Irregular Menstruation, Acne, Hirsutism, and the Possibility with PCOS

Background: PCOS was a common hormonal disorder caused by hyperandrogenism so the ovaries enlarged with many small follicles appear like cysts. The aetiology still unknown, but mounting evidence suggests that can be complex multigenic strong epigenetic and environmental influences. Therapeutic options include combined oral contraception, antiandrogens, etc. Case Presentation: Ms. N, 17 years old, came to polyclinic of RSAL Mintohardjo evaluated for amenorrhea. Her parents didn’t have comorbid conditions. patient started Menarche at age 14, soon thereafter developed secondary On examination her BMI 18.4kg/m², pulse-92/min BP-115/80 mm hg. She had hirsute score (Ferriman-Gallway) 8 no acanthosis nigricans. No abnormality on other systemic laboratory tests were carried out. Patient given combination pills. Hormonal birth control help symptoms, it is not only option. Lifestyle changes, such as losing weight exercising more, may help. Discussion: involves primary defects in hypothalamic–pituitary axis, insulin, ovarian function. Excess LH levels lead PCOS. Conclusion: All women abnormal menstrual patterns should underlying PCOS, signs hyperandrogenism, hormone profile, pelvic ultrasonography visualize ovaries. Early diagnosis treatment avoid potential complications. Birth pills (combined hormonal) used long-term who want pregnant. regulate bleeding, reduce excessive hair growth acne, decrease risk endometrial cancer.