Polycystic ovarian syndrome (PCOS) affects 5-18% of adult women and is characterized by irregular menstrual cycles and hyperandrogenism.
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Diagnosis of PCOS in adolescents is challenging due to overlapping symptoms with normal puberty and requires both menstrual irregularity and hyperandrogenism.
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Emerging studies suggest that updated consensus guidelines help identify adolescents at highest risk for long-term complications related to PCOS.
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Obesity significantly contributes to the pathophysiology of PCOS, with ongoing research into the role of adipokines and metabolic factors.
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There is a need for longitudinal studies to better understand the natural history of adolescent PCOS and develop effective management strategies.