07/23/1404
Ovarian laziness or polycystic ovary syndrome (PCOS) is one of the most common hormonal disorders among girls and young women, which usually begins in the first years of puberty. In this case, the ovaries are not able to ovulate regularly and male hormones increase in the body. The result of these changes can manifest itself in forms such as irregular periods, stubborn pimples, increased hair loss, excess weight and sometimes hair loss. Many families confuse these symptoms with the normal changes of puberty, while early detection can prevent complications such as infertility, diabetes, and skin problems. The purpose of this article is to examine the most accurate and scientific signs of ovarian laziness in girls, its causes and ways of early diagnosis in order to increase public awareness of this important disorder.
Ovarian laziness in girls usually occurs gradually and may be difficult to detect in the first years of menstruation. The first signs are usually irregular periods, persistent breakouts, or hair growth in unusual areas. If these symptoms persist for more than six months, they should be taken seriously. Many girls get stressed at this stage and think these changes are normal, while early visit to the doctor can prevent the disease from progressing and further problems.
Menstrual irregularity is one of the most common early symptoms of PCOS in girls. Periods may be interrupted for several months or the intervals between them may be long. This is a sign of ovulation disorder and if it continues for more than three months, it needs to be investigated. Sometimes families confuse this condition with "natural puberty irregularity", but the difference in its duration and severity is clear. If the teenage girl still does not have a regular cycle after two years of menstruation, the possibility of ovarian laziness should be investigated.
Increasing the level of male hormones (androgens) causes the growth of thick hair in areas such as the chin, behind the lips, chest or abdomen. This symptom is not only uncomfortable in terms of appearance, but also indicates that the hormonal balance of the body has been disturbed. Some girls try to get rid of these hairs with temporary methods, but the root treatment is only possible by regulating hormones. In such a situation, the doctor measures the androgen level with a blood test and starts the treatment based on that.
Acne or persistent pimples that do not respond to conventional medications is another clear sign of ovarian laziness. An increase in androgen causes excessive activity of sebaceous glands and closing of skin pores. These types of pimples usually occur in the area of the jaw, chin and back and remain even after puberty. If the pimples are severe, deep and painful, instead of using anti-acne creams, it is better for girls to consult an endocrinologist or gynecologist to check the hormonal cause.
One of the lesser known but important symptoms of ovarian laziness is hair loss from the front of the head or the crown area. The increase in testosterone causes the hair follicles to shrink and the hair gradually becomes thinner and thinner. For many girls, this issue has a strong negative psychological impact. Combined treatment with hormone regulating drugs and hair care can control the shedding process and help regrowth. Early identification of this symptom is very important.
About 50 to 60% of girls with ovarian laziness are overweight. This obesity usually accumulates in the abdominal area and is associated with insulin resistance. When the body loses its sensitivity to insulin, sugar is not used well in the cells and is stored as fat. This vicious cycle aggravates other symptoms such as irregular periods or increased androgens. Correcting nutrition and regular exercise is the first step in controlling weight and improving the state of the ovaries.
High consumption of sugar, sweet drinks, fast food and processed foods can cause PCOS in girls. A high-calorie and low-fiber diet raises insulin levels and disrupts ovarian function over time. Conversely, a diet rich in fresh vegetables, plant proteins, and whole grains helps regulate blood sugar and hormones. Parents should take seriously the role of nutrition in the hormonal health of girls, because modifying the diet in many cases alone improves the symptoms.
Ovarian laziness is not only a physical issue, but it can also affect the mental health of girls. Fatigue, mood swings, anxiety and reduced self-confidence are common consequences of this disorder. Some teenagers refuse to be in public because of changes in their appearance, such as obesity or pimples. It is very important for parents to be aware of this aspect, so that they can prevent depression or isolation by providing emotional support and referring to a psychologist. Comprehensive treatment should consider the body and mind together.
