PCOS is heterogenous condition with complex pathophysiology. It is one of the commonest endocrine metabolic disorder affecting 6- 10% of women in their reproductive age. PCOS in adolescent girl is a complex condition with psychological, reproductive and metabolic manifestations. Early detection of PCOS in adolescence can prevent many early and late complications. No “Magic bullet”  exists, combination of therapies may be required. The basic treatment of PCOS consist of calorie restriction, exercise, insulin sensitizing agents combined oral contraceptive pill, antiandrogens according to clinical presentation. Management of PCOS in adolescent girls pose challenge to clinician.

Keywords: Polycystic Ovarian Syndrome; Hyperandrogenism; Menstrual Irregularities; Metformin; Metabolic Syndrome.