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PCOS Lifestyle Management — RACP Paediatrics MCQ

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ModerateAdolescent MedicinePCOS Lifestyle ManagementRACP Paediatrics

A 14-year-old girl presents with irregular periods, weight gain, hirsutism, and acne for 18 months post-menarche. Her BMI is 28. Testosterone is mildly elevated. Pelvic USS shows bilateral polycystic-appearing ovaries. What is the first-line management?

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Correct answer: B — Lifestyle modification (diet, exercise, weight management) as the foundation of treatment

Lifestyle modification is the first-line management for PCOS in adolescents: weight management (even 5-10% weight loss improves symptoms), regular exercise, and healthy diet. Pharmacological therapy (COCP for menstrual regulation, metformin for insulin resistance) is added if lifestyle measures are insufficient.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: PCOS