Symptoms

The typical symptoms of a PCO syndrome are In most cases, the PCO syndrome manifests itself through only some of the symptoms mentioned. Rarely does a person affected know all the symptoms at once. Some of the symptoms can be observed in almost all cases of PCO syndrome, while others occur less frequently.Polycystic ovarian syndrome often leads to infertility, so that women with an unfulfilled desire for children can develop depressive moods in addition to the biologically caused symptoms.

Polycystic ovarian syndrome can exist for a long time without symptoms. If it does become symptomatic, however, irregularities in menstruation will occur. In this case, either a lack of menstruation or a prolonged period without menstruation occurs.

If the menstrual break is between 35 and 45 days, a Stein-Leventhal syndrome could be the cause. Sometimes lower abdominal pain also occurs during or after menstruation. Overweight (obesity) and increased body hair (hirsutism) are also observed at times.

Here it comes to the so-called male hair type (beard growth, pubic hair pulling to the navel, chest and back hair). In extreme cases a so-called androgenization (masculinization) can be observed. These include the above-mentioned hirsutism, enlargement of the clitoris, reduction of the mammary gland, deep voice, masculinization of the physique.

Increased hair loss and acne can also be observed in some patients with a PCO.

Cycle disorders
Male hair type
Moustache
Hair Loss
Oily skin
Acne
Enlarged clitoris
Overweight (obesity, in about 40% of the affected persons)
Infertility (in about 74% of those affected)
Galactorrhea (breast milk discharge)
Diabetes mellitus
Increased miscarriage rate

Some patients complain of abdominal pain, sometimes unilateral, sometimes bilateral. The quality and frequency of the pain can vary greatly, from persistent pain to short, movement-dependent complaints, many more gradations are possible.

In this case, the increase in the circumference and size of the ovary due to the cysts can cause pain, for example, when adjacent organs are pressed. More rarely, the tearing or bursting of individual cysts can cause discomfort in the abdomen. The cysts can also twist on their stem and become symptomatic.

If the ovary is twisted and the blood supply is cut off, this can result in severe pain, often in combination with nausea and vomiting, and constitutes a medical emergency. The sensation of pain is different for each person and therefore the pain tolerance varies. It is important to listen to your body and, if necessary, seek medical advice to bring the pain and discomfort under control.