Polycystic Ovarian Syndrome

Overview :

Polycystic ovary syndrome (PCOS) is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. The ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs.


  • Irregular periods or no periods at all.
  • difficulty getting pregnant (because of irregular ovulation or failure to ovulate)
  • Excessive hair growth (hirsutism) – usually on the face, chest, back or buttocks.
  • Weight gain.
  • Thinning hair and hair loss from the head.
  • Oily skin or acne.


  • Studies show that PCOS runs in families

·         Insulin resistance

·         Inflammation


The diagnosis of PCOS in adolescents should be primarily based on clinical and biochemical signs of hyperandrogenism and presentation with irregular menses. Because of the similarity of normal pubertal development and features of PCOS, the diagnosis should be deferred until at least 2 years following menarche. For girls who do not fulfill the diagnostic criteria, the focus should be on treatment of symptoms.


PCOS is a multifaceted syndrome that affects multiple organ systems with significant metabolic and reproductive manifestations. Treatment should be individualized based on the patient’s presentation and desire for pregnancy.



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