Living with PCOS: More Than Just a Hormonal Imbalance
Polycystic Ovary Syndrome, commonly known as PCOS, is one of the most common yet misunderstood hormonal disorders affecting women of reproductive age. It’s a condition that quietly affects nearly 1 in 10 women globally—but because it presents so differently from person to person, many women don’t even realise they have it until they’re facing challenges with their health, skin, or fertility.
So, what exactly is PCOS, and why does it matter?
What is PCOS?
PCOS is a condition that affects how the ovaries work. It’s characterised by a hormonal imbalance—particularly elevated levels of androgens (male hormones)—and often includes irregular menstrual cycles, multiple small cysts on the ovaries, and metabolic issues like insulin resistance.
But the truth is, PCOS is not just a “reproductive” issue. It impacts almost every system in the body, from metabolism to mood, skin to sleep.
The Many Faces of PCOS
No two women with PCOS experience it the same way. That’s part of what makes it so frustrating—and difficult to diagnose. Some of the most common symptoms include
- Irregular or missed periods
- Weight gain or difficulty losing weight
- Excess facial or body hair (hirsutism)
- Acne, especially along the jawline and cheeks
- Fatigue or low energy
- Thinning hair on the scalp
- Fatigue or low energy
- Mood swings, anxiety, or depression
- Difficulty getting pregnant
And still, some women with PCOS may have little to no visible symptoms, which is why awareness and routine health checkups are so important.
What Causes PCOS?
There’s no single cause of PCOS, but it’s believed to result from a combination of genetic and environmental factors. Insulin resistance—a condition where the body doesn’t respond well to insulin and makes more of it—plays a big role. High insulin levels can lead the ovaries to produce more androgens, disrupting ovulation and triggering many of the symptoms associated with PCOS.
Living with PCOS: A Daily Balancing Act
Managing PCOS often feels like a balancing act—between diet, exercise, stress, and hormones. But with the right tools and knowledge, it is absolutely manageable. Here are some key ways to live well with PCOS:
1. Nutrition First
A whole-food, low-glycemic diet can help stabilise blood sugar levels. Think: plenty of vegetables, lean proteins, healthy fats, and whole grains. Reducing processed carbs and sugar can also ease inflammation and support hormonal balance.
2. Move with Purposet
Exercise helps improve insulin sensitivity and supports mental health. It doesn’t have to be intense—even daily walks, yoga, or strength training can make a huge difference.3.
3. Prioritise Mental Health
PCOS is linked with higher rates of anxiety and depression. Therapy, journaling, meditation, or simply talking to someone can help. Managing stress is just as important as managing your diet.
4. Know Your Options
From hormonal birth control to insulin-sensitising drugs like Metformin, there are treatments available. Some women benefit from natural supplements like inositol or vitamin D. It’s about finding what works for your body—with the guidance of a healthcare provider.
PCOS and Fertility: Hope is Not Lost
For many, PCOS becomes especially visible when trying to conceive. The good news? It’s one of the most treatable causes of infertility. With lifestyle adjustments and fertility support (like ovulation-inducing medication), many women with PCOS go on to have healthy pregnancies.
Why We Need to Talk About It
PCOS isn’t just a “women’s issue.” It’s a global health issue—one that deserves attention, funding, research, and compassion. By breaking the silence, sharing real stories, and empowering others with knowledge, we can change the narrative.
