16/04/2024 / Gynecology and Motherhood

PCOS in Teenage Girls: Symptoms and Diagnosis

What is PCOS in Teenagers? Discover the symptoms, and know how to manage PCOS in Teenage Girls.

PCOS in Teenage Girls: Symptoms and Diagnosis
Dr. Mrinalinee RoyDr. Mrinalinee Roy
Dr. Mrinalinee Roy
MBBS Doctor, Research Associate
Medically Cited
Fact Checked

Table of Content 

Introduction

Polycystic Ovary Syndrome or PCOS is a very common hormonal condition that affects millions of women worldwide. This condition refers to a hormonal imbalance in women that causes various complications like irregular periods, difficulty conceiving, obesity, and so on. PCOS is a syndrome that affects women during their reproductive years and is usually found in adolescent girls and young women who are often unaware of the sickness and its negative consequences.

PCOS is a complex disorder characterized by hormonal abnormalities, notably an excess of androgen hormones (male hormones), which disrupts the ovaries' normal functioning. Although the actual origin of PCOS is unknown, genetics, insulin resistance, and environmental factors are thought to play a role.

This article tries to provide a thorough overview of PCOS in teenage girls, including symptoms, causes, diagnosis, treatment choices, and the significance of lifestyle modifications.

What is PCOS?

PCOS is a complex condition characterized by hormonal abnormalities, notably an excess of androgen hormones, which affect the normal functioning of the ovaries. Androgens are a type of hormone which are commonly referred to as male hormones, however females produce and use several of these hormones as well. PCOS patients frequently have higher amounts of androgens than the general population. 

The causes of PCOS are not fully understood. The polycystic ovary syndrome appears to run in families. Although the exact genes responsible for PCOS in teenage girls are unknown, various genetic changes may raise the risk of having PCOS. PCOS appears to be associated with insulin resistance in many girls, which means that a girl's body must produce additional insulin to keep blood sugar levels in the normal range. Higher insulin levels can cause the ovaries to produce an excess of androgen hormones. Some girls may have high blood pressure, high blood glucose levels, or high blood cholesterol levels.

What are the symptoms of PCOS in Teenage Girls?

PCOS is a hormonal imbalance that has the potential to cause a variety of ailments. It is also a prevalent cause of infertility in women. Although the indications and symptoms vary, the three most prevalent factors related with PCOS are ovulation abnormalities, elevated androgen levels, and cystic ovaries.The majority of women with PCOS have ovulation issues as well as increased androgen levels.

Teenage girls with PCOS may experience a range of symptoms, which can vary in severity. The common symptoms include:

  • Irregular menstrual periods

  • Missed periods 

  • Heavy or prolonged menstrual bleeding

  • Acne

  • Oily skin

  • Dandruff 

  • Excess facial and body hair (hirsutism)

  • Weight gain and difficulty losing weight

  • Problems getting pregnant (infertility)

  • Thickened or darkened skin patches

  • Some girls may also experience mood swings, depression, and anxiety due to hormonal imbalances.

People with PCOS are more likely to acquire some major health problems as a result of hormonal abnormalities. These include type 2 diabetes, high blood pressure, heart and blood vessel disorders, elevated cholesterol levels, and uterine cancer.

How is PCOS Diagnosed?

Diagnosing PCOS in teenage girls can be challenging as there is no single laboratory test for the diagnosis of the condition. Moreover, as many of the symptoms can be attributed to normal hormonal fluctuations during puberty, it makes it more tough to diagnose the condition in teenage girls.

Though, if your doctor suspects PCOS, then might perform a complete medical history, physical examination, blood tests for hormone levels, and a pelvic ultrasound for ovarian cysts to confirm their diagnosis.

For the first 2 to 3 years after menarche (the first menstrual cycle), menstrual periods are frequently irregular. As a result, diagnosing PCOS in teenage girls may be problematic. Even if the diagnosis cannot be established, it is critical to treat the symptoms.

Managing PCOS in Teenage Girls

Although there is no cure for PCOS, the symptoms can be efficiently controlled using a variety of methods. The basic goals of managing PCOS in teenage girls are to regulate menstrual cycles, manage symptoms such as acne and excessive hair growth, and address the underlying hormonal abnormalities.

