To determine the prevalence and clinical-hormonal profile of PCOS among teenage patients with hyperandrogenism and/or menstrual disorders using diagnostic criteria from Ibanez, Peña, and Rotterdam.
Key Findings:
PCOS prevalence ranged from 46% to 59% depending on the diagnostic criteria applied.
No significant differences in clinical or hormonal parameters among the three PCOS diagnostic groups.
Patients with PCOS exhibited significantly different hormonal parameters compared to those without PCOS.
Clinical hyperandrogenism was more prevalent than biochemical hyperandrogenism.
Ovarian volume was consistently higher in patients diagnosed with PCOS.
Interpretation:
The findings highlight the high prevalence of PCOS in adolescents and underscore the urgent need for standardized diagnostic criteria to enhance diagnosis and management.
Limitations:
Retrospective study design may limit the comprehensiveness of data, potentially affecting the reliability of findings.
There is a risk of overdiagnosis when applying adult criteria to adolescents, which may lead to misclassification.
Conclusion:
Standardized diagnostic approaches are essential for accurate diagnosis and timely intervention in adolescents with PCOS to mitigate long-term health complications.
