Hyperandrogenism in the adolescent.

Problems of hyperandrogenism are becoming increasingly recognized in the female adolescent. Manifestations of androgen excess can have both far-reaching metabolic implications and significant effects on body image. At a crucial time in personality development, these problems should not be taken lightly. A common pathophysiology associated with androgen excess is PCOS. Awareness of this fascinating syndrome and its metabolic implications can alert health-care professionals so that the adolescent's metabolic, physical, and psychological needs are best addressed. Individualization of treatment is the rule. Team approaches to the diagnosis and treatment of the disorder have proven effective in reversing pathophysiology that has led to hirsutism.