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PCOS and PCOD: Symptoms and Differences

Know about PCOS & PCOD , causes, symptoms, key differences between them, how it affects health and how to manage them and more.

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Written by Dr. Shaik Abdul Kalam

Reviewed by Dr. Siri Nallapu MBBS

Last updated on 31st Jul, 2025

Introduction

Polycystic Ovary Syndrome (PCOS) and Polycystic Ovarian Disease (PCOD) are common hormonal disorders affecting women, especially during their reproductive years. While they share similarities, they are not the same. Understanding the differences, symptoms, and management strategies can help women take better control of their health.

Consult a top gynaecology specialist for the best advice

Dr. Parul Sharma, Obstetrician and Gynaecologist

Dr. Parul Sharma

Obstetrician and Gynaecologist

8 Years • MBBS, MS (Obstetrics & Gynaecology)

New Delhi

THE DOCTORS NESST, New Delhi

1000

800

Dr. Mona Yadav, Obstetrician and Gynaecologist

Dr. Mona Yadav

Obstetrician and Gynaecologist

19 Years • MBBS, MD (Obstetrics & Gynaecology)

Dombivli

Nulife multispeciality, Dombivli

700

What Are PCOS and PCOD?

PCOS and PCOD are:

PCOD (Polycystic Ovarian Disease)

PCOD is a condition where the ovaries produce immature or partially mature eggs, which can turn into cysts. This leads to hormonal imbalances, irregular periods, and other symptoms. PCOD is more common and often manageable with lifestyle changes.

PCOS (Polycystic Ovary Syndrome)

PCOS is a more severe metabolic disorder where the ovaries produce excess androgens (male hormones), leading to multiple cysts, insulin resistance, and long-term health risks like diabetes and heart disease. PCOS requires medical intervention and lifestyle modifications.

Key Differences Between PCOS and PCOD

Feature

PCOD

PCOS

Severity

Less severe, more common

More severe, metabolic disorder 

Ovulation

May still ovulate

Often anovulatory (no ovulation)

Fertility

Possible with treatment

Higher risk of infertility

Hormones 

Mild hormonal imbalance 

High androgens (testosterone)

Health Risks

Mostly manageable

Higher risk of diabetes, heart disease

Common Symptoms of PCOS and PCOD

Many symptoms overlap, but PCOS tends to be more severe:

1. Irregular or Missed Periods – Due to hormonal imbalances.

2. Excess Hair Growth (Hirsutism) – On the face, chest, or back due to high androgens.

3. Acne and Oily Skin – Caused by hormonal fluctuations.

4. Weight Gain – Especially around the abdomen (common in PCOS).

5. Hair Thinning or Male-Pattern Baldness – Due to excess androgens.

6. Darkening of Skin – Especially in neck creases, underarms (Acanthosis Nigricans).

7. Difficulty Getting Pregnant – Due to irregular ovulation.

8. Mood Swings & Fatigue – Linked to insulin resistance and hormonal changes.

What Causes PCOS and PCOD?

The exact cause is unknown, but factors include:

  • Insulin Resistance – High insulin levels increase androgen production.

  • Hormonal Imbalance – Excess androgens disrupt ovulation.

  • Genetics – Family history plays a role.

  • Inflammation – Low-grade inflammation is linked to PCOS.

  • Lifestyle Factors – Poor diet, lack of exercise, and stress worsen symptoms.

How Does PCOS/PCOD Affect Health?

If left unmanaged, these conditions can lead to:

  • Type 2 Diabetes (due to insulin resistance)

  • Heart Disease (high cholesterol, blood pressure)

  • Endometrial Cancer (from irregular periods)

  • Infertility (due to lack of ovulation)

  • Sleep Apnea & Depression

Managing PCOS and PCOD

While there’s no cure, symptoms can be managed effectively:

1. Dietary Changes

  • Eat low-glycemic foods (whole grains, lentils, vegetables).

  • Include lean proteins (chicken, fish, tofu).

  • Avoid sugary, processed foods.

  • Add anti-inflammatory foods (turmeric, nuts, berries).

2. Regular Exercise

  • Helps with weight loss, insulin sensitivity, and hormone balance.

  • Try yoga, walking, or strength training.

