What is the biggest symptom of PCOS?

Author: Nikki Ankunding  |  Last update: Thursday, June 12, 2025

Common symptoms of PCOS include:
  • irregular periods or no periods at all.
  • difficulty getting pregnant (because of irregular ovulation or no ovulation)
  • excessive hair growth (hirsutism) – usually on the face, chest, back or buttocks.
  • weight gain.
  • thinning hair and hair loss from the head.
  • oily skin or acne.

What is the number one symptom of PCOS?

What are the symptoms of PCOS?
  • Missed periods, irregular periods, or very light periods.
  • Ovaries that are large or have many cysts.
  • Extra body hair, including the chest, stomach, and back (hirsutism)
  • Weight gain, especially around the belly.
  • Acne or oily skin.
  • Male-pattern baldness or thinning hair.
  • Infertility.

What are unexpected PCOS symptoms?

These less common symptoms may also be associated with PCOS:
  • Insomnia or poor sleep.
  • Mood changes.
  • High blood pressure.
  • Hidradenitis suppurativa.
  • Hyperkeratosis.
  • Sleep apnea.
  • Fatty liver.
  • Eating disorders.

What does a PCOS flare up feel like?

Mood swings: Because of the hormonal imbalance, women with PCOS also have a higher risk for depression, anxiety and extreme or rapid changes in mood. Heavy, painful periods: PCOS can cause painful periods with heavy bleeding. This can cause additional issues, such as anemia, and is often unpleasant and even scary.

What happens if PCOS is high?

Women who have PCOS have higher levels of male hormones and are also less sensitive to insulin or are "insulin-resistant." Many are overweight or obese. As a result, these women can be at a higher risk of diabetes, heart disease, sleep apnea, and uterine cancer.

Understanding PCOS Symptoms and Treatment: How To Manage Your PCOS

What are the four stages of PCOS?

What Are The Four Types of PCOs?
  • Insulin-Resistant PCOS. This is the most common type of PCOS, characterized by insulin resistance. ...
  • Inflammatory PCOS. Low-grade inflammation is a hallmark of this type of PCOS. ...
  • Hidden-Cause PCOS. In this type, the underlying cause of PCOS is not immediately apparent. ...
  • Pill-Induced PCOS.

What does a PCOS belly look like?

It's usually large and bloated but can also be small and round, depending on genes and other factors. It involves visceral fat accumulation in the lower abdomen and typically feels hard to touch. A PCOS belly is also characterized by a high waist-to-hip ratio of >0.87 (apple body shape).

What does PCOS discharge look like?

Symptoms: there are no noticeable symptoms in around half of women with the condition, and there is usually no vaginal soreness or itching. Symptoms may include a greyish-white, thin and watery vaginal discharge with a strong fishy smell, especially after sex.

What is the best pill for PCOS?

The easiest way of controlling PCOS is to go on the combined pill (such as Yasmin or Zoely) which prevents recruitment of new egg-follicles and stops the problem from getting worse.

What can be mistaken for PCOS?

PCOS can be difficult to diagnose because some of its symptoms have a variety of potential causes. For example, heavy menstrual bleeding could be caused by a range of conditions, such as uterine fibroids, polyps, bleeding disorders, certain medications, or pelvic inflammatory disease, in addition to PCOS.

What are the hidden symptoms of PCOS?

Common symptoms of PCOS include:
  • irregular periods or no periods at all.
  • difficulty getting pregnant (because of irregular ovulation or no ovulation)
  • excessive hair growth (hirsutism) – usually on the face, chest, back or buttocks.
  • weight gain.
  • thinning hair and hair loss from the head.
  • oily skin or acne.

Is PCOS a disability?

Yes, you can receive a VA disability rating for polycystic ovary syndrome (PCOS) if you began being treated for the condition during your military service and you continue having symptoms now.

How to get rid of a PCOS belly?

Healthy ways for women with PCOS to reduce belly fat
  1. Speak with a doctor. ...
  2. Consume a high-fibre diet. ...
  3. Eat anti-inflammatory foods. ...
  4. Use complex carbohydrates to regulate your blood sugar. ...
  5. Prioritise protein. ...
  6. Add healthy fats. ...
  7. Manage stress and get enough sleep. ...
  8. Exercise.

What are the red flags of PCOS?

Symptoms of polycystic ovary syndrome (PCOS)

difficulty getting pregnant as a result of irregular ovulation or no ovulation. excessive hair growth (hirsutism) – usually on the face, chest, back or buttocks. weight gain.

What is the biggest indicator of PCOS?

Irregular periods.

Having few menstrual periods or having periods that aren't regular are common signs of PCOS . So is having periods that last for many days or longer than is typical for a period. For example, you might have fewer than nine periods a year. And those periods may occur more than 35 days apart.

What is PCOS 1st stage?

In PCOS, the blood contains an excess of androgens giving rise to symptoms, such as acne, excess body hair, and menstrual irregularities. The excess of androgens is associated with imbalances in other hormones (such as follicle-stimulating hormone, luteinizing hormone, estrogen, and progesterone).

Which medicine is best for PCOS?

A medicine called clomifene may be the first treatment recommended for women with PCOS who are trying to get pregnant. Clomifene encourages the monthly release of an egg from the ovaries (ovulation). If clomifene is unsuccessful in encouraging ovulation, another medicine called metformin may be recommended.

What is the best age to get pregnant with PCOS?

Best age to get pregnant with PCOS

The best time for women with PCOS to get pregnant is before they turn 30. It's possible to conceive up to the age of 37, but fertility declines after the age of 32 with steeper decline occurring after age 37.

What clears PCOS?

Certain drugs have been proven to induce ovulation in people with PCOS. The medications clomiphene and letrozole are taken orally, while gonadotropins are given by injection. Surgery: A surgical procedure can help restore ovulation by removing tissue in your ovaries that produces androgen hormones.

What are the strange symptoms of PCOS?

Symptoms of PCOS
  • Hair loss from your scalp and/or hair growth (hirsutism) in unexpected places.
  • Oily skin and acne problems.
  • Infertility (ovulation problems) or repeat miscarriages.
  • Weight gain, especially around your waist.
  • Menstrual problems.
  • Depression and/or mood swings.

Does PCOS have an odor?

Typical signs in females are breast development, body odor, body hair, acne, mood swings, and menstruation. If you have experienced growth of facial hair or excess body hair, significant weight gain, worsening acne, and infrequent or prolonged periods, you might have Polycystic Ovary Syndrome (PCOS).

How do I confirm if I have PCOS?

To diagnose PCOS, an endocrinologist, a doctor who specializes in hormonal disorders, conducts a physical exam. He or she checks you for increased body and facial hair, thinning scalp hair, acne, and other symptoms of increased androgen levels.

What is PCOS physical appearance?

PCOS and physical appearance

PCOS can cause a range of physical changes caused by increased androgen levels—a type of male hormone. These changes can include excessive hair growth, acne, and male-pattern baldness. The changes can be distressing and significantly impact a woman's self-esteem and body image.

Is a PCOS belly soft or hard?

Hard to Touch: A PCOS belly typically feels hard to the touch due to the accumulation of visceral fat in the lower abdomen. High Waist-to-Hip Ratio: Many women with PCOS have a waist-to-hip ratio of >0.87, which is often referred to as an apple body shape.

Can you be skinny with PCOS?

One out of three people with PCOS don't struggle with their weight, but still have the condition. What does lean PCOS mean for their health and lifestyle? While the majority of people with PCOS have excess weight, it is possible to have the condition and still have a BMI within normal range.

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