Polycystic Ovary Syndrome (PCOS) Presenting with Delayed Menarche and Clitoromegaly

February 2022 in “ Obstetrics and gynaecology cases - reviews ”

Sule Sa'adatu T, Anekwe Shedrach

Polycystic Ovary Syndrome PCOS delayed menarche clitoromegaly acne excessive hair type 2 diabetes delayed puberty excessive hair growth diabetes

TLDR PCOS can cause unusual symptoms like late puberty and enlarged clitoris, making diagnosis difficult.

The document discusses a case of Polycystic Ovary Syndrome (PCOS) in a young woman who exhibited atypical symptoms such as delayed menarche and clitoromegaly, without the common feature of abnormal facial hair. The patient's physical examination showed a height of 1.48 m, a weight of 47.8 kg, a BMI of 21.8 kg/m^2, moderate acne on her face, chest, and upper back, and excessive hair on her arms and legs. The case highlights the diagnostic challenges of PCOS, particularly in young women, and the potential complications associated with the condition, including metabolic effects like type 2 diabetes.

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research Effect of Phlebotomy Versus Oral Contraceptives Containing Cyproterone Acetate on Clinical and Biochemical Parameters in Women with Polycystic Ovary Syndrome: A Randomized Controlled Trial

7 citations , August 2019 in “Journal of Ovarian Research”

Blood removal and birth control pills both helped with hormone levels in women with PCOS, but birth control was better for regular periods and blood removal had fewer side effects.

3 / 3 results

research Of PCOS Symptoms, Hirsutism Has the Most Significant Impact on the Quality of Life of Iranian Women

48 citations , April 2015 in “PLOS ONE”

Excessive hair growth affects the quality of life of Iranian women with PCOS the most.

research Hirsutism Scoring in Polycystic Ovary Syndrome: Concordance Between Clinicians' and Patients' Self-Scoring

10 citations , December 2010 in “Fertility and Sterility”

Patients with PCOS tend to score their hirsutism higher than clinicians, making self-scoring less useful for diagnosis.

research Tackling Polycystic Ovary Syndrome

1 citations , January 2001 in “Drug and therapeutics bulletin”

The document concludes that management strategies for PCOS are important due to its common occurrence and associated health risks.