PCOS (Polycystic Ovary Syndrome) is a common hormonal disorder that affects people with ovaries, usually during reproductive years. It’s marked by irregular periods, high levels of androgens (male hormones), and ovarian cysts or follicles that can affect ovulation.
π What Causes PCOS?
The exact cause isn’t fully known, but contributing factors include:
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Insulin resistance (common in PCOS)
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Genetics
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Low-grade inflammation
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Hormonal imbalances, especially excess androgens
π Common Symptoms of PCOS
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Irregular or missed periods
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Excess facial/body hair (hirsutism)
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Acne or oily skin
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Thinning hair or hair loss on the scalp
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Weight gain or difficulty losing weight
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Dark patches on the skin (acanthosis nigricans)
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Ovarian cysts or enlarged ovaries
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Difficulty getting pregnant (due to irregular ovulation)
π§ͺ How Is PCOS Diagnosed?
Diagnosis usually includes:
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Medical history + symptoms
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Blood tests – to check hormone and insulin levels
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Ultrasound – to examine ovaries and uterine lining
You may be diagnosed with PCOS if you meet at least 2 out of 3 of the following (Rotterdam criteria):
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Irregular ovulation
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High androgen levels
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Polycystic ovaries on ultrasound
π‘ How Is PCOS Treated?
While there’s no “cure,” PCOS can be well managed with lifestyle changes, medications, and hormone support.
πͺ 1. Lifestyle Changes (First-line treatment)
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Balanced diet: Low in refined carbs and sugars; focus on fiber, protein, and healthy fats
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Regular exercise: Helps with insulin resistance and weight balance
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Stress management: Cortisol affects hormones too
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Weight management (if needed): Even a 5–10% loss can improve symptoms
π 2. Medications
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Birth control pills: Regulate periods, reduce acne and excess hair
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Metformin: Improves insulin sensitivity
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Spironolactone: Reduces excess hair and acne
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Clomiphene or Letrozole: Help with ovulation if trying to conceive
πΏ 3. Natural & Supplemental Support
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Inositol (Myo- and D-chiro) – helps regulate insulin and ovulation
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Spearmint tea – may reduce androgen levels
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Magnesium & zinc – support hormone and blood sugar balance
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Vitamin D – often low in women with PCOS
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Adaptogens (like maca or ashwagandha) – for stress and adrenal support
π€° PCOS & Fertility
PCOS is one of the leading causes of infertility, but many women conceive with the right treatment—often with ovulation support, lifestyle changes, or fertility medications.
𧑠Bottom Line:
PCOS is a complex condition, but with the right approach, symptoms can be reduced, cycles can be regulated, and long-term health risks (like diabetes and heart disease) can be managed.
Would you like:
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A symptom tracker for PCOS?
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A visual PCOS treatment guide for social media?
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Or a sample hormone-friendly PCOS meal plan?