Polycystic ovary syndrome, or PCOS, is a common hormonal condition. Its symptoms vary, and irregular periods or acne alone do not establish the diagnosis.
Polycystic ovary syndrome, usually called PCOS, is a common hormonal condition. Its symptoms vary, and having irregular periods or acne alone does not establish a diagnosis.
What symptoms may occur?
PCOS can be associated with irregular or absent periods, excess facial or body hair, acne, thinning scalp hair and difficulties with ovulation. Not everyone has every symptom. Other conditions can cause similar changes, so an individual assessment matters.
How is PCOS assessed?
Your clinician may ask about cycle patterns, skin and hair changes, medical history, medicines and pregnancy goals. Depending on the situation, they may discuss blood tests or ultrasound and consider other causes. An ultrasound finding alone is not a complete diagnosis; ask how the results fit your history.
What can treatment address?
Treatment is tailored to the symptoms and goals that matter to you, including menstrual health, skin or hair concerns and fertility. A clinician may discuss lifestyle support or medicines where appropriate. Ask about benefits, risks and follow-up, and mention if you are pregnant, planning pregnancy or breastfeeding.
Preparing for the conversation
A simple record of period dates and symptoms can help. Bring results of previous tests and a list of products or medicines you use. Ask whether monitoring for other health concerns is appropriate for you and when to review the plan. Seek urgent care for severe or worsening pelvic pain, fainting or heavy bleeding.
Frequently asked questions
Does everyone with PCOS have the same symptoms?
No. Symptoms and their effects vary considerably.
Do irregular periods always mean PCOS?
No. Several conditions can affect periods, so assessment is important.
Does an ultrasound alone diagnose PCOS?
No. Your clinician considers symptoms, examination and appropriate tests together.
Should I mention plans for pregnancy?
Yes. Pregnancy goals can affect the choice and timing of treatment.
Related reading
Further reading
Read about PCOS & Thyroid Management, or contact the team about an appointment.
This article is general information and does not replace an individual clinical assessment.