Symptoms:

If you have polycystic ovary disease, you are likely to have some of the following symptoms:

• Abnormal, irregular, or very light or infrequent menstrual periods
• Absent periods, usually (but not always) after having one or more normal menstrual periods during puberty (secondary amenorrhea)
• Acne that gets worse
• Decreased breast size
• Development of male sex characteristics (virilization), such as increased body hair, facial hair, a deepening of the voice, male-pattern baldness, and enlargement of the clitoris
• Diabetes
• Increased hair growth; body hair may be in a male pattern
• Infertility
• Poor response to the hormone, insulin (insulin resistance), leading to a build-up of insulin in the blood
• Weight gain, or obesity

Signs and tests:

During a pelvic examination, the health care provider may note an enlarged clitoris (very rare finding) and enlarged ovaries.

Tests include:

• Abdominal ultrasound
• Abdominal MRI
• Biopsy of the ovary
• Estrogen levels
• Fasting glucose and insulin levels
• FSH levels
• Laparoscopy
• LH levels
• Male hormone (testosterone) levels
• Urine 17-ketosteroids
• Vaginal ultrasound

Blood tests that may be done include:

• Pregnancy test (serum HCG)
• Prolactin levels
• Thyroid function tests