Polycystic Ovarian Syndrome, commonly known as PCOS, wreaks havoc on the lives of millions of women. As many as 1 in 10 women have PCOS—and most are not aware that they have it. These women do not understand why they are gaining weight that they cannot seem to lose, why they start balding, why they have to pluck chin hair day-in, day-out. Most heartbreakingly, these women do not understand that miscarriage is triggered by this vile condition.

Many people view PCOS as a cosmetic problem, not realizing its potentially devastating consequences. We need more awareness around PCOS. Here’s a list of questions you can ask yourself to help you know whether you might be struggling with PCOS.

1. Are your periods irregular?

Irregular periods, especially cycles that last 35+ days, often correspond with PCOS. This is called amenorrhea. And even though it may sound convenient not to have to deal with your period, it’s not. Not having your period means that you rarely ovulate. If you do not ovulate, you cannot become pregnant—and worse, you are at a greater risk for miscarriage. Cases where amenorrhea is caused by low estrogen levels can also put women at risk for osteoporosis.

2. Is the hair on your face migrating from your scalp to your chin?

Yes, this happens, It’s called androgen excess—a very common symptom for women with PCOS. Androgen excess can cause a whole bevy of issues including excessive facial and body hair, and male-pattern baldness. Not fun :(

3. Do you have acne all over?

PCOS-related acne tends to flare up in areas that are usually considered “hormonally sensitive,” especially the lower third of the face. Cheeks, jawline, chin, and upper neck—be warned.

4. Are you overweight?

More than 60% of women who have PCOS are also overweight. PCOS makes it more difficult for the body to use the hormone insulin, which normally helps convert sugars and starches from foods into energy. The insulin builds up in the bloodstream, and high insulin levels make gaining weight all too easy. Once the additional weight has arrived, losing it is impossibly difficult. The most maddening part? The weight gain is cyclical in nature: The more weight you gain, the greater your insulin resistance, the more weight you gain. Ugg.

So, do I have PCOS?

If you have answered “yes” to more than 3 of the above 4 questions above, then it’s time to talk to your doctor about PCOS. Though there is no cure, PCOS can be managed—early identification and treatment are essential to minimizing some of the condition’s effects. Plus, the earlier you know, the more options you have for getting help and taking your health into your own hands.

Got more questions? The Glow Fertility Program is here to help you find all the information you need. Call 1-866-GLOW-NOW (1-866-456-9669) and talk to one of our experienced fertility coaches today.

Note: This piece was adapted from an article that originally appeared on Glow’s blog.

Underweight