa-1ba6-4d9c-b12c-d056ac2e7b0b"},"useSeparator":"auto"}]},"library":"H5P.Column 1.18","subContentId":"d372d206-538c-4f1c-aff9-95c9780c6493","metadata":{"contentType":"Column","license":"U","title":"Introduction"}},{"params":{"content":[{"content":{"params":{"iconType":"icon","icon":"info","color":"#981d99","hotspots":[{"position":{"x":13.600000000000001,"y":29.11729857819905},"alwaysFullscreen":false,"content":[{"params":{"text":"
A cyst is a sac that is filled with water. The sac also contains an underdeveloped egg that should have been released during ovulation. Not releasing the egg can lead to problems such as irregular periods (Patel, 2018)<\/p>\n"},"library":"H5P.Text 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"8f551da7-2d44-4001-a3b6-ea9b96e05d58"}]},{"position":{"x":75.6,"y":27.799170616113745},"alwaysFullscreen":false,"content":[{"params":{"text":"
Ovarian cysts can be found in diseases such as:<\/p>\n\n
\n\t
Amenorrhea (women who do not get a period)<\/li>\n\t
endometriosis<\/li>\n\t
PCOS<\/li>\n\t
ovarian cancer <\/li>\n<\/ul>\n"},"library":"H5P.Text 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"b9be6404-291f-4672-9696-f730161957ad"}]},{"position":{"x":66.8,"y":40.699052132701425},"alwaysFullscreen":false,"content":[{"params":{"text":"
Cysts can become as big as 10mm (Patel, 2018)<\/p>\n"},"library":"H5P.Text 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"5b7599b8-ee77-48b1-9d6e-7ab8432d1516"}]},{"position":{"x":29.2,"y":34.16765402843602},"alwaysFullscreen":false,"content":[{"params":{"text":"
Cysts can be a cause of infertility (Patel, 2018)<\/p>\n"},"library":"H5P.Text 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"a75e9cc7-4cd7-4d11-8403-cd756122a8b7"}]},{"position":{"x":67.60000000000001,"y":28.70260663507109},"alwaysFullscreen":false,"content":[{"params":{"text":"
Women with PCOS can have 12 or more cysts on the ovaries (Polycystic Ovary Syndrome: MedlinePlus Genetics, n.d)<\/p>\n"},"library":"H5P.Text 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"bd9684b0-c225-4325-a465-38e2c662a35b"}]}],"hotspotNumberLabel":"Hotspot #num","closeButtonLabel":"Close","image":{"path":"images\/image-6716cef53b27c.jpg","mime":"image\/jpeg","copyright":{"license":"U"},"width":5071,"height":4179}},"library":"H5P.ImageHotspots 1.10","metadata":{"contentType":"Image Hotspots","license":"U","title":"A polycystic ovary"},"subContentId":"1593064a-6308-4da1-8995-69afbd860410"},"useSeparator":"auto"},{"content":{"params":{"text":"
Image by: Alexia Harry <\/p>\n\n
Information: (Patel, 2018)<\/p>\n"},"library":"H5P.AdvancedText 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"08118b04-e23b-4dde-b15b-2b924763ba71"},"useSeparator":"auto"}]},"library":"H5P.Column 1.18","subContentId":"4ddbeb5b-6279-4771-8dd8-b71d053ca537","metadata":{"contentType":"Column","license":"U","title":"A polycystic ovary"}},{"params":{"content":[{"content":{"params":{"text":"
Recognizing Symptoms of PCOS <\/h2>\n"},"library":"H5P.AdvancedText 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"08d05fa4-4b1e-4d99-be2e-fe2ecaf02e66"},"useSeparator":"auto"},{"content":{"params":{"visuals":{"fit":true,"controls":true},"playback":{"autoplay":true,"loop":true},"l10n":{"name":"Video","loading":"Video player loading...","noPlayers":"Found no video players that supports the given video format.","noSources":"Video is missing sources.","aborted":"Media playback has been aborted.","networkFailure":"Network failure.","cannotDecode":"Unable to decode media.","formatNotSupported":"Video format not supported.","mediaEncrypted":"Media encrypted.","unknownError":"Unknown error.","invalidYtId":"Invalid YouTube ID.","unknownYtId":"Unable to find video with the given YouTube ID.","restrictedYt":"The owner of this video does not allow it to be embedded."},"sources":[{"path":"videos\/sources-671974b967f46.mp4","mime":"video\/mp4","copyright":{"license":"U"}}]},"library":"H5P.Video 1.6","metadata":{"contentType":"Video","license":"U","title":"PCOS symptom video"},"subContentId":"75bf1695-a03e-449a-980a-80d0d6cb20a4"},"useSeparator":"auto"}]},"library":"H5P.Column 1.18","subContentId":"194fd9ce-c3a1-40d2-bd58-78c3db32c3c2","metadata":{"contentType":"Column","license":"U","title":"Symptoms"}},{"params":{"content":[{"useSeparator":"auto","content":{"params":{"iconType":"icon","icon":"plus","color":"#981d99","hotspots":[{"position":{"x":50,"y":50},"alwaysFullscreen":false,"content":[{"params":{"text":"
