Insulin Resistance associated but not required for diagnosis

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typical is onset of menstrual irregularity at a later age. It is now recognized however that the condition of PCOS can exist in women with regular menses.

The most distinctive feature is that of clinical androgen excess. Hirsutism is usually present and can range from mild to severe. Usually hair growth is present on the face and chin as well as the lower abdomen. It is also not uncommon to see frontal hair loss and thinning of scalp hair.

Acanthosis nigricans, a dark thickening of the skin, is often present. It can be found at the base of the neck, the axilla and under the breast. Acne is also often present from adolescence but by itself may not be a distinguishing feature of PCOS.

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