POCS Signs, Symptoms, and Diagnosis

Ten million women throughout the globe struggle with the hormonal disorder known as PCOS. When a woman has polycystic ovary syndrome (PCOS), her body may overproduce androgens or male sex hormones. (They tend to be in short supply in women.) Why? Because PCOS is characterized by reproductive and metabolic problems but not by polycystic ovaries (formation of fluid-filled sacs, or cysts, in the ovaries).

Learning the typical symptoms of PCOS is the first step in comprehending the condition. Examine some of the most prevalent ones listed below to see if PCOS might be the cause of your health problems.

One Possible Symptom of PCOS Is Unreliable or Irregular Periods

Having periods that are erratic and difficult to anticipate is one symptom (called oligomenorrhea). This is more than a random delay of two or three days; it indicates that your cycle lasts longer than 35 days. A typical menstrual cycle lasts 22 to 35 days due to low progesterone levels in PCOS women and can range from extremely light to extremely heavy.

The Inability to Conceive is a Hallmark Symptom of the Syndrome

It's difficult for women with PCOS to conceive. In fact, PCOS is a leading cause of infertility among women. Inadequate ovulation is the root cause of infertility. Although a woman may be getting her period (albeit highly late), this is no guarantee that she is ovulating. The need for ovulation is unnecessary for a woman to get her period. This is why some women may not realize there is a problem with their fertility until they have tried unsuccessfully for several months.

Unwanted Hair Growth in Unusual Areas of the Body (Hirsutism)

Increased levels of androgens (male hormones) are a symptom of PCOS, which causes women to develop hair where it is not intended. Women with polycystic ovary syndrome commonly have this condition all over their bodies, but especially on their faces, arms, backs, chests, thumbs, toes, and bellies. Nevertheless, your risk for this symptom varies based on your ethnic background, which may make you more prone to excessive hair growth. Pay special attention to this symptom. Hirsutism was substantially associated with metabolic issues in women with polycystic ovary syndrome.

Contrarily, Hair loss may Indicate Polycystic Ovary Syndrome (PCOS)

There's a chance of excessive hair growth and loss, so it's best to be prepared for both. Females with high levels of androgens are at risk for "male pattern" hair loss, which manifests as a gradual thinning of hair on the crown or a receding hairline, especially after menopause.

Increasing Androgen Levels may Increase the Likelihood of Acne in some skin Types

The adverse effects of increased androgens manifest themselves again in skin disorders like acne.

PCOS may raise the Risk of Obesity and Overweight

Overweight or obesity affects 50% of women with PCOS; however, even very slim women can be affected by the condition. A correct diagnosis may be delayed by the misconception that all women with polycystic ovary syndrome are overweight or obese.

PCOS is Associated with mood Disorders, Including Depression and Anxiety

Around 25% of women with PCOS also suffer from a mental illness. Disorders of food and body image are among them. A Your doctor should do a mental health screening to better assist you.

Insulin Resistance, a Characteristic of type 2 Diabetes, is Associated to PCOS

Insulin, a hormone that helps transport glucose to cells for fuel, is often not well received by women with PCOS. Insulin resistance is the body's lack of insulin reaction. Between two-thirds to three-quarters of PCOS women also have insulin resistance. (This is the root of the metabolic issues accompanying PCOS.) Type 2 diabetes is characterized by insulin resistance. However, persons with insulin resistance do not necessarily go on to acquire diabetes.

Difficulty Sleeping and the Accompanying Exhaustion are Symptoms of Polycystic Ovary Syndrome

Women with PCOS frequently report feeling fatigued and lacking in energy. One possible cause is that PCOS women are more prone to suffer from sleep apnea, a kind of disorder characterized by short pauses in breathing. Sleep disturbances and insomnia can make mood issues much worse.

How can Medical Professionals Determine and what to Anticipate?

Precocious ovarian syndrome (PCOS) may develop in adolescence or middle age. A lady developing this illness in her thirties or forties is improbable but not impossible. Yet, there are several barriers that women patients must overcome before receiving a correct diagnosis.

Consult Doctors

Many women avoid discussing their health with doctors, and those who do often seek out the help of many specialists for their various complaints. This doesn't make any sense.


Nonetheless, statistics show that the United States spends $4 billion each year on diagnosis and therapy. See a doctor if you have any of these symptoms or are having problems conceiving. Symptoms and physical condition are generally the focus of a doctor's examination.

Diagnosis of Polycystic Ovarian Syndrome (PCOS)

The Endocrine Society's 2013 recommendations recommend utilizing the Rotterdam criteria for diagnosing. Androgen excess (as seen in acne, hirsutism, hair loss, or androgen excess), polycystic ovaries, and ovulatory dysfunction (as seen in irregular menstruation) are diagnostic of the polycystic ovarian syndrome (PCOS) in women (found on an ultrasound). In other words, ovarian cysts are not a necessity. The woman's doctor also has some say in whether or not she has them. PCOS is difficult to diagnose due to the similarity of its symptoms to those of other diseases. Women often require three doctors' opinions before receiving a diagnosis.

Test Blood and Urine

Menstrual problems are a common reason women see an obstetrician. As there is currently no definitive test for PCOS, the condition is often identified by the process of elimination. This cluster includes hypothyroidism, excessive prolactin, Cushing syndrome, and acromegaly. This can only be determined by testing blood and urine.

When to seek Medical Help?

Have a conversation with your doctor if you think you might have PCOS. Solace is one benefit. Teenage girls have been recorded as stating things such as, "My period is wild" or "I'm scared I'm going to bleed to death," and as adding, "I felt there was something wrong the whole time." Second, it's vital to detect PCOS early so that related health issues, including type 2 diabetes (due to insulin resistance), heart disease, high blood pressure (hypertension), sleep apnea, and stroke, can be prevented.

Updated on: 07-Mar-2023


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