Dr. Thaïs Aliabadi

So that's actually, you brought up a very good point.

And I want to make that very clear.

For teenagers, you have to be very careful, very cautious diagnosing them with PCOS.

Why?

As you said, when you first start having your periods, your periods are irregular.

Right.

And if you do an ultrasound, these young ovaries have tons of follicles.

So actually, the PCOS morphology is not used for teenagers.

For teenagers to get the diagnosis of PCOS, they need to have criteria one, which is the irregular period, and criteria two, which is the high androgen symptoms.

you do not use the AMH or PCOS morphology on ultrasound as a diagnostic criteria, number one.

Number two, you want to be very careful diagnosing these patients because you don't want to label them at a very young age.

So what I do with these patients, I do a hormone panel.

And these are patients who usually at a very young age, they end up on

Accutane for their acne.

You give them spironolactone, it's not working.

They complain of hair loss.

They're gaining weight.

They're showing signs of an eating disorder.

They're anxious.

They're not feeling well.