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PCOD and PCOS: Understanding the Differences

Understand the key differences between PCOD and PCOS, including their causes, symptoms, diagnosis, and treatment approaches for women's health.

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Written by Dr. J T Hema Pratima

Reviewed by Dr. Siri Nallapu MBBS

Last updated on 28th Jul, 2025

Introduction

If you’ve ever heard the terms PCOD (Polycystic Ovarian Disease) and PCOS (Polycystic Ovarian Syndrome), you might wonder if they mean the same thing. While they share similarities, they are different conditions that affect women’s hormonal health. Understanding these differences can help you manage symptoms better and seek the right treatment.

What Are PCOD and PCOS?

PCOD (Polycystic Ovarian Disease)

PCOD is a hormonal imbalance where the ovaries produce immature or partially mature eggs, which can turn into cysts. This leads to enlarged ovaries and irregular periods. PCOD is more common and considered a less severe condition compared to PCOS.

PCOS (Polycystic Ovarian Syndrome)

PCOS is a metabolic and hormonal disorder that affects multiple systems in the body. Unlike PCOD, PCOS is more serious and can lead to long-term complications like diabetes, heart disease, and infertility. Women with PCOS often have higher levels of male hormones (androgens), leading to symptoms like excess hair growth, acne, and weight gain.

Key Differences Between PCOD and PCOS

Feature

PCOD

PCOS

Definition

Hormonal imbalance with immature eggs forming cysts

Metabolic disorder with hormonal imbalance and cysts

Severity

Less severe, manageable with lifestyle changes

More severe, may require medical treatment

Ovulation

May still ovulate (though irregularly)

Often anovulatory (no ovulation)

Fertility Issues

Possible but not always present

Higher risk of infertility

Insulin Resistance

Less common

Very common, leading to diabetes risk

Long-term Risks

Fewer complications

Higher risk of diabetes, heart disease, and endometrial cancer

Common Symptoms of PCOD and PCOS

Both conditions share similar symptoms, but PCOS symptoms are usually more severe:

  • Irregular or missed periods

  • Heavy or painful periods

  • Excess facial or body hair (hirsutism)

  • Acne and oily skin

  • Weight gain (especially around the waist)

  • Hair thinning or male-pattern baldness

  • Darkening of skin (neck, underarms, groin)

  • Difficulty getting pregnant

What Causes PCOD and PCOS?

The exact cause is unknown, but several factors contribute:

1. Hormonal Imbalance

  • High androgens (male hormones) disrupt ovulation.

  • Insulin resistance leads to excess insulin, increasing androgen production.

2. Genetics

If your mother or sister has PCOD/PCOS, you’re more likely to develop it.

3. Lifestyle Factors

  • Poor diet (high sugar, processed foods)

  • Sedentary lifestyle

  • Chronic stress

  • Obesity (increases insulin resistance)

How Do PCOD and PCOS Affect Health?

Short-Term Effects

- Irregular periods

- Skin and hair problems

- Mood swings and anxiety

Long-Term Risks

- Type 2 diabetes (due to insulin resistance)

- Heart disease (high cholesterol, blood pressure)

- Endometrial cancer (from irregular periods)

- Infertility (due to lack of ovulation)

Consult Top Specialists for Personalised Tips

Dr. Rituparna De, Obstetrician and Gynaecologist

Dr. Rituparna De

Obstetrician and Gynaecologist

6 Years • MBBS, MS (Obstetrics & Gynaecology)

Kolkata

MCR SUPER SPECIALITY POLY CLINIC & PATHOLOGY, Kolkata

450

Dr. Bidisha Roy Choudhury, Obstetrician and Gynaecologist

Dr. Bidisha Roy Choudhury

Obstetrician and Gynaecologist

17 Years • MBBS , DNB(Obstetrics & Gynaecology)

Bansdroni

Siddhita Healthcare., Bansdroni

600

Managing PCOD and PCOS: Lifestyle and Treatment

While there’s no cure, lifestyle changes and medical treatments can help manage symptoms effectively.

1. Diet Changes

- Eat whole foods (vegetables, fruits, whole grains, lean protein).

- Avoid sugar and refined carbs (white bread, pastries, sugary drinks).

- Include healthy fats (nuts, seeds, olive oil, avocados).

- High-fiber foods help regulate blood sugar.

2. Regular Exercise

- 30 minutes of moderate exercise daily (walking, yoga, strength training).

- Helps reduce insulin resistance and weight.

3. Stress Management

- Meditation, deep breathing, and adequate sleep help balance hormones.

4. Medical Treatments

- Birth control pills regulate periods and reduce androgen levels.

- Metformin improves insulin resistance.

- Fertility treatments (if trying to conceive).

