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Top Symptoms of PCOS You Shouldn’t Ignore
Top Symptoms of PCOS You Shouldn’t Ignore

Top Symptoms of PCOS You Shouldn’t Ignore

September 4, 2024

By Dr. Jody Paige Goh, MBBS, Chief Medical Officer

Have you noticed irregular periods, persistent acne, or unexpected weight gain that doesn’t seem to make sense? These could be symptoms of Polycystic Ovary Syndrome (PCOS), a common hormonal condition affecting women of reproductive age. Recognising these symptoms early is essential for effective management and long-term health.

1. Irregular or Missed Periods

What it looks like: Your periods may come infrequently, be unpredictably spaced, or stop altogether.

Why it happens: PCOS often disrupts ovulation, which is necessary for regular menstrual cycles. Without ovulation, hormonal imbalances can prevent the uterine lining from shedding properly, leading to irregular, delayed, or absent periods and abnormal menstrual bleeding.

Over time, irregular cycles can increase the risk of conditions like endometrial hyperplasia, which may have serious implications if untreated.

2. Persistent Acne or Oily Skin

What it looks like: Acne that doesn’t respond to typical treatments and is often concentrated along the jawline, chin, chest, or back.

Why it happens: Elevated levels of androgens (male hormones present in all women) can overstimulate oil glands, leading to clogged pores and persistent acne.

3. Excess Hair Growth or Hair Loss

What it looks like:

  • Excess hair growth (hirsutism): Unwanted, coarse hair on the face, chest, or stomach.
  • Hair loss (androgenic alopecia): Thinning hair on the scalp, particularly along the crown or hairline.

Why it happens: High androgen levels can cause hair to grow where it’s typically sparse while leading to hair loss in areas where it’s normally thick.

4. Difficulty Losing Weight or Sudden Weight Gain

What it looks like: Weight gain that feels disproportionate to your diet or exercise routine and stubborn difficulty in losing weight.

Why it happens: Many women with PCOS experience insulin resistance, where the body struggles to process sugar effectively. This can make it easier to gain weight and harder to lose it, even with significant lifestyle efforts.

5. Dark Patches of Skin

What it looks like: Dark, velvety patches of skin, often found on the neck, underarms, or inner thighs.

Why it happens: These patches, known as acanthosis nigricans, are a visible sign of insulin resistance. They indicate that your body may not be responding to insulin as it should, a common feature of PCOS.

6. Constant Fatigue

What it looks like: Feeling tired or drained even after a full night’s sleep or sufficient rest.

Why it happens: Hormonal imbalances and insulin resistance can affect energy levels, leaving you feeling low on energy throughout the day.

What You Can Do

If these symptoms sound familiar, here are some steps to consider:

1. Track Your Symptoms

  • Monitor your periods, skin changes, and energy levels using a period tracker or menstrual cycle log like the Taylor app. Keeping track of irregular bleeding, delayed periods, or other signs you have PCOS can help your doctor make a more accurate diagnosis.

2. Get a Comprehensive Evaluation

  • Ask for blood tests to assess hormone levels (like androgens, LH, and FSH) and check for insulin resistance.
  • Request an ultrasound to examine ovarian health and the uterine lining. This helps rule out other causes and confirms the diagnosis.

3. Tailor Your Management Plan

  • Lifestyle changes: Adjusting your diet and incorporating regular exercise can help manage insulin resistance and improve symptoms like weight gain and fatigue.
  • Medical support: Treatments like birth control pills or medications for insulin resistance (e.g., metformin) can help regulate symptoms.
  • Supplements: Nutrients like Vitamin D or Omega-3 fatty acids may support hormonal balance and reduce inflammation.

Why Early Recognition Matters

PCOS symptoms can vary widely and often overlap with other conditions, such as thyroid disorders or high prolactin levels. Early recognition of polycystic ovarian syndrome symptoms and proper evaluation can help address the root causes, improving both short-term symptoms and long-term health outcomes.

If you suspect PCOS, don’t delay seeking care. A Polycystic Ovarian Syndrome screening like what Taylor offers can be easily booked online, in just a few clicks. Managing PCOS starts with understanding how it uniquely affects you—and that begins with taking the first step to find out.

This content is for general guidance only and should not be considered medical advice.

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