[Polycystic ovary syndrome in primary care: Knowledge among general practitioners]

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder among women of reproductive age. Despite its gynecological, metabolic, and psychological consequences, diagnosis remains frequently delayed and heterogeneous. General practitioners play a key role in the early identification and orientation of affected patients. This article aims to assess the knowledge of general practitioners in Loire-Atlantique regarding the diagnosis, management, and follow-up of PCOS, and to identify major gaps.

We conducted a cross-sectional descriptive study between May and September 2025 using an online questionnaire developed according to the 2023 international guidelines. Knowledge was evaluated using a standardized 10-point score.

A total of 66 questionnaires were included. Most physicians rated their knowledge as average (3.1/5). The mean final score was 3.4/10. The main gaps concerned key Rotterdam diagnostic criteria - short cycles, updated ultrasound thresholds, and biochemical hyperandrogenism - as well as long-term complications, particularly endometrial cancer. Obstetric complications were better recognized, especially gestational diabetes. Lifestyle measures were widely recommended, but preconception counseling was systematically proposed by only 56.1% of respondents. No specific training was associated with higher knowledge scores.

This study highlights substantial gaps in general practitioners' knowledge of PCOS, consistent with international findings. Strengthening undergraduate and continuing medical education, alongside developing tools adapted to primary care, appears essential to harmonize diagnosis and management.