1. Irregular or Complete Absences of Menstruation
The single most common symptom of polycystic ovary syndrome is an irregular menstrual cycle that may include several months without a period. This can be tougher to detect in young girls, as irregular menstruation is not uncommon at the onset of puberty. Over time, however, the menstrual cycle should grow regular. If a menstrual cycle goes longer than 35 days or if there has been no cycle for several months, then this could be a sign of polycystic ovary syndrome.
2. Excess Androgen
Androgen is a hormone associated with hair growth and other masculine traits. If you spot copious amounts of hair on the chest, abdomen, back, legs or even face, you may be seeing elevated levels of androgen, and therefore, polycystic ovary syndrome. However, elevated androgen levels do not always show outward signs like hair growth, so doctors may need to do a blood test to verify the condition.
3. Enlarged Ovaries
Enlarged ovaries can really only be diagnosed with an ultrasound but are usually one of the best indications of polycystic ovary syndrome. Enlarged ovaries can be the result of other conditions, such as endometriosis. Additionally, polycystic ovary syndrome exhibits cysts within the ovaries as well as enlargement. Note that it is possible to have polycystic ovary syndrome and not have enlarged ovaries.
4. Infertility
Infertility is often caused by the presence of polycystic ovary syndrome. Infertility can be diagnosed in a number of ways, but it's important to remember it is not always caused by polycystic ovary syndrome.
5. Darkened or Abnormal Skin
Acanthosis nigricans is the clinical name for a condition in which the skin appears darker and rougher than normal. Acanthosis nigricans appears most frequently in the region of the inner thighs, the armpits, the back of the neck, under the breasts and even on the vulva. This condition, coupled with skin tags, is one of the first overt, apparent symptoms of polycystic ovary syndrome.