PCOS can be diagnosed through a transvaginal ultrasound. This means that the doctors will insert an object into the vagina to take a look at the ovaries to see if there are ovarian cysts (Dason et al., 2024). <\/p>\n\n
<\/p>\n"},"library":"H5P.Text 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"60536ddc-88ef-48c4-842b-598a9f723fe8"}]}],"hotspotNumberLabel":"Hotspot #num","closeButtonLabel":"Close","image":{"path":"images\/image-67200f35bd342.png","mime":"image\/png","copyright":{"license":"U"},"width":1080,"height":1080}},"library":"H5P.ImageHotspots 1.10","metadata":{"contentType":"Image Hotspots","license":"U","title":"Ultrasound"},"subContentId":"a7afee84-ccdc-44b6-b026-711a149e6df3"}},{"content":{"params":{"iconType":"icon","icon":"plus","color":"#981d99","hotspots":[{"position":{"x":26.8,"y":44.18504901960784},"alwaysFullscreen":false,"content":[{"params":{"text":"
Blood tests can be used to detect the hormone levels in the body. There is a hormone called anti-m\u00fcllerian. Blood tests can test for the excessive presence of anti-m\u00fcllerian to determine whether a women has PCOS<\/p>\n"},"library":"H5P.Text 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"2ff97a99-4796-4b00-8ccb-1d4cf99a0ab7"}]}],"hotspotNumberLabel":"Hotspot #num","closeButtonLabel":"Close","image":{"path":"images\/image-672010e60379f.png","mime":"image\/png","copyright":{"license":"U"},"width":1080,"height":1080}},"library":"H5P.ImageHotspots 1.10","metadata":{"contentType":"Image Hotspots","license":"U","title":"Blood tests"},"subContentId":"f4c163f0-0afb-4d4a-a781-1e41fb8e7d50"},"useSeparator":"auto"}]},"library":"H5P.Column 1.18","subContentId":"59ab1c7c-ea7c-421a-a850-7f4bb923ef94","metadata":{"contentType":"Column","license":"U","title":"Getting diagnosed"}},{"params":{"content":[{"useSeparator":"auto","content":{"params":{"imageSlides":[{"params":{"image":{"params":{"decorative":true,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-672012bdcb4da.png","mime":"image\/png","copyright":{"license":"U"},"width":1080,"height":1080}},"library":"H5P.Image 1.1","subContentId":"fd1f5d70-b67b-49eb-880b-29cc45c24591","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}}},"library":"H5P.ImageSlide 1.1","subContentId":"28639ed6-d9ad-40e8-aee6-02796b35c9cd","metadata":{"contentType":"Image Slide","license":"U","title":"Managing PCOS symptoms"}},{"params":{"image":{"params":{"decorative":true,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-6720143bba977.png","mime":"image\/png","copyright":{"license":"U"},"width":1080,"height":1080}},"library":"H5P.Image 1.1","subContentId":"88fcfcf7-d495-4111-b318-01dbc3cf3b43","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}}},"library":"H5P.ImageSlide 1.1","subContentId":"1516aa45-ee3b-48ee-bb81-0c81b164cb42","metadata":{"contentType":"Image Slide","license":"U","title":"Changing your eating habits"}},{"params":{"image":{"params":{"decorative":true,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-6720150d32fa5.png","mime":"image\/png","copyright":{"license":"U"},"width":1080,"height":1080}},"library":"H5P.Image 1.1","subContentId":"afa7bab8-9396-4da9-9424-4de2b6bf778a","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}}},"library":"H5P.ImageSlide 1.1","subContentId":"912f0f26-a39c-4734-b8fc-2c8e9b8bac93","metadata":{"contentType":"Image Slide","license":"U","title":"Physical activity"}},{"params":{"image":{"params":{"decorative":true,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-672015d3c97a4.png","mime":"image\/png","copyright":{"license":"U"},"width":1080,"height":1080}},"library":"H5P.Image 1.1","subContentId":"688e4aa3-6c3a-46c8-942f-edcf8ba154fd","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}}},"library":"H5P.ImageSlide 1.1","subContentId":"542ce922-1ea4-4631-b502-33320fdbd677","metadata":{"contentType":"Image