PCOS : Recognizing the Signs in Teenagers

Polycystic ovary syndrome (PCOS) is often associated with adult women, but it can significantly impact teenagers too. It’s estimated that up to 10% of adolescent females have PCOS, a hormonal disorder that can cause a range of symptoms, including:

• Irregular Periods: Missed periods, infrequent periods, or prolonged menstrual cycles.
• Excess Androgens: Elevated levels of “male” hormones can lead to acne, hirsutism (excess hair growth on the face, chest, or back), and male-pattern baldness.
• Polycystic Ovaries: The ovaries become enlarged and contain numerous small cysts.
• Metabolic Issues: PCOS is often linked to insulin resistance, which can increase the risk of weight gain, type 2 diabetes, and cardiovascular problems.

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Why Early Diagnosis Matters for Teens

Early diagnosis of PCOS in teenagers is crucial for several reasons:

• Improved Quality of Life: Managing symptoms like acne and irregular periods can significantly improve a teen’s self-esteem and overall well-being.

• Reduced Long-Term Health Risks: PCOS can increase the risk of serious health problems later in life, such as:

Type 2 Diabetes: Insulin resistance is a key factor in the development of type 2 diabetes. 
Cardiovascular Disease: PCOS is associated with an increased risk of high blood pressure, high cholesterol, and heart disease.
Infertility: Although not all teens are thinking about starting families, PCOS is a leading cause of infertility. Early intervention can help preserve future fertility options.
Endometrial Cancer: The uterine lining can thicken in women with PCOS, increasing the risk of endometrial cancer.
Sleep Apnea: This sleep disorder, characterized by pauses in breathing during sleep, is more common in those with PCOS, particularly if they are overweight.
Mental Health Concerns: Teenagers with PCOS may experience higher rates of anxiety and depression due to the physical and emotional challenges of the condition.

• Establishing Healthy Habits: Lifestyle changes, such as healthy eating, regular exercise, and stress management, are essential for managing PCOS. Early diagnosis allows teenagers to develop these healthy habits early on.

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What Parents Can Do

If you’re concerned that your teenage daughter may have PCOS, schedule an appointment with her healthcare provider. The doctor can perform a physical exam, order blood tests to check hormone levels, and may recommend a pelvic ultrasound to examine the ovaries.

Remember: PCOS is a manageable condition. With early diagnosis, treatment, and healthy lifestyle choices, teenagers with PCOS can live full and healthy lives.

Call to Action: If you’re concerned that your teenage daughter may have PCOS, schedule an appointment with her healthcare provider.

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