PCOS awareness da

PCOS Day: Doctors Warn Against Overdiagnosis in Teenagers

As the world marks PCOS Awareness Day, doctors give a strong warning as many teens are being told they have PCOS(Polycystic Ovarian Syndrome) when they may not.. 

While more parents and kids now know about this condition, many doctors say this knowledge without the right facts which can stir up fear, bring unneeded treatments and cause health issues that last a long time.

What Is PCOS?

Polycystic Ovarian Syndrome is a hormonal disorder that affects women of reproductive age. It is characterized by:

  • Irregular periods
  • Excess androgen (male hormone) levels
  • Polycystic ovaries (multiple small cysts in the ovaries)

Common Symptoms

While PCOS symptoms vary, typical signs include:

  • Irregular menstrual cycles
  • Acne and oily skin
  • Excess facial or body hair (hirsutism)
  • Weight gain or difficulty losing weight
  • Hair thinning
  • Fertility challenges later in life

Why PCOS Symptoms in Teenagers Are Often Misleading

Doctors in cities like Bengaluru, India, are observing a sharp increase in young girls as young as 13 or 14 which are being brought in for PCOS evaluations. 

Many of these cases, however, turn out to be normal puberty-related changes being mistaken for a chronic health condition.

“Irregular cycles, mild facial hair and acne are completely normal in the first few years after menarche (first period),” says Dr. N. Sapna Lulla, a senior gynecologist. 

“These signs often mimic PCOS symptoms in teenagers, but are not diagnostic.”

The Role of Social Media and Self-Diagnosis

Teenagers today are filled with wellness advice on TikTok, Instagram and YouTube. While this can be empowering, it can also fuel self-diagnosis anxiety. 

Many girls worry about facial hair or period delays after watching influencer content and may pressure parents into seeking treatment prematurely.

“My daughter came to me crying, convinced she had PCOS because of one video,” said Amritha, a parent from Banashankari, Bengaluru.

The Dangers of Overdiagnosis

Doctors warn that even minor ultrasound findings like one or two cysts are often wrongly labeled as PCOS, leading to unnecessary hormonal treatments. 

According to Dr. N Venkatesh from Jayanagar General Hospital: 

“True PCOS diagnosis requires clear criteria including the presence of at least 20 follicles, irregular ovulation, and clinical signs of high androgen levels. Jumping to conclusions based on mild or isolated symptoms can do more harm than good.”

When Should Parents Actually Be Concerned?

While many irregularities are normal post-menarche, there are certain red flags that warrant medical attention:

  • Periods occurring only once every 4–6 months
  • Severe or unmanageable period pain
  • Excessive weight gain in a short span
  • Strong signs of hormone imbalance (e.g., deep voice, significant hair growth)

Experts recommend waiting 2–3 years after the onset of menstruation before evaluating for PCOS, unless these severe symptoms are present.

How to Naturally Manage & Prevent PCOS Symptoms in Teens

While not every teen with irregular periods has PCOS, lifestyle plays a major role in both prevention and symptom management. Here’s what doctors suggest:

Healthy Habits to Encourage:

  • Eat a balanced diet rich in fruits, vegetables and whole grains
  • Avoid processed and sugary foods
  • Get regular outdoor physical activity like walking, dancing, sports, etc.
  • Include foods high in fiber and omega-3 fatty acids
  • Maintain a healthy weight and reduce screen time

Don’t Panic, Get Informed

This PCOS Awareness Day, doctors say something important: awareness should not cause worry. Teenagers go through many changes that are totally normal. The secret is to learn, wait, and ask doctors for help when needed.

Instead of jumping into tests or strong medicines, parents and teens can choose healthy foods, stay active, and keep an eye on signs. Visit the doctor only when really needed.

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