Polycystic Ovary Syndrome Symptoms in Young Girls - Obstetrics and Gynecology

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Symptoms of Polycystic Ovary Syndrome (PCOS)


Hello, doctor: Due to the busy work in the orchard, I can only find time to visit the doctor's clinic after I finish my tasks to address the issues of itching and pain.
I read in the newspaper about the symptoms of polycystic ovary syndrome (PCOS), which include excessive hair growth on the hands and feet, and obesity.
I would like to ask the doctor about my eldest daughter, who is 11 years old, 145 cm tall, has long hair on her hands and feet, is not overweight, and has not yet started menstruating.
I am concerned that when she eventually gets her period, she might develop polycystic ovary syndrome.
Is this possible? I would like to hear your opinion, doctor.

huanzhe, 30~39 year old female. Ask Date: 2013/08/09

Dr. Lin Wenbin reply Obstetrics and Gynecology


She is only 11 years old, so try not to worry too much.
Please bring your daughter in for a clinic visit to check her hormone levels and for regular follow-ups.

Reply Date: 2013/08/09

More Info


Polycystic Ovary Syndrome (PCOS) is a complex hormonal disorder that can affect women of reproductive age, but it is important to note that it can also manifest in younger girls. In your case, you are concerned about your 11-year-old daughter who exhibits some physical traits associated with PCOS, such as excessive hair growth (hirsutism) but does not show signs of obesity and has not yet started menstruating.

Firstly, it is essential to understand that PCOS is characterized by a combination of symptoms, including irregular menstrual cycles, excess androgen levels (which can lead to hirsutism and acne), and polycystic ovaries as seen on ultrasound. However, the diagnosis of PCOS is typically made in adolescents and adults after the onset of menstruation, as the hormonal changes during puberty can lead to temporary irregularities in menstrual cycles.

In your daughter's case, the presence of excessive hair growth at such a young age can be concerning, but it does not automatically indicate that she will develop PCOS. Many factors can contribute to hirsutism, including genetic predisposition, hormonal imbalances, and other medical conditions. Since she is only 11 years old and has not yet begun menstruating, it is premature to conclude that she has or will develop PCOS.

It is advisable to monitor her growth and development closely. If she begins menstruating and continues to exhibit symptoms such as irregular periods, significant weight gain, or worsening hirsutism, it would be prudent to consult a healthcare provider for further evaluation. This may include hormonal testing and possibly an ultrasound to assess her ovaries.

In the meantime, maintaining a healthy lifestyle is beneficial. Encouraging regular physical activity and a balanced diet can help manage weight and overall health, which is particularly important if she does develop PCOS in the future. Early intervention can often mitigate the severity of symptoms associated with PCOS.

If you have concerns about her symptoms or if they worsen, it would be wise to schedule an appointment with a pediatrician or an endocrinologist who specializes in hormonal disorders. They can provide a comprehensive evaluation and determine if any further testing or treatment is necessary.

In summary, while your daughter's symptoms warrant attention, it is essential to approach the situation with caution and not jump to conclusions about a PCOS diagnosis at this stage. Regular check-ups and open communication with healthcare providers will be key in monitoring her health as she grows.

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