{"id":8359,"date":"2025-09-28T10:12:27","date_gmt":"2025-09-28T10:12:27","guid":{"rendered":"https:\/\/polikistikover.net\/yeni\/?page_id=8359"},"modified":"2025-11-21T02:43:53","modified_gmt":"2025-11-21T02:43:53","slug":"ergenlik-adolesan-doneminde-polikistik-over-sendromu","status":"publish","type":"page","link":"https:\/\/polikistikover.net\/yeni\/ergenlik-adolesan-doneminde-polikistik-over-sendromu\/","title":{"rendered":"Ergenlik (Adolesan) D\u00f6neminde Polikistik Over Sendromu"},"content":{"rendered":"\n

Ergenlik d\u00f6neminin do\u011fal, fizyolojik belirtileri polikistik over sendromu ile benzerlik g\u00f6stermektedir.<\/mark><\/strong><\/p>\n\n\n\n

Bu benzerlik nedeniyle bu her iki durum birbirine kar\u0131\u015ft\u0131r\u0131lmaktad\u0131r.<\/mark><\/strong><\/p>\n\n\n\n

Ergenlik d\u00f6neminde polikistik over sendromu te\u015fhisi konulan yakla\u015f\u0131k her 5 k\u0131zdan 4 \u00fcnde asl\u0131nda polikistik over sendromu olmad\u0131\u011f\u0131 zaman i\u00e7inde anla\u015f\u0131lmaktad\u0131r.<\/mark><\/strong><\/p>\n\n\n\n


16 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck k\u0131zlarda Polikistik Over Sendromu te\u015fhis \u00e7izelgesi<\/mark><\/strong><\/em><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Ergenlik d\u00f6neminin do\u011fal, fizyolojik belirtileri ile polikistik over sendromu ayr\u0131m\u0131n\u0131n nas\u0131l yap\u0131laca\u011f\u0131n\u0131 sizlerle payla\u015faca\u011f\u0131m;<\/mark><\/strong><\/p>\n\n\n\n

1-<\/mark> <\/strong>Ergenlik (Adolesan) d\u00f6neminde hen\u00fcz beyin, yumurtal\u0131k ve rahim aras\u0131ndaki ili\u015fki tam olarak geli\u015fmedi\u011fi i\u00e7in polikistik over sendromu\u2019nda oldu\u011fu gibi yumurta geli\u015fimi ve yumurtlama olmamaktad\u0131r.<\/p>\n\n\n\n

2-<\/mark><\/strong> Ergenlik d\u00f6neminde bulunan k\u0131zlarda do\u011fal (fizyolojik) olarak g\u00f6r\u00fclen ins\u00fclin direnci<\/strong> polikistik over sendromu\u2019nda g\u00f6r\u00fclen hastal\u0131kla ili\u015fkili ins\u00fclin direncinden farkl\u0131d\u0131r(1).<\/p>\n\n\n\n

3-<\/mark><\/strong>\u00a0Ergenlik d\u00f6neminde ultrasonda yumurtal\u0131klar multikistik g\u00f6r\u00fcn\u00fcmdedir. Ultrasonda multikistik over (yumurtal\u0131k) g\u00f6r\u00fcn\u00fcm\u00fc\u00a0polikistik over (yumurtal\u0131k) g\u00f6r\u00fcn\u00fcm\u00fcne\u00a0\u00e7ok benzemektedir(2). Bu nedenle bazen ay\u0131rt edilememektedir.<\/p>\n\n\n\n

4-<\/mark><\/strong> Ergenlik d\u00f6neminde bulunan k\u0131zlar\u0131n bir k\u0131sm\u0131nda her ay bir kere d\u00fczenli adet g\u00f6r\u00fclmesine ra\u011fmen bu adet kanamalar\u0131nda polikistik over sendromu olan kad\u0131nlar\u0131n bir k\u0131sm\u0131nda g\u00f6r\u00fcld\u00fc\u011f\u00fc gibi \u00e7o\u011funlukla yumurtlama olmamaktad\u0131r(3).<\/p>\n\n\n\n

5-<\/mark><\/strong> Polikistik over sendromu\u2019na ba\u011fl\u0131 olarak adet kanamas\u0131n\u0131n gecikmesi veya adet olamama \u015fikayeti olan 16 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck k\u0131zlarda\u00a0Anti-Mullerian Hormon (AMH)\u00a0miktar\u0131 fazla bulunmaktad\u0131r\u00a0(4).<\/p>\n\n\n\n

Yukar\u0131da anlat\u0131lan benzerliklerden dolay\u0131 ergenlik d\u00f6neminin do\u011fal (fizyolojik) \u00f6zellikleri bazen polikistik over sendromu zannedilmektedir. Hatta bu kar\u0131\u015f\u0131kl\u0131k \u00e7ok erken ya\u015flarda bulunan k\u0131zlarda do\u011fum kontrol hap\u0131 gibi ila\u00e7lar\u0131n gereksiz yere polikistik over sendromu\u2019nu tedavi ediyoruz diye kullan\u0131lmas\u0131na neden olmaktad\u0131r.<\/mark><\/strong><\/p>\n\n\n\n

Kaynaklar<\/strong><\/p>\n\n\n\n

1-Developmental changes in insulin action and secretion in childhood health and disease. Caprio S, Jones T, Tamborlane W. Adv Endocrinol Metab 1994 ;5:171-201.<\/p>\n\n\n\n

2-Longitudinal change of sonographic ovarian aspects and endocrine parameters in irregular cycles of adolescence.Venturoli S, Porcu E, Fabbri R, Pluchinotta V, Ruggeri S, Macrelli S , Paradisi R, Flamigni C. Pediatr Res 1995 Dec;38(6):974-80.<\/p>\n\n\n\n

3-Anovulation after precocious pubarche: early markers and time course in adolescence. Ib\u00e1\u00f1ez L, de Zegher F, Potau N. J Clin Endocrinol Metab. 1999 Aug;84 (8):2691-5.<\/p>\n\n\n\n

4-Serum anti-mullerian hormone concentrations are elevated in oligomenorrheic girls without evidence of hyperandrogenism.Park AS, Lawson MA, Chuan SS, Oberfield SE, Hoeger KM, Witchel SF, Chang RJ. J Clin Endocrinol Metab. 2010 Apr;95(4):1786-92.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ergenlik d\u00f6neminin do\u011fal, fizyolojik belirtileri polikistik over sendromu ile benzerlik g\u00f6stermektedir. Bu benzerlik nedeniyle bu her iki durum birbirine kar\u0131\u015ft\u0131r\u0131lmaktad\u0131r. Ergenlik d\u00f6neminde polikistik over sendromu te\u015fhisi konulan yakla\u015f\u0131k her 5 k\u0131zdan 4 \u00fcnde asl\u0131nda polikistik over sendromu olmad\u0131\u011f\u0131 zaman i\u00e7inde anla\u015f\u0131lmaktad\u0131r. 16 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck k\u0131zlarda Polikistik Over Sendromu te\u015fhis \u00e7izelgesi Ergenlik d\u00f6neminin do\u011fal, fizyolojik belirtileri […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8359","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/8359","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/comments?post=8359"}],"version-history":[{"count":13,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/8359\/revisions"}],"predecessor-version":[{"id":11591,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/8359\/revisions\/11591"}],"wp:attachment":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/media?parent=8359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}