What is the most common manifestation of polycystic ovarian syndrome?

Hirsutism is the most common manifestation of polycystic ovarian syndrome (PCOS). This condition is characterized by an imbalance of hormones, particularly an increase in androgens such as testosterone. As a result, many women with PCOS experience excessive hair growth in areas where men typically grow hair, including the face, chest, and back. This symptom arises from the underlying hormonal abnormalities associated with PCOS.

In PCOS, insulin resistance is also common, which may further contribute to the increased androgen levels, exacerbating hirsutism. The presence of this symptom can significantly affect a woman's self-esteem and quality of life, making it a prominent point of discussion in clinical evaluations of PCOS.

Other manifestations of PCOS, such as menstrual irregularities, obesity, and acne, are also common but hirsutism stands out as the most prevalent symptom reported. Recognizing and addressing hirsutism is an important aspect of managing patients with PCOS, as it directly relates to their hormonal health and psychosocial well-being.