Polycystic Ovarian Syndrome… is a hormonal abnormality in young girls and women that leads to irregular menstruation, hirsutism, and acne and infertility. It’s causation is multifactorial, combination of stress in overachievers leading to hormonal imbalance at the pituitary hypothalamus level, these girls also have insulin resistance. The sex hormones get out of balance. Normally, the ovaries make a tiny amount of male sex hormones (androgens). In PCOS, they start making slightly more androgens. This may cause you to stop ovulating, get acne, and grow extra facial and body hair. The body may have a problem using insulin, called insulin resistance. When the body doesn’t use insulin well, blood sugar levels go up. Over time, this increases your chance of getting diabetes. Special attention is given to the role of insulin resistance and the potential utility of insulin sensitizers in management. The benefit and utmost importance of lifestyle modification for the long-term health of these women is stressed as well. Now, it is diagnosed by a blood test which includes FSH, LH, total and free testosterone, and C-peptide levels. It is very easily treatable by lifestyle changes and medication. Treating this condition in these girls is very important, because of their self esteem during years of adolescence.