Table 10 Chosen labels for each factor as identified by the 7-factor model

1

1

Hirsutism

In the past 4 weeks, how often have you felt concerned because of excess facial hair?

2

In the past 4 weeks, how often have you felt embarrassed because of having excess facial hair?

3

In the past 4 weeks, how often have you felt concerned about the progression of excess body and facial hair?

4

In the past 4 weeks, how often have you felt embarrassed because of having excess body hair?

5

In the past 4 weeks, how often have you felt concerned about rapid regrowth of unwanted hair after its removal?

6

In the past 4 weeks, how often have you experienced the need to cover your body and/or face because of excess hair?

2

7

Fertility

In the past 4 weeks, how often have you experienced concern about infertility?

8

In the past 4 weeks, how often have you felt concerned about infertility in the future?

9

In the past 4 weeks, how often have you felt sad seeing pregnant women?

10

In the past 4 weeks, how often have you felt you will accept all PCOS manifestations if assured of pregnancy?

11

In the past 4 weeks, how often have you felt sad seeing children?

12

In the past 4 weeks, how often have you felt fear of abortion?

13

In the past 4 weeks, how often have you felt uselessness of sexual intercourse due to infertility?

3

14

Isolation/Trepidation

In the past 4 weeks, how often have you felt lack of satisfaction with being a woman?

15

In the past 4 weeks, how often have you felt the desperate need for a cure for PCOS?

16

In the past 4 weeks, how often have you felt a lack of family support and acceptance of PCOS?

17

In the past 4 weeks, how often have you felt the need to complain with others about PCOS?

18

In the past 4 weeks, how often have you felt different from other women without PCOS?

19

In the past 4 weeks, how often have you felt difficulty communicating with others about PCOS?

20

In the past 4 weeks, how often have you felt lack of satisfaction with your role as a spouse or partner?

21

In the past 4 weeks, how often have you felt fear of diseases such as diabetes, hypertension, and heart disease?

22

In the past 4 weeks, how often have you felt the urge to abandon treatment because of repetitive visits to doctors?

23

In the past 4 weeks, how often have you experienced concern about the long-term effects of PCOS medication?

24

In the past 4 weeks, how often have you experienced fear of cancer?

25

In the past 4 weeks, how often have you experienced fear of divorce or separation?

26

In the past 4 weeks, how often have felt concerned about menstruation at long intervals?

27

In the past 4 weeks, have you felt concerned about the complete cessation of menstruation?

4

28

Sexual Function

In the past 4 weeks, how often have you experienced lack of sexual desire?

29

In the past 4 weeks, how often have you experienced the lack of libido because of PCOS?

30

In the past 4 weeks, how often have you experienced lack of stimulation?

31

In the past 4 weeks, how often have you felt ashamed of sexual coldness or unresponsiveness?

32

In the past 4 weeks, how often have you felt unsatisfied with sex?

33

In the past 4 weeks, how often have you felt lack of lubrication during sexual intercourse?

34

In the past 4 weeks, how often have you experienced lack of orgasm?

5

35

Self-Esteem

In the past 4 weeks, how often have you suffered from low self-esteem due to PCOS?

36

In the past 4 weeks, how often have you felt ugly or unattractive?

37

In the past 4 weeks, how often have you felt lack of satisfaction with your appearance (self-image)?

38

In the past 4 weeks, how often have you suffered from embarrassment due to your appearance?

39

In the past 4 weeks, how often have you experienced aggressiveness due to PCOS?

40

In the past 4 weeks, how often have you felt different from women without PCOS?

6

41

Emotional

In the past 4 weeks, how often have you suffered from a bad mood due to PCOS?

42

In the past 4 weeks, how often have you experienced trouble dealing with others?

43

In the past 4 weeks, how often have you experienced lack of control of emotions?

44

In the past 4 weeks, how often have you experienced impatience due to PCOS?

45

In the past 4 weeks, how often have you felt pessimistic about the treatment for PCOS?

46

In the past 4 weeks, how often have you felt the urge to abandon treatment because of repetitive visits to the doctor?

7

47

Obesity

In the past 4 weeks, how often have you felt willingness to reduce your weight to more attractive for your spouse or significant other?

48

In the past 4 weeks, how often have you felt concerned being overweight?

49

In the past 4 weeks, how often have you felt the need to decrease your weight to control PCOS status?

50

In the past 4 weeks, how often have you felt concerned about a fast return to your previous weight after any weight loss?