- Anti-androgen medications reduce hair growth and acne.

5. Natural Remedies

- Spearmint tea may reduce excess hair growth.

- Cinnamon helps regulate blood sugar.

- Omega-3 supplements reduce inflammation.

When to See a Doctor?

If you experience:

  • Irregular or painful periods

  • Unexplained weight gain

  • Excessive hair growth or acne

  • Difficulty getting pregnant

Consult a gynaecologist or endocrinologist for proper diagnosis and treatment.

How Apollo 24|7 Can Help?

If you suspect you have PCOD or PCOS, Apollo 24|7 offers:

  • Expert consultations with gynaecologists

  • Hormonal tests and ultrasounds for diagnosis

  • Personalised treatment plans

You can book a consultation or lab test easily from home through the Apollo 24|7 app.

Conclusion

PCOD and PCOS are not the same, but both require attention. With the right diet, exercise, and medical care, you can manage symptoms effectively and lead a healthy life. If you suspect any symptoms, don’t ignore them—early diagnosis makes a big difference!

Would you like to schedule a consultation or learn more? 

Consult Top Specialists

Dr. Rituparna De, Obstetrician and Gynaecologist

Dr. Rituparna De

Obstetrician and Gynaecologist

6 Years • MBBS, MS (Obstetrics & Gynaecology)

Kolkata

MCR SUPER SPECIALITY POLY CLINIC & PATHOLOGY, Kolkata

450

Dr. Bidisha Roy Choudhury, Obstetrician and Gynaecologist

Dr. Bidisha Roy Choudhury

Obstetrician and Gynaecologist

17 Years • MBBS , DNB(Obstetrics & Gynaecology)

Bansdroni

Siddhita Healthcare., Bansdroni

600

Consult Top Specialists for Personalised Tips

Dr. Sanjan Das, Obstetrician and Gynaecologist

Dr. Sanjan Das

Obstetrician and Gynaecologist

15 Years • MBBS,MS

Bengaluru

Apollo Clinic, Sarjapur Road, Bengaluru

850

Dr. Rituparna De, Obstetrician and Gynaecologist

Dr. Rituparna De

Obstetrician and Gynaecologist

6 Years • MBBS, MS (Obstetrics & Gynaecology)

Kolkata

MCR SUPER SPECIALITY POLY CLINIC & PATHOLOGY, Kolkata

450

Dr. Sangeetha M, Obstetrician and Gynaecologist

Dr. Sangeetha M

Obstetrician and Gynaecologist

20 Years • MBBS,Dipolma in Obstetrics & Gynaecology

Bansdroni

Siddhita Healthcare., Bansdroni

590

Dr. Somdutta Basu, Obstetrician and Gynaecologist

Dr. Somdutta Basu

Obstetrician and Gynaecologist

6 Years • MBBS,MD(Gynae)

Bansdroni

Siddhita Healthcare., Bansdroni

600

500

No Booking Fees

Dr. Bidisha Roy Choudhury, Obstetrician and Gynaecologist

Dr. Bidisha Roy Choudhury

Obstetrician and Gynaecologist

17 Years • MBBS , DNB(Obstetrics & Gynaecology)

Bansdroni

Siddhita Healthcare., Bansdroni

600

Consult Top Specialists

Dr. Sanjan Das, Obstetrician and Gynaecologist

Dr. Sanjan Das

Obstetrician and Gynaecologist

15 Years • MBBS,MS

Bengaluru

Apollo Clinic, Sarjapur Road, Bengaluru

850

Dr. Rituparna De, Obstetrician and Gynaecologist

Dr. Rituparna De

Obstetrician and Gynaecologist

6 Years • MBBS, MS (Obstetrics & Gynaecology)

Kolkata

MCR SUPER SPECIALITY POLY CLINIC & PATHOLOGY, Kolkata

450

Dr. Sangeetha M, Obstetrician and Gynaecologist

Dr. Sangeetha M

Obstetrician and Gynaecologist

20 Years • MBBS,Dipolma in Obstetrics & Gynaecology

Bansdroni

Siddhita Healthcare., Bansdroni

590

Dr. Somdutta Basu, Obstetrician and Gynaecologist

Dr. Somdutta Basu

Obstetrician and Gynaecologist

6 Years • MBBS,MD(Gynae)

Bansdroni

Siddhita Healthcare., Bansdroni

600

500

No Booking Fees

Dr. Bidisha Roy Choudhury, Obstetrician and Gynaecologist

Dr. Bidisha Roy Choudhury

Obstetrician and Gynaecologist

17 Years • MBBS , DNB(Obstetrics & Gynaecology)

Bansdroni

Siddhita Healthcare., Bansdroni

600

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