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I wouldn't be concerned about no periods just yet. Age 11 still seems on the early side to me. I think that PCOS is more likely in women with untreated or late-treated LOCAH, but since your daughter has been treated most of her life, that shouldn't be a concern. It should not cause her periods to be late in starting, anyway. PCOS is a diagnosis of exclusion, meaning that if they have excluded other causes of high androgens and irregular periods, then they will call it PCOS. It is not dependent on having cysts on the ovaries.