DOI: 10.36347/sjams.2017.v05i06.075

Pages: 2463-2471

Polycystic ovarian syndrome (PCOS) in adolescents remains a diagnostic dilemma to the clinician. Many physiological changes occur in adolescents during the transition to an adult, including irregular periods, acne and weight gain, which along with mild enlargement of ovaries during puberty add to the confusion during ultrasonography. Our study aims at estimating the proportion of menstrual irregularity, clinical hyperandrogenism and polycystic ovaries on ultrasound scan (USS) in adolescent girls diagnosed to have polycystic ovarian syndrome by Rotterdam criteria. The study also aims to assess the significance of each variable in diagnosing PCOS. The study population included 144 adolescent girls between 15 - 19 years of age, diagnosed to have PCOS by Rotterdam criteria. They underwent USS evaluation for presence of polycystic ovaries. The results of clinical evidence of hyperandrogenism, hirsuitism assessment by Ferriman–Gallwey score and BMI were collected. The relation of these parameters was compared with ultrasound findings. The prevalence of PCO in PCOS in the present study was 82.63%. Menstrual irregularity was the commonest symptom and had strong association with USS diagnosis of PCO. There was significant association of clinical hyperandrogenism and hirsuitism with presence of PCO on ultrasound. PCOS is a disease which is difficult to diagnose, especially in the adolescent age. However, identification of PCOS and early institution of treatment can prevent systemic complications to a large extent. Diagnosing PCO on USS has a significant role in making a confident diagnosis of PCOS in adolescents.