This condition produces irregular cycles in females, signs of over production of androgens, weight gain, acne, increase hair growth and is often accompanied by infertility. It sometimes is part of a greater picture, which is called Metabolic Syndrome, which includes hypertension. There is often a link to diabetes, with a family history of such. An ultrasound of the ovaries displays multiple small cysts in the ovaries, which are follicles, which have not fully ovulated. The ovary is enlarged and dense. A blood test reveals a number of changes of the major female hormone, FSH (follicle stimulating hormone), and LH (luteinizing hormone). When this condition is diagnosed there are many areas requiring attention and treatment.