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PCOS symptoms: 10 signs worth showing your doctor

Irregular periods, acne, extra hair, weight around the waist, dark skin patches. Ten common PCOS and PCOD signs, and when to book a visit.

By the Morevie team1 Nov 20262 min readMedical review: waiting for a gynaecologist’s review

PCOS looks different in every woman. Some notice irregular periods first; others notice acne or hair changes. Many women live with signs for years before anyone connects them. None of these signs means you definitely have PCOS, but if you have two or more, it is worth a conversation with a gynaecologist.

1. Periods that are irregular or far apart

Cycles longer than 35 days, fewer than eight or nine periods a year, or periods that stop for months are the most common sign.

2. Very heavy or very light periods

When ovulation does not happen regularly, the lining of the womb can build up and then shed heavily, or periods can become very light.

3. Acne that does not settle

Acne on the jaw, chin or back that continues past the teenage years can be linked to higher androgen levels.

4. Extra hair on the face, chest or tummy

Doctors call this hirsutism. It is common in PCOS and it is treatable, so it is worth mentioning even if it feels embarrassing.

5. Hair thinning on the scalp

Thinning at the crown or a widening parting can also come from androgens.

6. Weight gain around the waist

Weight that settles around the tummy, or that is hard to lose despite effort, is common. Remember that slim women can have PCOS too.

7. Dark, velvety skin patches

Darker skin on the back of the neck, underarms or groin (acanthosis nigricans) can be a sign of insulin resistance, which often goes with PCOS.

8. Feeling tired or low

Low energy, anxiety and low mood are more common in women with PCOS. They are real, and worth raising.

9. Difficulty getting pregnant

Irregular ovulation can make it harder to conceive. It is very often treatable.

10. Family history

If your mother or sister has PCOS or type 2 diabetes, your chances are higher.

What happens next

Your doctor may ask about your periods, examine you, and order blood tests or an ultrasound to confirm PCOS and rule out other causes like thyroid problems. Read what doctors usually check and questions to ask your gynaecologist.

Talk to your doctor

This article is general information, not medical advice. Your body and your history are your own. Talk to your gynaecologist or doctor before you change a medicine, a diet or how you exercise.

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