Ovarian hyperandrogenism associated oligoanovulacion is the most common cause of hirsutism, acne and menstrual disorders in adolescents pathophysiology of polycystic ovary syndrome (PCOS) involves starting interactions of genetic, epigenetic changes, primary ovarian abnormalities, neuroendocrine disturbances , hyperinsulinemia, insulin resistance, obesity, international companies have reached a consensus in the persistent unexplained hyperandrogenic anovulation using standards applied to their age and stage are considered suitable for polycystic ovary syndrome in adolescents diagnostic criteria. It is the most common endocrine disorder heterogeneous in women of reproductive age.