During puberty, natural hormonal changes such as irregular periods or mild breakouts are completely expected. But when these symptoms are severe, prolonged or accompanied by abnormal hair growth, the possibility of PCOS is raised. The main difference is in the duration and severity of the symptoms. Parents should know that not all changes during adolescence are normal and sometimes they are a sign of hormonal disorders. Early diagnosis by a doctor prevents many future complications.
The exact cause of PCOS is still not fully understood, but a combination of genetic, environmental and metabolic factors play a role. If a family member (mother or sister) has this problem, the probability of it occurring in girls increases. Sedentary lifestyle, obesity, unhealthy diet and stress are also accelerating factors. Even insufficient sleep or high sugar consumption can disrupt ovarian function over time. Therefore, prevention from a young age with healthy eating and regular exercise may prevent its occurrence.
Ovarian laziness is not a hereditary disease, but the genetic background is well established. If a person's mother, sister or aunt is affected, the probability of this syndrome increases to two times. Genes related to insulin resistance and excessive secretion of androgens are more active in some families. Of course, genetics alone is not enough; An unhealthy lifestyle can activate these genes. That is, heredity plants the seeds of disease, but the environment provides the conditions for its growth.
Diagnosis at an early age is always challenging, as symptoms can be mistaken for normal puberty. The doctor usually makes a decision by combining several diagnostic methods: a physical examination, checking the menstrual history, blood tests to measure hormones, and finally a pelvic ultrasound. The important thing is that in girls under 18 years of age, the diagnosis should be done carefully and without hasty labeling. Sometimes, only the modification of nutrition and sleep regulation can improve the situation.
In the ultrasound of the ovaries of affected girls, small and numerous follicles are usually seen, which are placed in a ring around the ovary. This pattern, which is called "pearl image", is a sign of ovarian laziness. Of course, in teenage girls, this image is not always a definitive criterion; Because during puberty, many natural follicles are also seen. Ultrasound interpretation must be done by an experienced gynecologist or radiologist.
Blood tests provide a clear picture of the body's hormonal status. In PCOS, the ratio of LH to FSH usually increases and the level of androgens increases. In some girls, the amount of fasting insulin is higher than normal, which is a sign of cellular resistance. Based on the results of these tests, the doctor confirms the diagnosis and determines the type of treatment. Checking thyroid and prolactin is also necessary to rule out other causes of irregular periods.
Continuous stress, lack of sleep and chronic anxiety can disturb the hormonal balance. High secretion of cortisol hormone causes increase in blood sugar and ultimately disrupts ovarian function. Girls who are during exams or mental pressure often have irregular periods. Adequate sleep, deep breathing, yoga and mental relaxation can help regulate the hypothalamus and pituitary axis. Sometimes just enough sleep works wonders.
Regular exercise is one of the simplest yet most effective PCOS treatments. Activities such as brisk walking, swimming or resistance training reduce insulin resistance and improve hormonal balance. Even 30 minutes of daily exercise can restore the regularity of periods to the body. In addition, exercise lowers stress levels and improves mood. The key point is the continuity in exercise, not its intensity.
Nutrition plays an essential role in controlling symptoms of ovarian laziness. Diets rich in fiber, fresh vegetables, low-sugar fruits, and healthy proteins (such as fish and eggs) help balance blood sugar. Eliminating white sugar, soft drinks and fast food is one of the first recommendations of doctors. Some substances such as cinnamon and ginger are also effective in regulating insulin. On the contrary, strict diets and complete elimination of food groups can make the situation worse. The body wants balance, neither excess nor excess.
Treatment of PCOS in teenagers usually starts with lifestyle changes. In mild cases, the doctor only recommends proper diet and regular exercise. If symptoms are more severe, hormone-regulating drugs or metformin may be prescribed. The important thing is that the treatment should be appropriate to the age and maturity status. The goal is to control symptoms and prevent future complications, not to prescribe heavy drugs at a young age.
In cases where periods are irregular for a long time or there is severe acne and hair loss, the doctor may use low-dose combined birth control pills. By regulating estrogen and progesterone, these pills regulate the menstrual cycle and reduce androgens. Usually, their consumption is temporary until the ovaries reach balance again. It is important to use these drugs only with a doctor's prescription and regular monitoring.
