Enlarged ovary: 14-year-old girl has problem faced by adults

Unusual trend: Doctors point to steady rise in cases of paraovarian cyst and polycystic ovarian syndrome in teenager; blame it on unhealthy lifestyle

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At 14, Mouli Talekar (name changed) has already undergone a surgery for a huge para ovarian cyst and polycystic ovarian syndrome at Sion hospital and currently recovering. Doctors who operated on her said, this is rare and interesting as in last few years, there has been a rise in PCOS cases specially in the adolescent age group.

Dr Niranjan Chavan, professor, department of obstetrics & gynecology at Sion Hospital said: "You don't see a huge ovarian tumour and PCOS in such a young girl. Even if you do, surgery is again a rare option. Talekar is a classic example why parents should ensure their child should follow a healthy lifestyle."

According to doctors, Talekar was brought to Sion hospital on December 7 with a severe pain in abdomen. A sonography followed by CT Scan revealed huge tumour arising from left ovary, fluid filled suggestive of simple ovarian cyst.

"Tumour markers were done that helped us realise she at least didn't have cancer. We decided to operate on her. In the surgery, reconstruction of the ovarian tissue after the cyst wall was peeled off," said Dr Chavan.

Dr Chavan further added that during the surgery, they found that she had multiple cyst in the ovary. "Having multiple cyst at this age is again very uncommon. It is seen in 25+ women. Talekar had a height of 5.6 feet and was obese too weighing 92 kgs," said Dr Chavan.

With rise in PCOS cases in adolescent age group and young women, Dr Chavan said that its the lifestyle and eating habits that needs to be blamed. "Nowadays because of obesity and hormonal imbalance in young girls due to bad food habits like junk food, lack of outdoor sports activity like badminton, throw ball, volleyball, basketball, swimming etc., due to excessive late-night watching of television and playing video games leading to disturbed sleep cycles and increasing pollution," said Dr Chavan.

Doctors point out preventive measures like lifestyle modification, weight reduction, exercise, physical activity to avoid the disease. Dr YS Nandanwar, head of the gynaecology department in Sion hospital, said: "PCOS is a common female endocrine disorder with prevalence ranging from 2.2% to 26%. Prevalence of PCOS in Indian adolescents is 9.13% '. Therefore preventive measures need to be followed to further avoid complications."

PCOS is the most common hormonal disorder among women of reproductive age. Infertility is one of the most common PCOS symptoms. Because the symptoms of PCOS are seemingly unrelated to one another, the condition is often overlooked and undiagnosed. Major causes of Polycystic Ovarian Disease is undefined but the factor may play a role are excess insulin, low-grade inflammation or heredity.

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