Polycystic Ovary Syndrome in Adolescents
May 2010
in “
Current Women's Health Reviews
”
TLDR The document concludes that early diagnosis and treatment of PCOS in teenagers is important for managing symptoms and preventing long-term health problems.
The document from 2010 provides a comprehensive overview of Polycystic Ovary Syndrome (PCOS) in adolescents, a condition affecting 4-10% of reproductive-aged women characterized by menstrual irregularities and androgen excess. It discusses the complex etiology involving genetic and environmental factors and the associated long-term health risks such as type 2 diabetes, cardiovascular disease, infertility, and endometrial carcinoma. Diagnosis is challenging due to puberty changes, with criteria including hyperandrogenism, oligo-anovulation, and polycystic ovaries, after ruling out other conditions. Treatments focus on symptom relief and prevention of adverse health consequences, with early diagnosis and intervention being crucial. The document also covers the pathogenesis of PCOS, diagnostic challenges, and various treatment strategies, including managing hirsutism, menstrual irregularities, obesity, and insulin resistance. It emphasizes the importance of weight loss and lifestyle modifications in improving symptoms and reducing health risks, and calls for more research to guide recommendations on diagnostic criteria and treatment for adolescent PCOS.
