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Research Article

Clinicopathological features of polycystic ovarian syndrome in adolescence

Authors:

K. Muhunthan ,

University of Jaffna, LK
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Department of Obstetrics and Gynaecology, Faculty of Medicine
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K. Guruparana

University of Jaffna, LK
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Department of Obstetrics and Gynaecology, Faculty of Medicine
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Abstract

Objectives: To evaluate the clinicopathological features of adolescence diagnosed with polycystic ovarian syndrome.

 

Methods: This is a descriptive study conducted at the Gynecology Clinics of University Obstetric Unit, Teaching Hospital-Jaffna to evaluate the clinicopathological features of adolescence diagnosed with polycystic ovarian syndrome (PCOS) over a period of 3 years. A total of 56 adolescent girls were diagnosed with PCOS during this period with the currently accepted diagnostic criteria recommended by the Pediatric Endocrine Society and all of them were included in the study. Clinicopathological features at the time of diagnosis of PCOS obtained from medical records were analyzed and descriptive statistics were calculated.

 

Discussion: Emphasizing the importance of early detection of PCOS in women especially during the adolescent periods, its diagnosis should be based on the presence of clinical and/or biochemical hyperandrogenism and irregular menses for at least 1 year as recommended.

 

Our results suggest that the commonest feature of clinical hyperandrogenism being moderate hirsuitism (89.3%) and the commonest type of abnormal uterine bleeding being oligomenorrhea (54%). An obvious rising trend in the number of diagnosed patients with age was also observed.

 

Though the prevalence anovulatory pattern of bleeding among adolescence diagnosed with PCOS consistent with larger studies in Caucasian population, commonest manifestation of clinical hyperandrogenism was moderate hirsutism which was significantly higher compared to other studies.

 

This could be explained by its variation across ethnicities especially with a higher prevalence of hirsuitism among South Asian population.

 

In the absence of any published data on clinicopathological features of adolescence diagnosed with PCOS in Sri Lanka, our series highlights its pattern at the time of diagnosis.
How to Cite: Muhunthan, K. and Guruparana, K., 2020. Clinicopathological features of polycystic ovarian syndrome in adolescence. Sri Lanka Journal of Obstetrics and Gynaecology, 42(3), pp.91–98. DOI: http://doi.org/10.4038/sljog.v42i3.7932
Published on 27 Oct 2020.
Peer Reviewed

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