If a teenage girl's period is interrupted for several months in a row or the intervals are more than 40 days, she should see a doctor. Also, the presence of symptoms such as severe acne, excessive hair growth or rapid weight gain needs to be investigated. Early visit to the doctor not only leads to faster diagnosis, but also prevents complications such as infertility or metabolic problems in the future. In young girls, the goal of treatment is to adjust the body, not to give drugs for no reason; Therefore, early diagnosis is the key to simple treatment.
Ignoring the symptoms of PCOS in adolescence can have long-term consequences. In the long term, it may lead to infertility, type 2 diabetes, high blood pressure or high cholesterol. Psychologically, the feeling of dissatisfaction with the appearance and constant stress can lower the quality of life. Fortunately, treatment at a young age is much more effective and most of these problems can be avoided by modifying lifestyle. A delay in treatment means a missed opportunity for prevention.
In some girls, puberty starts earlier than the normal age and this issue can cause hormonal disorders. The ovaries are not yet functionally mature, but the body is under pressure from various hormones. In such conditions, the possibility of irregular periods and increased androgens increases. Accurate diagnosis at this age is very sensitive, and usually the doctor decides whether treatment intervention is necessary by examining the level of hormones and bone growth.
The role of parents is vital in identifying symptoms. Many girls at this age are embarrassed to talk about their body changes, so parents need to provide a safe, non-judgmental space for discussion. Observing symptoms such as stubborn pimples, unusual hair growth or infrequent periods should not be taken lightly. Parents' awareness of these symptoms can prevent the progression of the disease. Sometimes just an intimate conversation at home makes the treatment process faster.
One of the common mistakes is to confuse PCOS with thyroid diseases or prolactin disorders. Although they have similar symptoms, their causes are different. Even some doctors do not make a definitive diagnosis in the early stages due to clinical similarities. Another misconception is that all obese girls have PCOS, while many sufferers are perfectly normal weight. Definitive diagnosis is possible only by laboratory examination and ultrasound, not by the appearance of the body.
In obese girls, the symptoms are usually more obvious: irregular periods, excess hair, and severe acne. But in thin girls, the signs are more subtle and sometimes only seen in blood tests. This group may have a normal weight, but there is insulin resistance in their body. For this reason, appearance should not be considered as a measure of health. Sometimes, the apparent thinness of the body can deceive the doctor, while the ovaries are not functioning normally.
Childhood nutrition is one of the determinants of hormonal health in adolescence. Continuous consumption of fast food, soft drinks and sugary substances from a young age provides the basis for insulin resistance and eventually PCOS. On the other hand, a diet rich in vegetables, low-fat dairy products and healthy proteins will grow the ovary in a natural way. Parents should know that ovarian health in the future starts from today's food plate.
Feeling ashamed of one's appearance, anxiety caused by body changes or fear of infertility in the future are common psychological problems in affected girls. These feelings, if ignored, can lead to depression or isolation. The presence of a psychologist along with a gynecologist is an important part of the treatment. Support from family and friends, acceptance of the body, and education about the true nature of the disease can put the patient's mind at ease. Successful treatment means the return of self-confidence, not just hormone regulation.
Prevention is always easier than cure. Having a balanced weight, enough sleep, healthy eating and regular physical activity from childhood can prevent PCOS. It is also very effective for girls to be aware of their body functions through education in schools or health counseling. Even simple changes like cutting down on sugary drinks and increasing daily walks can have a dramatic effect. The body of young girls is flexible at this age; Today's care means tomorrow's health.
Ovarian laziness in girls is a silent disease that begins with subtle symptoms and can continue for years if not diagnosed early. Early recognition leads to simpler and more effective treatment. No girl should feel ashamed to talk about her symptoms; This awareness is a sign of intellectual maturity and health care. With proper nutrition, exercise, and regular medical follow-up, symptoms can be controlled and future fertility and beauty of skin and hair can be preserved. Taking care of the ovaries is taking care of the health of women. href="#">
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