Definition: Polycystic ovary syndrome (PCOS) is a set of symptoms tied to a hormone imbalance. NICHD says women with PCOS usually have at least two of three features: no or irregular ovulation, high androgen (male hormone) levels or their signs, and clumps of ovarian follicles that stopped developing. MedlinePlus now also uses the newer name polyendocrine metabolic ovarian syndrome.
NICHD says PCOS is the most common cause of infertility from not ovulating, and many women learn they have it only when trying to get pregnant. Symptoms can include extra hair growth, acne, dark skin patches, irregular bleeding and insulin resistance. The NCI adds a higher risk of diabetes, high blood pressure, heart disease and endometrial cancer.
The Clomid label is approved for women who are not ovulating normally and want to become pregnant. It says some women with PCOS respond strongly to usual doses, so the first cycle starts at the lowest dose and shortest course, and it does not allow use with ovarian cysts or enlargement unless they come from PCOS. Strong responses matter because of ovarian hyperstimulation syndrome.
Cycle dates are often the first clue and the main thing a clinician asks about. A log of period dates, any ovulation tests, weight and medicine doses gives a clear picture across months.
Read more on Dose Track: PCOS · Female fertility · Clomid side effects · Inositol guide