There may be more than one cause. The main problem in this condition is a hormone imbalance. There also is a link between PCOS, obesity, and resistance to insulin, the hormone that carries sugar from the blood into our cells. Many women with PCOS have too much insulin in their bodies because the insulin does not work as well as it should. What are the signs and symptoms of PCOS? Menstrual problems: Infertility (trouble getting pregnant) due to not ovulating Excess or unwanted hair growth on your face and body Thinning hair on your scalp Weight gain or obesity, often around your waist Skin problems: Acne on your chest, back, and face Skin tags—small flaps of excess skin—on your neck and armpits Dark, thick patches of skin on your neck, armpits, or groin, or under your breasts Depression or anxiety Poor sleep Not all women with PCOS have all these problems.
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