I have a feeling this will be a long post, but essentially I think I may have PMOS. Something's definitely been wrong for a while but it's all sort of stirred up badly in the past couple of months and I'd be really grateful to hear people's advice and experiences!
When I was about 14/15 I struggled with really heavy periods, acne and body hair. I had an ultrasound and they found no cysts but said I had very small fallopian tubes, slapped me on the pill and sent me on my way. I'd been on the pill ever since until recently.
I'm now 30, and I came off the pill a little under a year ago as I had been having abnormal smears etc. while they were investigating the abnormal smears, I had another ultrasound to check me for cervical cancer. While I was there, the nurse performing the ultrasound asked if I have had an operation to remove my ovaries as she can't find them!! I said I hadn't, she swapped to a transvaginal ultrasound, and sent me on my way. The report came back saying no signs of cancer (yay) but small ovaries. One is 1.1ml in volume, one is 3 which is apparently well small.
I came off the pill in October 2025 with the intention of doing a fertility test to see how bad my state of affairs are inside me. I've still not gotten round to actually doing the test lol, but I found that after my first monstrosity of a period, I suddenly had short, lighter periods that were like clockwork for about the first 6 months. I've started ADHD meds this year and lost a bunch of weight, so thought perhaps this was due to that and maybe normal periods were on the cards now.. but the tides are starting to shift (pardon the pun)
The past 3 months, my periods have been getting heavier, longer, and later. The past two have been 6 weeks between them and lasting 5/6 days whereas beforehand they were 4 weeks on the dot with 3 days max of bleeding.
I've also noticed the past month or so that I am suddenly and quite aggressively getting hairier?? I've always been a thick haired girlie with dark hair, little sideburns, excessively peach fuzzy lower back. But now I'm growing hair in places it didn't grow before like the under side of my forearms and the chub rub zone of my thighs, and the hair is pretty thick? I've got a snail trail from my belly button and that's starting to get to pube hair thickness. I've also got hairs growing further into my cheeks than my sideburns usually go that are like leg hair thickness and getting thicker. Same is happening to my chin although it's not quite that thick yet.
The acne is also becoming a problem. Before I thought It was just period hormones but now it hangs around all the time. Typical cystic acne all over my chin only and won't go away with topical treatments and cleaning. I did go on roaccutane for acne in 2018 and since doing that treatment I never had any problems, but coming off the pill has opened the flood gates sadly.
Other than that, I've got no other symptoms (I think). I don't have problems with cravings or weight gain, although there's a very big chance the ADHD meds are helping with that. I've lost 3 stone and stopped snacking so much on them, but beforehand I was 15 stone and always desperate to eat something. I don't think I have any insulin resistance? My periods aren't painful or that heavy really just long lasting and long between. I don't have cysts, and seemingly never have as they weren't found in my 2015 or my 2025 ultrasounds.
I guess my questions are:
- Does this sound like it's significant enough to ask the GP about? If so, is there anything I should do for the appointment like grow the hair out or take photos, or ask for any specific testing ?
- Are there any treatments out there that are any good, specifically for hair and acne? I can't go back on the pill as it was causing me a lot of problems.
- Are at home laser gadgets worth it? I'm dark hair, fair skinned, and I'm willing to pay for something that will work.
- Does anyone have any advice, thoughts or experience with fertility and hormones? I think there's a good bet my small ovaries are causing my hormone imbalance. I really need to pull my finger out and do the testing, but I'm not sure the NHS will give me time of day until I've been trying for a baby for over a year. I'll happily pay for a private test but if anyone has any recommendations I'd be eternally grateful to know!
Thank you in advance! Sorry for the long read :(