7 Things You Probably Didn’t Know About PCOS (Polycystic Ovarian Syndrome)

Posted on August 1, 2025 by Inception Fertility

Polycystic Ovary Syndrome (PCOS) is a common hormonal condition, but most common knowledge barely scratches the surface. Though PCOS is often associated with missed periods, fertility issues, and unwanted hair growth, there’s more to this condition than meets the eye. Let’s dive into some lesser-known facts about PCOS that might surprise you! 

 

1. You Don’t Need Ovarian Cysts to Have PCOS 

Despite the name Polycystic Ovary Syndrome, not all women with PCOS have ovarian cysts. The term “polycystic” refers to the small, underdeveloped follicles that often appear on the ovaries of women with PCOS. However, the presence of cysts is not a requirement for diagnosis. PCOS is primarily diagnosed based on hormonal imbalances and other key symptoms, such as irregular periods and excess androgens (male hormones). 

 

2. PCOS Can Affect Women of All Shapes and Sizes 

There’s a common misconception that PCOS only impacts women who are overweight. While it’s true that many women with PCOS struggle with weight gain due to insulin resistance, plenty of women with PCOS have a normal or lower body mass index (BMI). The condition can affect women across the weight spectrum, though it may manifest differently in each person. 

 

3. PCOS Is Linked to Insulin Resistance 

PCOS is often considered a reproductive disorder, but it’s closely tied to metabolic health. Many women with PCOS experience insulin resistance, where the body’s cells don’t respond effectively to insulin. This can lead to high blood sugar levels and an increased risk of type 2 diabetes. Insulin resistance can also worsen other symptoms of PCOS, such as weight gain and hormonal imbalances. 

 

4. It’s More Common Than You Think 

PCOS is one of the most common hormonal disorders in women. It’s estimated that PCOS affects 1 in 10 women of reproductive age in the US. Despite its prevalence, more than half of women remain undiagnosed due to the condition’s complex and varied symptoms. Raising awareness can help more women get the care they need. 

 

5. PCOS Can Impact Your Mental Health 

PCOS doesn’t just affect the body, it can also take a toll on your mental health. Many women with PCOS report experiencing anxiety, depression, and mood swings. The physical symptoms of PCOS, such as unwanted hair growth, acne, and weight gain, can lead to body image concerns and low self-esteem. Additionally, the hormonal fluctuations associated with PCOS can exacerbate mental health issues. 

 

6. Lifestyle Changes Can Make a Huge Difference 

While there’s no cure for PCOS, many of its symptoms can be managed with lifestyle changes. Regular exercise and a healthy, balanced diet can help regulate blood sugar levels, improve insulin sensitivity, and promote hormonal balance. High fiber veggies and complex carbs, lean protein, and anti-inflammatory foods are recommended. Losing even a small amount of weight can have a significant impact on improving menstrual regularity and reducing symptoms. 

 

7. PCOS Can Increase the Risk of Other Health Conditions 

Women with PCOS are at a higher risk of developing certain long-term health conditions, including: 

  • Type 2 diabetes: Due to insulin resistance, women with PCOS are more prone to developing diabetes. 

  • Heart disease: PCOS is linked to higher cholesterol levels, high blood pressure, and other cardiovascular risk factors. 

  • Endometrial cancer: Irregular periods and the lack of ovulation can cause the lining of the uterus (endometrium) to thicken over time, increasing the risk of endometrial cancer. 

Early diagnosis and proactive management of PCOS can help reduce the risk of these complications. 

 

Conclusion 

PCOS is a condition that affects many aspects of a woman’s health. Whether it’s its connection to insulin resistance or its potential impact on mental health, there’s so much more to PCOS than people often realize. 

 

At IVFMD, we want to highlight the importance of spreading awareness about this common yet misunderstood condition and empower women to seek proper care and support. If you are struggling to conceive, schedule a consultation with one of our board-certified reproductive endocrinologists 

 

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