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The earliest symptoms of polycystic ovarian disease (PCOD), also known as PCOS, tend to start shortly after a woman has attained puberty. However, the manifestation of the symptoms varies from one female to another. Some develop symptoms during the later stages of their teenage years while others start experiencing the signs early on in adulthood. One problem of PCOD is the symptoms are often mistakenly attributed to other problems. In some cases, they might even go completely unnoticed until it’s too late. That’s why it’s so important to treat PCOS and not leave the condition undiagnosed. A good way to understand whether a woman has PCOS is to check the menstrual cycle. PCOS patients normally report missed or irregular periods due to lack of ovulation. Although there are a few women who develop ovarian cysts, others do not.