Slide","license":"U","title":"Birth control"}},{"params":{"image":{"params":{"decorative":true,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-672016d5c4522.png","mime":"image\/png","copyright":{"license":"U"},"width":1080,"height":1080}},"library":"H5P.Image 1.1","subContentId":"bc25ca94-24e8-4165-875a-6d8bb493e92c","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}}},"library":"H5P.ImageSlide 1.1","subContentId":"23b303c0-cfc3-4fd9-b6f6-5eb5905f78f0","metadata":{"contentType":"Image Slide","license":"U","title":"Metformin"}}],"aspectRatioMode":"auto","aspectRatio":{"aspectWidth":4,"aspectHeight":3},"a11y":{"nextSlide":"Next Image","prevSlide":"Previous Image","gotoSlide":"Go to image %slide"}},"library":"H5P.ImageSlider 1.1","metadata":{"contentType":"Image Slider","license":"U","title":"Managing symptoms"},"subContentId":"fee8ff57-dd3c-40d3-9141-4d2e3cf1c012"}},{"content":{"params":{"text":"
Information: (Sta\u0144czak et al., 2024).<\/p>\n"},"library":"H5P.AdvancedText 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"777219ee-e221-42b2-b30e-ea3d63b812cb"},"useSeparator":"auto"}]},"library":"H5P.Column 1.18","subContentId":"dc7ca70d-73ab-465d-beaa-9ef342d61a67","metadata":{"contentType":"Column","license":"U","title":"Managing symptoms"}},{"params":{"content":[{"useSeparator":"auto","content":{"params":{"media":{"disableImageZooming":false},"taskDescription":"Drag the words into the correct boxes","overallFeedback":[{"from":0,"to":100}],"checkAnswer":"Check","submitAnswer":"Submit","tryAgain":"Retry","showSolution":"Show solution","dropZoneIndex":"Drop Zone @index.","empty":"Drop Zone @index is empty.","contains":"Drop Zone @index contains draggable @draggable.","ariaDraggableIndex":"@index of @count draggables.","tipLabel":"Show tip","correctText":"Correct!","incorrectText":"Incorrect!","resetDropTitle":"Reset drop","resetDropDescription":"Are you sure you want to reset this drop zone?","grabbed":"Draggable is grabbed.","cancelledDragging":"Cancelled dragging.","correctAnswer":"Correct answer:","feedbackHeader":"Feedback","behaviour":{"enableRetry":true,"enableSolutionsButton":true,"enableCheckButton":true,"instantFeedback":false},"scoreBarLabel":"You got :num out of :total points","a11yCheck":"Check the answers. The responses will be marked as correct, incorrect, or unanswered.","a11yShowSolution":"Show the solution. The task will be marked with its correct solution.","a11yRetry":"Retry the task. Reset all responses and start the task over again.","textField":"1. Polycystic Ovary Syndrome (PCOS) is an endocrine disorder \n\n2. PCOS can affect women as young as 15 years old \n\n3. Cysts on the ovaries can grow up to 10mm \n\n4. Acne is a symptom of PCOS \n\n5. Insulin is a hormone found in our bodies\n\n6. Metformin can be used to help control hormone levels in the body and reduce insulin levels","distractors":"Infectious coughing 5 Tylenol"},"library":"H5P.DragText 1.10","metadata":{"contentType":"Drag the Words","license":"U","title":"Test your knowledge"},"subContentId":"35ef586c-5972-4b95-8365-8f888bc78317"}}]},"library":"H5P.Column 1.18","subContentId":"c56f0414-8dbc-4d38-89ee-8f47e995cc49","metadata":{"contentType":"Column","license":"U","title":"Review"}},{"params":{"content":[{"useSeparator":"auto","content":{"params":{"text":"
There is a lack of resources available to Canadian women.<\/span><\/p>\n\n
Available resources are: <\/span><\/p>\n\n
\n\t
Alberta's women health foundation <\/span><\/li>\n<\/ul>\n\n
https:\/\/www.albertawomenshealthfoundation.org\/research\/post\/tackling-taboos-polycystic-ovarian-syndrome#:~:text=It%20is%20estimated%20that%20PCOS,may%20be%20afflicted%20with%20PCOS.<\/a><\/span><\/p>\n\n
<\/p>\n\n
\n\t
Canadian Medical Association Journal <\/span><\/li>\n<\/ul>\n\n
https:\/\/www.cmaj.ca\/content\/196\/3\/E85<\/a><\/span><\/p>\n\n
<\/p>\n\n
\n\t
Heart and Stroke Foundation of Canada <\/span><\/li>\n<\/ul>\n\n
https:\/\/www.heartandstroke.ca\/women\/womens-risk-factors\/polycystic-ovarian-syndrome<\/a><\/span><\/p>\n\n
<\/p>\n\n
