Hi kim,
I am a person with PCOS (polycystic ovarian syndrome). My ultrasound came back clear, but I did have an internal ultrasound done and it determined the cysts. But inorder to tell if you have the syndrome is through blood work and internal exams. As for hot flashes, almost all women go through these at least once in their lives. For PCOS symptoms, not everyone has the traditional symptoms. I have had PCOS since I was (first detected) 18. my first period was at the age 8 and then a few years later. My periods are extremely painful and can last from 12 days to 3 months and are usually extremely heavy. If your periods are irregular and you find that the pill doesn't work, then try enducing your period with provera (every 3 months). I would recommend seeing a reproductive gyno or an endocrinologist. They seem to know more about this subject. Try taking 800mg ibuprophen 3 times daily during your pain, but do not exceed that dosage in a 24 hour period. I'm not a doctor, but I have had a lot of experience with this and it's complications. As for weight, if you do have PCOS then it can be very hard to lose weight. I have tried many plans and they did not work. One plan that has worked for me is "the 3 hour diet" by jorge cruise. But if your serious about the weight loss than you need to follow his plan to the tee and you should notice results within you first 2 weeks. Exercise to what he states and not less nor more than that and it should work. Good luck, popples.