title: Gynaecological issues affecting the obese adolescent.
abstract: 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.
authors.affiliation: Kettering General Hospital, Northamptonshire, UK; Hadassah University Medical Center, Ein Kerem, Jerusalem, Israel. Electronic address: paul.wood6@nhs.net.
authors.forename: Paul L
authors.initials: PL
authors.lastname: Wood
authors.affiliation: Kettering General Hospital, Northamptonshire, UK; Hadassah University Medical Center, Ein Kerem, Jerusalem, Israel. Electronic address: Bauman_d@netvision.net.il.
authors.forename: Dvora
authors.initials: D
authors.lastname: Bauman
mesh_terms: D000052:Acanthosis Nigricans; D000293:Adolescent; D005260:Female; D006801:Humans; D017588:Hyperandrogenism; D006946:Hyperinsulinism; D007333:Insulin Resistance; D008595:Menorrhagia; D009765:Obesity; D063766:Pediatric Obesity; D011085:Polycystic Ovary Syndrome; D011629:Puberty, Precocious; D012725:Sexual Behavior
keywords: adolescence; body mass index; gynaecology; obesity; polycystic ovarian syndrome; puberty