LittleBean18-
I am the atypical PCOS presentation. I'm not overweight, no excess body hair, no male pattern balding, etc. Really, what clued me in was the acne and irregular periods. To be honest with you, I've been on BCP so long I can't tell you what 'normal' is for me, with regards to my cycles. All I can tell you is I went months without a period. But I also never remember bad or painful cycles. Never had cramping, or severe mood swings, etc.
Now that I'm off birth control and am in the process of 'regulating' (as my ob/gyn likes to call it, ha ha ha), I'm waiting for my 3rd AF. The first cycle was a dream come true. Surge of hormones. Felt like my libido went through the roof (until that month I had low to almost non-existent libido.) but the acne came back with a vengeance. I actually felt like I ovulated!!!! 28 days later I had my period. Last month it took 35 days for AF to come but I had no libido, acne, no ovulation symptoms, etc. I had weird mid-cycle severe cramping 2 weeks before AF, not ovulation pain. I'm not convinced I ovulated. This month.... Well, I'm on CD 30 now and had some spotting yesterday but nothing today. And again, no libido, acne, feeling cold all the time... I don't think I ovulated.
My OB/GYN says the biggest indicator of PCOS is usually taken from the history vs tests like blood work or ultrasound (which I have had both). You need 2 criteria to qualify for having it. Mine were irregular periods and acne.
I've done a TON of research since then and have started a low GI diet and have strictly reduced gluten, dairy, and eliminated caffeine and alcohol. Hopefully it helps but it's only been a month so too early to tell.
PeterPanWendy- welcome! I just joined this thread a couple weeks ago. I'm interested to hear how your experience with Clomid and Femara has been considering I have a feeling it is in my not too distant future. Any side effects?