Hi Tarryn! Frequent exhaustion, adult acne, pelvic discomfort and anxiety could all be symptoms of PCOS. However, the best thing to do is to get a diagnosis from the doctor. If this is not accessible, try monitoring any other symptoms you have (irregular periods, excessive body hair growth, etc.) and finding patterns. Treatments like exercise and nutrition are usually effective for a number of issues similar to PCOS. You should definitely see a doctor for pelvic discomfort, though.