By: Aashay Edwin Maghi (CPT)

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What Are the First Signs of PCOS? Symptoms to Watch 

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Irregular or Missed Period

Missing periods or having cycles longer than 35 days is often the earliest PCOS sign. Tracking your cycles can reveal these irregularities—take action if you see consistent delays or gaps.

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Excess Hair Growth (Hirsutism)

Sudden increases in facial or body hair—like on your chin, chest, or back—often point to PCOS. This happens because PCOS raises androgen (“male” hormone) levels, triggering unwanted hair growth.  

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Acne and Oily Skin

Persistent, severe acne - especially on your jawline or chin—can be an early PCOS clue. High androgen levels drive extra oil, clogging pores and causing breakouts that don’t respond to usual treatments.

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Unexplained Weight Gain

Struggling to lose weight despite diet and exercise? PCOS‑related insulin resistance often causes sudden weight gain. Even small weight increases can affect hormone balance and make cycles more irregular.  

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Hair Thinning or Loss (Alopecia)

Noticing scalp hair thinning or receding hairline? PCOS‑linked androgens can shrink hair follicles. This type of hair loss often shows as widening part lines or small bald patches on top of your head.  

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Darkened Skin Patches (Acanthosis Nigricans)

Velvety‑textured, dark patches. Often often on your neck, underarms, or groin—signal insulin resistance in PCOS. These skin changes may appear before other PCOS symptoms, so check your body regularly in the mirror.

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Skin Tag

Small, soft skin tags. Particularly around your neck or under your arms can accompany PCOS. Their presence often correlates with insulin resistance, a hallmark of PCOS.  

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Fatigue & Mood Swing

Constant tiredness, low energy, and mood swings aren’t “just stress”. They can be PCOS red flags. Hormonal imbalances affect neurotransmitters, making you feel drained, irritable, or anxious for no clear reason.  

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Difficulty Conceiving (Infertility)

PCOS is a leading cause of anovulatory infertility in many women learn they have PCOS when trying to get pregnant. If you’ve been trying for six months without success, ask your doctor about PCOS testing.   

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When to See a Doctor

If you notice any two of these signs—irregular periods, hirsutism, acne, or unexplained weight gain—schedule a check‑up. Early evaluation with blood tests and ultrasound helps confirm PCOS and start treatment before complications arise.  

By: Aashay Edwin Maghi (CPT)

Image: Freepik

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