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Collectively, these symptoms lead to a progressive decline in the ability to perform daily activities and a significant deterioration in quality of life [36, 37]

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Common signs and symptoms of PCOS due to the above etiologies: Acne Irregular menstrual cycle Anovulatory cycles Abnormal mid cycle bleeding Amenorrhea Excessive or heavy bleeding Alopecia (balding) Hirsutism (excessive body hair) Acanthosis nigricans (hyperpigmentation of the skin) Obesity History of recurrent miscarriages Infertility This condition arises when ovulation does not occur regularly, resulting in multiple cysts in the ovary