This article discusses the challenges faced by clinicians in diagnosing polycystic ovary syndrome in adolescent versus adult females. It offers primary care providers the useful knowledge as well as method to diagnosis and treatment of polycystic ovary syndrome in teenagers. The article also talks about the symptoms, diagnosis, and treatment of PCOS. It also highlights the enhanced occurrence of the classic risky elements for cardiovascular disease like dyslipidemia, diabetes, hypertension, fatness and non-classic risky elements like homocysteine, C-reactive protein, as well as tumour necrosis element-?.