I was tested for PCOS back when I was about 18-19y-o due to having bad acne and both the hormone tests and the ultrasound were clear. That was 12 years ago. I've been on hormonal contraception for 5 years (4 years of the combined pill and 1 year of the progesterone-only pill) and my periods have completely stopped since I started the POP. Before that, my periods were (very conveniently) like clockwork, both before starting the combined pill and while on it, so I never had any worries.
A few months back, I decided to have a full gynecological check-up, and, during the vaginal ultrasound, the doctor said something like "oh, look at that" at which point I asked what's wrong and he said "nothing, you just have lots of follicles". I had a new ultrasound just last week, due to pelvic pain, and this time the doctor determined my ovaries had a "polycystic shape". Once more, I asked if that's bad and she said that it isn't, as long as I ovulate every month.
Does anyone else have this - i.e. polycystic shape without a diagnosed PCOS?
Shall I be worried about my fertility?
Is it possible that this was caused by the long-term use of the pill (especially the POP, which has stopped my period)?
Could this be a cause of pelvic pain (I got contradictory information from the gynecologist who said no and my GP who said yes).