Polycystic Ovary Syndrome: Support and Prevention in Adolescence

    August 2025 in “ Geburtshilfe und Frauenheilkunde ”
    Katja Wechsung, Uta Neumann, Nicole Balint, Susanna Wiegand
    TLDR Adolescents with PCOS need tailored diagnosis and support, including lifestyle advice and managing related health issues.
    The document discusses the challenges of diagnosing PCOS in adolescents, noting that symptoms can be physiological for up to eight years after menarche, making adult diagnostic criteria only partially applicable. It highlights the introduction of a provisional diagnosis of "PCOS at risk" for adolescents who partially meet the criteria, with a reevaluation recommended three and eight years post-menarche. The 2023 international PCOS guideline and a new German S2k guideline provide standardized criteria for diagnosing hyperandrogenemia and menstrual disorders in this age group. The paper emphasizes the importance of providing information, lifestyle advice, and addressing comorbidities like obesity, insulin resistance, and hypertension as part of the therapeutic approach for adolescents with PCOS.
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