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Polycystic ovary disease

Alternative Names

Polycystic ovaries; Polycystic ovarian syndrome (PCOS); Stein-Leventhal syndrome; Polyfollicular ovarian disease.

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 clitorus.
  • 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

Exams and Tests

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

Tests include:

Blood tests that may be done include:

References

Katz VL, Lentz GM, Lobo RA, Gershenson DM. Katz: Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby;2007.

Review Date: 2/5/2008
Reviewed By: Peter Chen, MD, Department of Obstetrics & Gynecology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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