Polycystic ovary syndrome history and symptoms

The significant information that needs to focus on the history of patient includes menstrual abnormalities, infertility, signs of virilization on physical examination and family history of PCOS among first-degree relatives. The most common symptoms of PCOS include amenorrhea or oligomenorrhea, abnormal uterine bleeding and androgenization, including hirsutism, acne, oily skin.

Obtaining the history is the most important aspect of making a diagnosis of PCOS. It provides insight into the cause, precipitating factors and associated comorbid conditions. The significant information that needs to be focused on history of patient includes:^[1][2]

• Menstrual abnormalities
• Infertility
• Signs of virilization in physical examination
• Family history of PCOS among first-degree relatives

The most common symptoms of PCOS include:^{[3][4][5][6][7][8]}

• Amenorrhea or oligomenorrhea
• Abnormal uterine bleeding
• Androgenization, including hirsutism (often slowly progressive), acne, oily skin
• Polycystic ovaries, with or without ovarian enlargement
• Insulin resistance
• Endometrial hyperplasia

• Dyspareunia
• Androgenic alopecia
• Seborrhea
• Acanthosis nigricans
• Acrochordons
• Weight gain or obesity
• Pelvic pain
• Anxiety or depression
• Sleep apnea

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