Multi-Symptom Decision Tree

Irregular Periods + Acne

Symptoms: Irregular periods · Hormonal acne · Hirsutism · Hair thinning. Likely cause: PCOS (very likely).

Likely cause

PCOS (very likely)

See condition page →

First steps

  1. Full PCOS workup: testosterone, DHEAS, LH/FSH, SHBG
  2. Transvaginal ultrasound for ovarian morphology
  3. Fasting insulin + A1c

Treatment options

  • Combined OCP
  • Spironolactone (anti-androgen)
  • Metformin (insulin-resistant phenotype)
  • Inositol (myo + d-chiro)

When to see doctor

Cycles consistently >35 days and persistent acne/hirsutism. Earlier for fertility concerns.

Browse providers for PCOS (very likely)Take the matcher

Other symptom combinations

Hot Flashes + Sleep DisruptionBrain Fog + Mood ChangesWeight Gain + FatigueLow Libido + Vaginal DrynessJoint Pain + Muscle LossHair Loss + FatigueHeavy Bleeding + AnemiaDepression + Anxiety

Informational only — a symptom pattern is not a diagnosis. Only a clinician can diagnose the cause of your symptoms.