Key clinical features of PCOS of most importance to women (n = 1379). Increased metabolic risk included gestational diabetes, type 2 diabetes, and cardiovascular disease risk factors. Other answer options included body image dissatisfaction (8.3%), reduced quality of life (7.1%), premenstrual syndrome (3.4%), endometrial cancer (3.0%), sleep apnea and snoring (2.8%), fatty liver (2.8%), improvement of symptoms after weight loss (2.6%), and improvement of symptoms with exercise (1.0%).