<\/p>\n"},"library":"H5P.AdvancedText 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"76069979-3618-42d0-8382-1019300afb2b"}},{"useSeparator":"auto"}]},"library":"H5P.Column 1.18","subContentId":"d8d589d5-82cd-413b-9412-d6fb075dd22d","metadata":{"contentType":"Column","license":"U","title":"Resources"}},{"params":{"content":[{"content":{"params":{"text":"
<\/p>\n\n
Ajmal, N., Khan, S. Z., & Shaikh, R. (2019). Polycystic ovary syndrome (PCOS) and genetic predisposition: A review article. European Journal of Obstetrics & Gynecology and Reproductive Biology X, 3, 100060. https:\/\/doi.org\/10.1016\/j.eurox.2019.100060<\/a><\/p>\n\n
<\/p>\n\n
Ashraf, S., Aslam, R., Bashir, I., Majeed, I., & Jamshaid, M. (2021). Environmental determinants and PCOS symptoms severity: a cross-sectional study. Health Care for Women International, 43(1\u20133), 98\u2013113. https:\/\/doi.org\/10.1080\/07399332.2021.1959590<\/a><\/p>\n\n
<\/p>\n\n
Dason, E. S., Koshkina, O., Chan, C., & Sobel, M. (2024). Diagnosis and management of polycystic ovarian syndrome. Canadian Medical Association Journal, 196(3), E85\u2013E94. https:\/\/doi.org\/10.1503\/cmaj.231251<\/p>\n\n
<\/p>\n\n
Insulin Resistance & Prediabetes. (2024, October 4). National Institute of Diabetes and Digestive and Kidney Diseases. https:\/\/www.niddk.nih.gov\/health-information\/diabetes\/overview\/what-is-diabetes\/prediabetes-insulin-resistance<\/p>\n\n
<\/p>\n\n
Patel, S. (2018). Polycystic ovary syndrome (PCOS), an inflammatory, systemic, lifestyle endocrinopathy. The Journal of Steroid Biochemistry and Molecular Biology, 182, 27\u201336. https:\/\/doi.org\/10.1016\/j.jsbmb.2018.04.008<\/p>\n\n
<\/p>\n\n
Polycystic ovary Syndrome (PCOS). (2024, July 2). Johns Hopkins Medicine. https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/polycystic-ovary-syndrome-pcos<\/a><\/p>\n\n
<\/p>\n\n
Polycystic ovary syndrome: MedlinePlus Genetics. (n.d.). https:\/\/medlineplus.gov\/genetics\/condition\/polycystic-ovary-syndrome\/#:~:text=Normally%2C%20ovarian%20follicles%20contain%20egg,or%20more%20of%20these%20follicles<\/a>.<\/p>\n\n
<\/p>\n\n
Sta\u0144czak, N. A., Grywalska, E., & Dudzi\u0144ska, E. (2024). The latest reports and treatment methods on polycystic ovary syndrome. Annals of Medicine, 56(1). https:\/\/doi.org\/10.1080\/07853890.2024.2357737<\/p>\n\n
<\/p>\n\n
World Health Organization: WHO & World Health Organization: WHO. (2023, June 28). Polycystic ovary syndrome.<\/p>\n\n

\n <\/p>\n"},"library":"H5P.AdvancedText 1.1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"aed6eab0-2db1-47f2-9392-8c7a4fc4b72e"},"useSeparator":"auto"}]},"library":"H5P.Column 1.18","subContentId":"a4726a60-557e-4ad9-9797-a2c648a4b760","metadata":{"contentType":"Column","license":"U","title":"Sources Cited"}}],"behaviour":{"baseColor":"#1768c4","defaultTableOfContents":true,"progressIndicators":true,"progressAuto":true,"displaySummary":true,"enableRetry":true},"read":"Read","displayTOC":"Display 'Table of contents'","hideTOC":"Hide 'Table of contents'","nextPage":"Next page","previousPage":"Previous page","chapterCompleted":"Page completed!","partCompleted":"@pages of @total completed","incompleteChapter":"Incomplete page","navigateToTop":"Navigate to the top","markAsFinished":"I have finished this page","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","bookProgressSubtext":"@count of @total pages","interactionsProgressSubtext":"@count of @total interactions","submitReport":"Submit Report","restartLabel":"Restart","summaryHeader":"Summary","allInteractions":"All interactions","unansweredInteractions":"Unanswered interactions","scoreText":"@score \/ @maxscore","leftOutOfTotalCompleted":"@left of @max interactions completed","noInteractions":"No interactions","score":"Score","summaryAndSubmit":"Summary & submit","noChapterInteractionBoldText":"You have not interacted with any pages.","noChapterInteractionText":"You have to interact with at least one page before you can see the summary.","yourAnswersAreSubmittedForReview":"Your answers are submitted for review!","bookProgress":"Book progress","interactionsProgress":"Interactions progress","totalScoreLabel":"Total score","a11y":{"progress":"Page @page of @total.","menu":"Toggle navigation menu"}}