I agree with Stacie. Most of the time you are genetically prone to something, it will not show until certain circumstances present themselves. IE Hormone shifts, (prg., starting your period).
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PCOS is genetic and tends to be passed on through your father. When you mentioned your grandmother and cousins...are they on your father's side of the family? I'd be interested to know if that fact I heard is acurrate.
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Where did you hear this? All of my relatives that I would have gotten it from are on my mom's side.