Management of Teenagers with Polycystic Ovarian Syndrome

    May 2019 in “ Paediatrics and child health ”
    Taffy Makaya, Supriyo Basu, Rebecca K Poole
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    TLDR The document concludes that personalized treatment, including lifestyle changes and medication, is essential for managing PCOS in teenagers, while also addressing their psychological well-being.
    The 2019 document outlines the management of polycystic ovary syndrome (PCOS) in teenagers, stressing the need for personalized treatment strategies. It notes that PCOS affects up to 20% of females and is diagnosed using the Rotterdam Criteria, though diagnosis in adolescents is complicated by the similarity of symptoms to normal puberty. Treatment options include lifestyle changes, particularly weight management, and pharmacological interventions such as combined oral contraceptives, metformin, and anti-androgens, with COCs being the first-line treatment for menstrual irregularities and hirsutism. Cosmetic hair removal is also mentioned, though it may not be financially accessible. The document underscores the importance of considering the psychological impact of PCOS, recommending monitoring for depression and anxiety, providing contraceptive advice, and referring to specialists for fertility concerns. Overall, it calls for a comprehensive approach that addresses both the medical and emotional aspects of PCOS in adolescents.
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