My cycles have been very regular and with only minimal pain for a year now(previously they had been very irregular and pretty painful).
The pain seems to come and go without regard to my cycle.
Additional symptoms.....very bad Acne that is mostly around my jawline, back, and between breasts, alopecia(all my hair fell out and regrew about 7 years ago)now it's in spots the size of a nickle/quarter that come and go,...that's about it...