Chapter 18: Understanding the Symptoms of PCOS

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There are many symptoms that can accompany polycystic ovarian syndrome (PCOS), but not every woman with the condition will have the same mix of symptoms. Additionally, the degree of the symptoms might range from mild to severe. It's crucial to keep in mind that PCOS is not always indicated by the presence of some of these symptoms. PCOS is often diagnosed as a result of a combination of particular symptoms and physical examinations by medical experts, such as gynecologists or endocrinologists.

The most common symptoms associated with PCOS include:

Irregular Periods: This refers to menstrual cycles that are unpredictable, either with long gaps between periods or no periods at all. Irregular periods can make it challenging to conceive.


Infertility: PCOS is one of the leading causes of infertility in women. Due to hormonal imbalances and irregular ovulation, women with PCOS may have difficulties getting pregnant.


Excessive Hair Growth (Hirsutism): Increased levels of testosterone in women with PCOS can lead to excessive hair growth in typically male-pattern areas such as the face, chest, back, or buttocks.


Weight Gain: Many women with PCOS experience weight gain or have difficulty losing weight. Insulin resistance and hormonal imbalances can contribute to weight management challenges.


Hair Loss: Some women may experience thinning hair or hair loss from the scalp. This can be distressing and impact self-esteem.


Acne and Oily Skin: Hormonal imbalances in PCOS can lead to increased sebum production and clogged pores, resulting in acne and oily skin.


Polycystic Ovaries: On ultrasound examination, women with PCOS may have enlarged ovaries with multiple small fluid-filled sacs, known as follicles. Despite the name, these follicles are not actual cysts.


Other Symptoms: PCOS can also be associated with high testosterone levels, high cholesterol, high triglycerides, insulin resistance, diabetes, ovarian cysts, bloating, miscarriage, fatty liver disease, high blood pressure, poor memory, depression, anxiety, sleep apnea, darkened skin in certain areas (neck, underarms, inner thighs), fatigue, mood swings, skin tags, male pattern baldness, body image issues, PCOS belly fat, emotional distress, mental health issues, sleeping disorders, eating disorders, anger, sadness, feeling alone, and feeling unheard.


While the presence of some of these symptoms can be indicative of PCOS, it is important to consult with a healthcare professional for a proper evaluation and diagnosis. The checklist you provided can serve as a useful tool to discuss your symptoms with your doctor and facilitate a comprehensive assessment.

Remember, each individual's experience with PCOS is unique, and treatment plans should be tailored to address specific symptoms and health concerns. Regular check-ups, hormone monitoring, and lifestyle modifications can help manage PCOS and promote overall well-being.

Here's a checklist so that you can see how many symptoms you have experienced and you can talk to your endocrinologist or gynecologist.

Irregular Periods          Yes □    No □
Infertility                        Yes □    No □
Abnormal Bleeding      Yes □    No □
Insulin Resistance        Yes □    No □
Diabetes                         Yes □    No □
High Testosterone        Yes □    No □
Weight  Gain                 Yes □   No □
High Cholesterol          Yes □   No □
High triglycerides       Yes □   No □
Cysts In Ovaries          Yes □   No □
Bloating                       Yes □  No □
Miscarriage                 Yes □  No □
Fatty Liver Disease     Yes □  No □
High Blood Pressure   Yes □  No □
Poor memory              Yes □  No □
Depression                 Yes □   No □
Ovarian Cancer          Yes □   No □
Anxiety                       Yes □   No □
Sleep Apnea              Yes □   No □
Acne                           Yes □  No □
Darkened Neck, Underarm And Inner Thighs                         Yes □  No □
Hirsutism                    Yes □    No □
Fatigue                       Yes □   No □
Hair Loss                    Yes □   No □
Mood Sways               Yes □   No □
Skin Tags                   Yes □   No □
Oily Skin                     Yes □  No □
Male pattern Baldness   Yes□  No □
Body Image Issues       Yes □  No □
PCOS Belly Fat            Yes □  No □
Emotional Distress      Yes □   No □
Mental Health Issues    Yes □  No □
Sleeping Disorders    Yes □     No □
Eating Disorders        Yes □     No □
Anger                         Yes □     No □
Sadness                     Yes □     No □
Feeling Alone             Yes □     No □
Feeling Unheard         Yes□     No □

If you suspect that you may have polycystic ovary syndrome (PCOS), it's important to be aware of the key symptoms associated with this condition. While not all women with PCOS will experience every symptom, recognizing these signs can help you seek appropriate medical attention and guidance. Here are some of the symptoms to look out for:

Irregular Menstrual Cycle: Women with PCOS often have irregular periods. This can manifest as missed periods, infrequent periods (less than eight in a year), or periods that occur every 21 days or more frequently. In some cases, women with PCOS may even stop having menstrual periods altogether.


Infertility: Difficulty conceiving can be a significant indication of PCOS. If you have been actively trying to get pregnant for over a year without success, it's advisable for both you and your partner to undergo a fertility evaluation.


Excessive Hair Growth (Hirsutism): PCOS can cause unwanted hair growth on the face, chin, or other areas where men typically have hair. This condition is known as hirsutism and can affect up to 70% of women with PCOS.


Acne: Hormonal imbalances in PCOS can contribute to acne breakouts, particularly on the face, chest, and upper back.


Hair Thinning or Hair Loss: Some women with PCOS may experience thinning hair or even male-pattern baldness on the scalp. This can be distressing and impact self-confidence.


Weight Gain or Difficulty Losing Weight: PCOS can make it challenging to manage weight. Many women with PCOS experience weight gain or find it difficult to lose weight despite efforts to do so.


Skin Darkening: Darkening of the skin, particularly along neck creases, in the groin area, and underneath the breasts, may occur in women with PCOS.


Skin Tags: Small excess flaps of skin, known as skin tags, can appear in areas such as the armpits or neck in some women with PCOS.


If you are experiencing any of these symptoms and suspect that you may have PCOS, it is crucial to seek medical advice. Schedule an appointment with your gynecologist, endocrinologist, or general physician to discuss your concerns and undergo appropriate diagnostic tests. Remember that early diagnosis and management of PCOS can help mitigate symptoms, prevent complications, and promote better overall health and well-being.

By seeking professional guidance, you can receive an accurate diagnosis and develop a personalized treatment plan that addresses your specific needs and concerns. Don't hesitate to reach out for medical support to ensure optimal management of PCOS.

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⏰ Last updated: Aug 13, 2023 ⏰

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