Fouzia Nazir, Huma Tasleem, Samina Tasleem, Zaiba Sher, Khalida Waheed.
Polycystic ovaries in adolescent girls from Rawalpindi.
J Pak Med Assoc Jan ;61(10):960-3.

Objectives: To review different clinical endocrine manifestation of polycystic ovarian syndrome in adolescent girls. Methods: A descriptive study was conducted in Holy Family Hospital, Rawalpindi, Pakistan from Nov 2001 to Oct 2002. Adolescent girls diagnosed with polycystic ovaries on ultrasound seen in the out patients department for menstrual problems were included in the study. Their body mass index, waist hip ratio, hirsutism scoring was done. Serum FSH and LH were estimated to see the ratio. Descriptive analysis was done using SPSS v.10. Results: A total of 52 unmarried girls between 15 to 25 years of age were included. Most of the girls were having oligomenorrhea (88%). While overweight girls were 34 (65%) and mild to moderate hirsutism was seen in 46 (88%). Serum FSH:LH ratio was normal in 25 (48%) and raised in 27 (52%). Earliest manifestation was hirsutism, and as body weight increased, there was linear increase in hirsutism and menstrual disturbances. Conclusion: Polycystic ovarian syndrome is affecting the lives of young unmarried girls. The clinical manifestations are variable with obesity playing the key role.

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