The major features of PCOS are obesity, excessive body hair, acne, increased serum testosterone levels, disturbed insulin metabolism, menstrual cycle disturbances and infertility.
PCOS patients show significant reductions in quality-of-life, increased psychological disturbances and a decreased sexual satisfaction compared with those undiagnosed with this condition. Among the changes mentioned above, the increased BMI (obesity) and hirsutism have been shown to cause the greatest negative impact on quality-of-life and sexual satisfaction. Metabolic and endocrine parameters along with menstrual irregularities and infertility appear to have a lower impact.
(source: European Journal of Endocrinology, 2005 Dec.)