Polycystic Ovary Syndrome (PCOS) can present with various symptoms. Common ones include:

1. Irregular Menstrual Cycles: Inconsistent or prolonged menstrual cycles.

2. Ovulation Issues: Difficulty or infrequency in ovulation.

3. Hyperandrogenism: Elevated levels of male hormones, leading to symptoms like acne, hirsutism (excess hair growth), and male-pattern baldness.

4. Polycystic Ovaries: Enlarged ovaries containing small fluid-filled sacs (follicles) that may surround the eggs.

5. Insulin Resistance: Challenges in the body's ability to use insulin efficiently, potentially leading to weight gain and difficulty managing blood sugar levels.

6. Weight Gain: Difficulty in maintaining or losing weight.

7. Fatigue: Persistent lack of energy.

8. Skin Issues: Skin tags, darkening of skin in certain areas (acanthosis nigricans).

9. Mood Changes: Mood swings, anxiety, or depression.

10. Sleep disturbances: Trouble sleeping or disrupted sleep patterns.

It's important to note that not everyone with PCOS experiences all these symptoms, and their severity can vary. Consultation with a healthcare professional is essential for an accurate diagnosis and tailored management plan.