Signs of PCOS Signs of PCOS Polycystic ovary syndrome (PCOS) can present with various symptoms, but not all women experience the same ones. Here are some signs that may indicate you have PCOS: Irregular periods: If your menstrual cycles are irregular, meaning they occur less frequently than every 21 days or more than 35 days apart, or if you have prolonged periods or very light periods, this could be a sign. Excess androgen: Elevated levels of male hormones (androgens) can cause physical signs such as excessive facial or body hair (hirsutism), severe acne, or male-pattern baldness. Polycystic ovaries: Your doctor may detect enlarged ovaries containing multiple small follicles (often referred to as cysts), which can be seen on an ultrasound exam. Insulin resistance: Many women with PCOS have insulin resistance, which can lead to weight gain or difficulty losing weight, as well as increased risk of type 2 diabe...