What does periods stopped feel like with polycystic ovary syndrome?

Polycystic ovary syndrome can disrupt ovulation, so the womb lining may not shed on a predictable schedule. Periods may be widely spaced, skipped or absent, and some people have little physical sensation when a cycle does not occur. Higher androgen activity may contribute to acne, extra facial or body hair or thinning scalp hair. Some people also have changes related to insulin regulation, such as darkened skin in body folds. These features vary, and stopped periods alone cannot establish the diagnosis because pregnancy, thyroid conditions, prolactin changes and other causes can produce a similar pattern.

Arrange a review to discuss your cycle history, symptoms, medicines and pregnancy possibility. Assessment may include a pregnancy test, blood tests and sometimes an ultrasound, depending on your situation. Treatment is chosen around your goals, such as cycle protection, contraception, acne or hair symptoms, or pregnancy planning. Keep a record of bleeding, skin and hair changes, and any pelvic discomfort. Do not start hormone products or supplements without checking that they suit you.

Seek urgent help for severe pelvic pain, fainting, very heavy bleeding, chest pain or sudden breathlessness. Contact a clinician promptly for a positive pregnancy test with pain or bleeding, rapidly worsening androgen-related changes, or new severe headaches or visual symptoms. Long intervals without bleeding merit review even when you feel well, because the womb lining may need protection.

What could explain my stopped periods, and which tests would distinguish polycystic ovary syndrome from other causes? How can we protect the womb lining? What options fit my pregnancy plans and symptoms?