Polycystic ovarian syndrome consists of hyperinsulinemic hyperandrogenism with anovulation. It
is strongly associated with abdominal adiposity, oligomenorrhea, hirsutism, and infertility. These
young women can have psychological effects from the constellation of symptoms and signs that
often begin during adolescence, when body image concerns are paramount [28]. Risk for diabetes,
glucose intolerance, hyperlipidemia, endometrial cancer, infertility, and coronary heart disease are
also elevated. One recent study indicates that some young girls at increased risk may be identified
and prophylactically treated with insulin-sensitizing agents to prevent polycystic ovarian syndrome.
The significant risk factors identified were low birth weight and precocious puberty [29].
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