Quick answer
Common PCOS symptoms include irregular periods, acne, excess hair growth, scalp hair thinning, and difficulty losing weight.
Key takeaways
- Irregular or missed periods are the most common sign.
- Acne and excess hair growth point to higher androgen levels.
- Symptoms vary widely — you won't have all of them.
The common signs
Irregular periods, acne, excess facial or body hair, scalp thinning, and weight changes are the usual symptoms.
When to see a doctor
If several signs appear together, or your periods are very irregular, book an appointment for assessment.
Frequently asked questions
What is usually the first sign of PCOS?
Irregular or missed periods are often the first noticeable sign.
Can you have PCOS with regular periods?
Yes — some people with PCOS have regular cycles but other signs like acne or raised androgens.
Sources
- PCOS symptoms overview — ACOG


Medically reviewed by
Dr. A. Rao, MD, FACOG
Board-certified OB-GYN reviewing reproductive-health content.
