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Hormones & cycles

PCOS (polycystic ovary syndrome)

PCOS is a common hormonal condition affecting periods, ovulation, skin, hair and metabolic health. Australian guidelines are clear that diagnosis needs a careful assessment, not a single scan.

Common symptoms

  • Irregular or absent periods
  • Acne, oily skin, or coarse hair on face, chest or abdomen
  • Hair thinning on the scalp
  • Difficulty falling pregnant
  • Weight changes, sugar cravings, fatigue

Useful to track

  • Period start dates and cycle length
  • Skin and hair changes
  • Mood and energy
  • Sleep and snoring

Tests and conversations that may be relevant

  • Blood tests: androgens, LH/FSH, prolactin, thyroid, and often glucose and lipids
  • Pelvic ultrasound (not required for diagnosis in people within 8 years of their first period)
  • Blood pressure and metabolic screening

When to see a GP or specialist

  • Cycles shorter than 21 or longer than 35 days
  • No period for 3 months
  • Fertility concerns
  • Distressing skin or hair changes

Urgent warning signs

  • Heavy bleeding with dizziness
  • Severe mood distress or thoughts of self-harm — call 13 11 14

In Australia, call 000 or healthdirect on 1800 022 222.

Questions to take to a clinician

  • Which criteria do I meet, and which I do not?
  • Do I need metabolic screening, and how often?
  • What protects my uterus if I rarely get periods?

Related

eophi shares general information reviewed against Australian guidance. It never diagnoses. If something feels urgent, call 000 or healthdirect on 1800 022 222.