Semin Reprod Med 2014; 32(03): 214-221
DOI: 10.1055/s-0034-1371093
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Treatment of Polycystic Ovary Syndrome in Adolescence

Wendy Vitek
1   Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, New York
,
Kathleen M. Hoeger
1   Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, New York
› Author Affiliations
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Publication History

Publication Date:
08 April 2014 (online)

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Abstract

Adolescence is a time of rapidly changing reproductive hormones and menstrual patterns making diagnosis of polycystic ovary syndrome (PCOS) challenging in this population. Nonetheless, there is significant concern that the metabolic and reproductive abnormalities that emerge at adolescence associated with a diagnosis of PCOS have lifelong implications for the individual. There are limited data available on the best treatments for the adolescent with PCOS. The focus of treatment is often best served by attention to the individual abnormalities such as menstrual dysfunction, symptoms of androgen excess such as hirsutism and acne, possible metabolic dysfunction primarily seen with concurrent obesity, and concerns related to self-image and mood disorders.