What should be done for teenage girls with polycystic ovary syndrome?
Polycystic ovary syndrome (PCOS) in teenage girls generally requires treatment through lifestyle improvements, menstrual cycle regulation, and reducing androgen levels.
1. Lifestyle modification
The fundamental principle of treating PCOS involves a balanced diet with low calories, low sugar, low fat, and high fiber. Regular physical activity is recommended—30 minutes per day, five days a week—and reducing sedentary behavior and late-night sleeping habits.
2. Menstrual cycle regulation
For teenage girls experiencing menstrual irregularities, progesterone medications such as progesterone capsules or dydrogesterone tablets, or short-term oral contraceptives like ethinyl estradiol cyproterone acetate tablets or drospirenone ethinyl estradiol tablets, can be used under medical supervision to regulate the menstrual cycle.
3. Reducing androgen levels
Short-term oral contraceptives such as desogestrel-ethinyl estradiol tablets or compound norethisterone tablets are usually the first-line treatment for hirsutism, acne, and hyperandrogenemia. Effects typically become noticeable after 3–6 months. These medications must be used under a doctor's guidance.
In addition, if metabolic abnormalities are present, medications such as metformin tablets or pioglitazone tablets may be prescribed under medical advice for management.