Managing PCOS in Teenage Girls

1. Medications

The most common therapy for PCOS is medication. Medicines affect the hormone levels in the body. The following are the most often used PCOS medications:

  • Oral contraceptives (birth control pills) - These include a mix of female hormones. They can help restore hormone balance and minimise or eliminate symptoms. This lowers the risk of developing endometrial cancer later in life. (A teen is not required to be sexually active to use birth control pills.)

  • Insulin-sensitizing drugs - Diabetes is treated using these. They are frequently used to treat PCOS. These medications aid the body's response to insulin. They can help reduce androgen levels and improve ovulation in persons with PCOS. Restoring ovulation helps to make menstrual cycles more regular and predictable.

  • Antiandrogens - These are medications that can aid in the reversal of the effects of male hormones. They aid in the reduction of hair growth and the removal of acne. They are frequently used in conjunction with birth control tablets.

2. Lifestyle modifications

To manage PCOS in teenage girls, it is critical to promote a healthy lifestyle. Regular exercise, a balanced diet rich in fruits, vegetables, whole grains, and lean meats, and avoiding processed and sugary foods are all part of it. Weight management is especially important because even reducing a small amount of weight can drastically improve symptoms and hormonal balance. The lifestyle modifications you should try are: 

  • Regular exercise for at least 30 minutes daily.

  • Eating a healthy balanced diet.

  • Weight management.

  • Stress reduction.

  • Regular proper sleep pattern.

  • Regular check ups. 

3. Emotional support

A teenager's emotional well-being, self-esteem, and body image can all suffer as a result of PCOS. Parents, carers, and healthcare providers must provide emotional support, reassurance, and education to the affected girls about the condition. Counseling or support groups can also help girls who are dealing with the emotional issues that come with PCOS.

4. Education about PCOS

Giving adolescent girls information on PCOS can help them understand their bodies and actively participate in their own healthcare. They should be taught about the necessity of leading a healthy lifestyle, the long-term health consequences of PCOS (such as diabetes and cardiovascular disease), and the available treatment options.

Diet tips for teenagers with PCOS

PCOS (Polycystic Ovary Syndrome) is a hormonal ailment that may present special issues for youngsters. While there is no single diet that may treat PCOS in teenage girls, several dietary changes can help control symptoms and promote general health. Here are some dietary recommendations for PCOS teenagers.

  • Focus on a Balanced Diet: Try incorporating a balanced eating plan that contains a range of fruits, vegetables, whole grains, lean proteins, and healthy fats. This will give important nutrients while also promoting blood sugar stability.

  • Choose foods with a low Glycemic Index (GI): Choose foods with a low GI since they have a slower effect on blood sugar levels. Incorporate whole grains, legumes, nuts, seeds, and non-starchy veggies into your diet.

  • Avoid Sugary and Processed Foods: Limit your intake of sugary drinks, processed snacks, and desserts. These foods can cause insulin spikes and exacerbate PCOS symptoms.

  • Include Healthy Fats in Your Diet: Avocados, nuts, seeds, and olive oil are all good sources of healthy fats. Healthy fats can aid in hormone regulation and enhance satiety.

  • Prioritize lean protein sources such as poultry, fish, tofu, lentils, and Greek yogurt. Protein-rich diets can aid in blood sugar stabilization and enhance feelings of fullness.

  • Pay Attention to Portion Sizes: To avoid overeating, pay attention to portion sizes. Focus on eating until you are content, not stuffed.

  • Drink enough water throughout the day to maintain general health and hormonal balance.

  • Seek practitioner Help: Consult a qualified dietician or a healthcare practitioner who specializes in PCOS. They can offer personalised advice and design a food plan to meet your specific requirements.

Remember that a good diet is only one aspect of controlling PCOS. Regular exercise, stress management, and enough sleep are also important for general health. Teenagers with PCOS can better control their symptoms and enhance long-term health by adopting a balanced approach to nutrition and lifestyle.

Take-Home Points

Polycystic Ovary Syndrome (PCOS) is frequent in adolescent females and can have serious consequences for their health and emotional well-being. Early detection, combined with comprehensive therapy that includes lifestyle changes, medications, emotional support, and education, can help control symptoms and improve long-term outcomes. We can encourage young girls to take control of their health and have fulfilled lives if we address PCOS throughout their adolescence.


References

FAQ on PCOS in Teenage Girls

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