Association of Pilonidal Disease with Polycystic Ovarian Syndrome in Adolescent Females

The study, conducted from 2012-2019, involved a retrospective chart review of 100,043 adolescent girls aged 12 to 21 at a tertiary medical center, with 769 diagnosed with Pilonidal Disease (PD) and 209 diagnosed with both PD and Polycystic Ovarian Syndrome (PCOS). The study found a higher prevalence of PCOS among girls diagnosed with PD. Patients with both diagnoses were more likely to have a higher BMI (31.4 vs. 27.4) and be older (18.8 vs. 18.3). The odds of patients with PD having PCOS was 34.6 times that of patients without PD. Interestingly, patients with both diagnoses were less likely to receive intervention for PD. The study concludes that PCOS treatment appears to reduce the risk of intervention for PD, suggesting that increased awareness of the association between PCOS and PD could lead to improved early detection and treatment of PCOS.