Beaksie, PCOS is caused by insulin resistance. There are certain things that will make insulin resistance worse, one of which is weight gain.
It's possible that if you have gained extra weight recently, it has increased your insulin resistance to the point where PCOS symptoms become much more pronounced.
PCOS is usually diagnosed by hormone tests and a glucose tolerance test. The appearance of polycystic ovaries doesn't actually mean much, despite the name of the syndrome. It's possible to have polycystic ovaries, and have no signs of PCOS, just as it is possible to have all the signs and symptoms of PCOS and normal ovaries. Internal ultrasounds are often used, but don't normally give a conclusive diagnosis.
I'm not sure if it would come up under the recurrent miscarriage tests. My PCOS was diagnosed before we got to that point, but it might be well worth asking your doctor about it. Particularly if you are noticing other symptoms of PCOS such as hair, acne and weight centred around the abdomen.
Hope this helps in some way.
BW


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