Hi Sheila! I had been diagnosed with PCOS at age 16 when I noticed excessive facial hair and acne that was worse than most. Interestingly, my periods had always been normal but my dermatologist was concerned about the hair growth and recent weight gain, and within one visit to the gynocologist's I had been properly diagnosed via an ultrasound that detected the cysts. I was put on birth control pills and the situation reversed itself within 6 months or so. That was 14 years ago, and I've been cyst-free ever since.
So, have you noticed either the facial hair or the acne? I know through this forum people have probably listed out their symptoms in previous posts, but these are the two that affected me most, besides the weight gain. I simply don't understand why your physician wasn't concerned about your lack of periods, especially for such a young woman (I get the impression you're young, right?). Was she maybe concluding that your period was irregular or nonexistent due to your weight? BTW, is today's appointment with the gynocologist, or just the general practitioner/family doc?
I guess additionally, it's important to discuss your fertility with her, since I recall reading in a previous post that you've not been using any bc method for over a year and you haven't gotten pregnant. Now, this may be because you haven't had sex during your fertile time, etc., but it could be bc you're not ovulating, and thus there is no egg waiting to be fertilized. Stress to her that you'd like to get moving on things now to get your cycle back into working order because at some point, you'd like to have a family.
That's all I can think of at the moment, but I hope you have a worthwhile doctor's visit!
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