Hormonal disorders in adolescent girls

Introduction
Most of our body functions work under the influence of hormones secreted by glands like , thyroid , adrenal and ovaries

Some hormonal changes can affect the skin &hair of women , such as :
a)Testesterone levels in women though present primarily in males but in limited quantities in females
b)Ovarian disorders
c)Adrenal gland disorders

Hirsutism
Hirsustism in unusual places , which occurs in 10-20% of women and this a source of anxiety and social problem to women which cause them an embarrassment and felling of shame

Etiology of Hirsutism
1)Idiopathic Hirsutsim
2)Genetics and ethic reasons
3)Hormonal Imbalances
4)Drugs
5)Ovarian cause : such as polycystic ovarian syndromes which is a common disorder affecting 3-10% of reproductive age women .patients presents with constellations of symptoms including hirsutism , virilization an ovulation , amenorrhea and obesity

Diagnosis :
1)Testosterone , LH and sex hormones level
2)Fasting blood sugar &insulin level
3)CT or MRI of the pelvic to look for ovaries and adrenal glands

Treatment
Symptomatic treatment
Waxing and chemical creams
In case of severe acne , also contra indicated in pregnant and women trying to conceive

Surgical Treatment
1) Excision of one third of each ovary , this is very effective process in regulating ovulations
2) Laparoscopic surgery

Role of the family
*guidance and attention
*medical consultation
*address the disease , do not hide it

Role of society , especially schools
*Health education
*Guidance

Role of the girls :
*She should share any unusual things she might feels
*Open up with family and community

Summary, conclusion and recommendation
*Hormonal disorders in young girls do really exist
*The importance of health education and promotion in childhood and adulthood
*The importance of the role of ministry of education
*treatment and attention for children (adolescent girls) is a family duty, community and governmental. this is an ethical, professional duty for the family and community in general
*Address the problem directly
*There is no problem without a solution
*Addressing the disease early will reduce the consequences of late diagnosis