Final answer:
A female adolescent with symptoms such as hirsutism, acne, and elevated 17-hydroxyprogesterone may be indicative of polycystic ovary syndrome (PCOS), a hormonal disorder. Treatments for PCOS include diet and exercise, medication to control hormonal imbalances, and potentially fertility treatments for those attempting to conceive.
Step-by-step explanation:
Understanding PCOS
A female adolescent presenting with hirsutism, acne, and elevated 17-hydroxyprogesterone may be experiencing symptoms of polycystic ovary syndrome (PCOS). PCOS is a hormonal disorder often characterized by irregular menstrual periods, weight gain, acne, excess facial hair, and high levels of androgens, including testosterone, which is produced by the ovaries, and DHEA, which is produced by the adrenal glands. These symptoms arise due to an abnormal increase in androgen levels, which can lead to the aforementioned 'masculinizing' effects and interfere with the menstrual cycle by preventing ovulation.
Addressing the symptoms of PCOS involves lifestyle changes such as a healthy diet and regular exercise to help with weight loss, which can improve insulin functioning and potentially make the menstrual cycle more regular. Certain medications might also be prescribed, like birth control pills to regulate the menstrual cycle or anti-androgens to reduce excessive hair growth and acne. The diabetes medication metformin is another treatment option to improve insulin sensitivity and lower testosterone levels. Additionally, fertility treatments may assist those with PCOS who are trying to conceive.