Gynaecological issues affecting the obese adolescent
The implications of obesity in childhood and
adolescence resonate into adulthood and have implications at different levels
that include psychosocial and health issues that impact beyond reproductive
performance. This chapter explores the various facets and consequences on
gynaecological issues of increased Body Mass Index in childhood, including the
link with puberty, pubertal menorrhagia (also affecting children with complex
needs) and the all too common problems surrounding hyperandrogenism, insulin
resistance and the polycystic ovarian syndrome in particular which need to be
seen in the specific context of the adolescent years. The wider ramifications
of obesity on the psychosocial welfare of adolescents merits special attention.
Finally management strategies are considered in the context of the needs of
adolescents.
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