Irregular, infrequent, or absent periods
Very heavy periods
Signs of excess androgen, such as acne, oily skin, or increased facial/body hair
Thinning hair on the scalp
Weight gain or difficulty losing weight
Darkened skin patches, especially on the neck, underarms, or groin
Skin tags
Trouble getting pregnant
Multiple small follicles on the ovaries seen on ultrasound
Elevated androgen levels on blood tests
A doctor’s evaluation showing symptoms consistent with PCOS