3. Stress Management

  • Practice meditation, deep breathing, or mindfulness.

  • Get 7-8 hours of sleep daily.

4. Medical Treatments

  • Birth control pills (regulate periods).

  • Metformin (improves insulin resistance).

  • Fertility treatments (if trying to conceive).

5. Natural Remedies

  • Spearmint tea (reduces excess hair growth).

  • Inositol supplements (improves insulin sensitivity).

When to See a Doctor?

Consult a doctor if you experience:

  •  Irregular or absent periods

  •  Unexplained weight gain

  •  Severe acne or excess hair growth

  •  Difficulty conceiving

Early diagnosis and treatment can prevent complications.

Final Thoughts

PCOS and PCOD can be challenging, but with the right lifestyle changes and medical support, symptoms can be managed effectively. If you’re experiencing any signs, don’t ignore them but taking early action makes a big difference. 

Consult a top gynaecology specialist for the best advice

Dr. Parul Sharma, Obstetrician and Gynaecologist

Dr. Parul Sharma

Obstetrician and Gynaecologist

8 Years • MBBS, MS (Obstetrics & Gynaecology)

New Delhi

THE DOCTORS NESST, New Delhi

1000

800

Dr. Mona Yadav, Obstetrician and Gynaecologist

Dr. Mona Yadav

Obstetrician and Gynaecologist

19 Years • MBBS, MD (Obstetrics & Gynaecology)

Dombivli

Nulife multispeciality, Dombivli

700

Consult a top gynaecology specialist for the best advice

Dr. Parul Sharma, Obstetrician and Gynaecologist

Dr. Parul Sharma

Obstetrician and Gynaecologist

8 Years • MBBS, MS (Obstetrics & Gynaecology)

New Delhi

THE DOCTORS NESST, New Delhi

1000

800

Dr. Mona Yadav, Obstetrician and Gynaecologist

Dr. Mona Yadav

Obstetrician and Gynaecologist

19 Years • MBBS, MD (Obstetrics & Gynaecology)

Dombivli

Nulife multispeciality, Dombivli

700

Dr. Asha Rani Singh, Obstetrician and Gynaecologist

Dr. Asha Rani Singh

Obstetrician and Gynaecologist

24 Years • MBBS DGO

Delhi

Dr Asha Rani Singh Clinic, Delhi

875

Dr. K Anusha, Obstetrician and Gynaecologist

Dr. K Anusha

Obstetrician and Gynaecologist

4 Years • MBBS, DGO

Yemmiganur

SRINIVASAA HOSPITAL, Yemmiganur

180

180

Dr. Tuhin Dutta, Obstetrician and Gynaecologist

Dr. Tuhin Dutta

Obstetrician and Gynaecologist

15 Years • MBBS , DGO (Obstetrics & Gynaecology)

Kolkata

BIENETRE CLINIC, Kolkata

750

Consult a top gynaecology specialist for the best advice

Dr. Parul Sharma, Obstetrician and Gynaecologist

Dr. Parul Sharma

Obstetrician and Gynaecologist

8 Years • MBBS, MS (Obstetrics & Gynaecology)

New Delhi

THE DOCTORS NESST, New Delhi

1000

800

Dr. Mona Yadav, Obstetrician and Gynaecologist

Dr. Mona Yadav

Obstetrician and Gynaecologist

19 Years • MBBS, MD (Obstetrics & Gynaecology)

Dombivli

Nulife multispeciality, Dombivli

700

Dr. Asha Rani Singh, Obstetrician and Gynaecologist

Dr. Asha Rani Singh

Obstetrician and Gynaecologist

24 Years • MBBS DGO

Delhi

Dr Asha Rani Singh Clinic, Delhi

875

Dr. K Anusha, Obstetrician and Gynaecologist

Dr. K Anusha

Obstetrician and Gynaecologist

4 Years • MBBS, DGO

Yemmiganur

SRINIVASAA HOSPITAL, Yemmiganur

180

180

Dr. Tuhin Dutta, Obstetrician and Gynaecologist

Dr. Tuhin Dutta

Obstetrician and Gynaecologist

15 Years • MBBS , DGO (Obstetrics & Gynaecology)

Kolkata

BIENETRE CLINIC, Kolkata

750

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