Irregular, very heavy, very painful, or missed periods
Pelvic or lower abdominal pain
Pain during sex
Bloating or feeling full quickly
Trouble getting pregnant
Unusual vaginal bleeding or spotting
Changes in menstrual cycle length or flow
Excess facial or body hair
Acne that is new or worsening
Sudden weight gain or weight loss
Hair thinning on the scalp
Symptoms of menopause before age 40
Frequent urination or pressure in the pelvis
Nausea, vomiting, or severe sudden pelvic pain
Fever with pelvic pain
A lump or swelling in the lower abdomen
Persistent fatigue
If symptoms are severe, sudden, or getting worse, seek medical care