What PCOS Can Look Like Beyond Your Cycle
Understanding the less obvious signs of polycystic ovarian syndrome
Most conversations about PCOS start with your period. Irregular cycles. Missed ovulation. Heavy or unpredictable bleeding. And while those are important signs, they’re not the whole story.
PCOS — polycystic ovarian syndrome — is a hormonal condition that can affect more than just your reproductive system. Many of its signs are subtle, scattered, or often overlooked.
If something feels off, even if your cycle seems “normal,” it’s worth checking in. Here are some of the ways PCOS can show up beyond your period.
Acne that won’t settle
Hormonal breakouts, especially on your jawline, chin, or back, are common in PCOS. These are usually deeper, more cystic spots that don’t always respond to standard skincare or short-term treatments. They often flare up mid-cycle or around your period, and can be persistent.
Hair changes, in both directions
You might notice more hair in places like your chin, upper lip, chest or lower stomach (known as hirsutism). At the same time, you could see thinning or shedding from your scalp, especially around the crown or temples. Both are linked to higher levels of androgens, which are often elevated in PCOS.
Mood, focus, and energy shifts
PCOS doesn’t just affect your body; it can influence how you feel day to day. You might feel flat, irritable, foggy, or low without a clear cause. These changes can be subtle or cyclical. Research has linked PCOS with a higher risk of anxiety and depression, which is something many people experience, even if it’s not always discussed in clinical settings.
Changes in metabolism or weight
Some people with PCOS find it harder to manage their weight, even with regular movement and a balanced diet. This is often due to insulin resistance, which can also cause sugar cravings, energy dips after meals, or difficulty feeling full. It’s a metabolic issue, not a personal failing.
Fertility and ovulation
Not everyone with PCOS struggles with fertility. But because PCOS can impact how (and whether) you ovulate, it’s something to be aware of, especially if your cycle is long or irregular. It doesn’t mean you can’t conceive. But it might mean extra support could be helpful.
What to do if you’re unsure
You don’t need a textbook list of symptoms to bring it up. If you’re experiencing any of the above or just have questions, talk to your GP or a team that understands PCOS well.
Diagnosis typically involves a mix of your symptoms, blood work, and ultrasound. There’s no single test, and not everyone with PCOS fits the same picture.
At Wahini Health, we approach PCOS with a whole-person lens. Whether you’re just starting to ask questions or looking to re-evaluate your care, we’re here to help make sense of what’s going on and what your options are.
Need support?
Get in touch with us directly, or speak to your GP about a referral. You can also sign up to our newsletter to stay connected to the Wahini ʻOhana and hear about upcoming events, education, and care offerings.