Irregular, infrequent, or absent periods
Very heavy periods
Signs of excess androgen levels, such as acne
Excess facial or body hair growth
Thinning hair on the scalp
Weight gain or difficulty losing weight
Darkened skin patches, especially on the neck, underarms, or groin
Skin tags
Difficulty getting pregnant
Ovaries with multiple small follicles on ultrasound
Elevated androgen levels on blood tests
A doctor’s evaluation showing symptoms consistent with PCOS
Ruling out other causes of similar symptoms