PCOS Symptoms Checklist

Recognizing the symptoms of Polycystic Ovary Syndrome (PCOS) is the first step toward getting an accurate diagnosis and appropriate treatment. This checklist can help you identify potential symptoms and discuss them with your healthcare provider.

What It Means

PCOS symptoms can vary widely from person to person. Some people experience many symptoms, while others may have only a few. Symptoms can also change over time and may be influenced by factors like weight, stress, and lifestyle.

Common Symptoms

Menstrual Irregularities

• Irregular periods (cycles longer than 35 days or shorter than 21 days)
• Absent periods (amenorrhea)
• Very heavy periods
• Unpredictable bleeding patterns

Physical Symptoms

• Excess hair growth (hirsutism) on face, chest, back, or abdomen
• Thinning hair or hair loss on the scalp
• Acne, especially on face, chest, and upper back
• Oily skin
• Weight gain, particularly around the abdomen
• Difficulty losing weight
• Dark patches of skin (acanthosis nigricans), often on neck, armpits, or groin
• Skin tags

Metabolic Symptoms

• Insulin resistance
• High blood sugar levels
• Increased risk of type 2 diabetes
• High cholesterol or triglycerides
• High blood pressure

Reproductive Symptoms

• Difficulty conceiving (infertility)
• Multiple miscarriages
• Ovarian cysts (detected via ultrasound)

What Is Normal

It's normal to experience occasional:

• Irregular periods, especially during puberty or perimenopause
• Some body hair growth
• Occasional acne
• Weight fluctuations

However, if multiple symptoms occur together or persist, it may indicate PCOS.

What Is Not Normal

You should seek medical evaluation if you experience:

• Multiple symptoms from the checklist above
• Severe or persistent symptoms
• Symptoms that significantly impact your daily life
• Difficulty conceiving after trying for a year (or 6 months if over 35)

When to See a Doctor

Consult a healthcare provider if:

• You have irregular or absent periods
• You're experiencing multiple PCOS symptoms
• You're having difficulty conceiving
• Symptoms are affecting your quality of life
• You want to understand your hormonal health

Diagnosis Process

Your healthcare provider will:

• Review your medical history and symptoms
• Perform a physical examination
• Order blood tests to check hormone levels, glucose, and insulin
• May perform an ultrasound to check for ovarian cysts

Remember, having some symptoms doesn't necessarily mean you have PCOS. A proper medical diagnosis is essential for appropriate treatment and management.