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Difference Between PCOS and PCOD Explained

Know about PCOD,PCOS, symptoms, causes and key differences between them, diagnosis and tips on how to manage them successfully.

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Written by Dr. Vasanthasree Nair

Reviewed by Dr. Siri Nallapu MBBS

Last updated on 18th Oct, 2025

Difference Between PCOS and PCOD Explained

Introduction

If you've ever heard the terms PCOS (Polycystic Ovary Syndrome) and PCOD (Polycystic Ovary Disease) used interchangeably, you're not alone. Many people assume they mean the same thing, but there are key differences between the two. Understanding these differences can help you take better care of your health and seek the right treatment if needed.

Let’s break it down in simple terms.

What is PCOD?

PCOD (Polycystic Ovary Disease) is a condition where the ovaries produce immature or partially mature eggs, which can turn into cysts over time. This leads to enlarged ovaries and hormonal imbalances.

Consult Top Gynaecologists

Symptoms of PCOD

The symptoms of PCOD are:

  • Irregular or missed periods

  • Heavy bleeding during periods

  • Weight gain

  • Acne and oily skin

  • Hair loss or excessive facial hair (hirsutism)

  • Difficulty getting pregnant

Causes of PCOD

The causes of PCOD include:

  • Hormonal imbalance (high levels of androgens—male hormones)

  • Insulin resistance (body struggles to use insulin properly)

  • Genetics (runs in families)

  • Lifestyle factors (poor diet, lack of exercise, stress)

PCOD is more common and can often be managed with lifestyle changes.

What is PCOS?

PCOS (Polycystic Ovary Syndrome) is a more severe metabolic disorder that affects not just the ovaries but also the body's insulin levels, heart health, and overall hormonal balance.

Symptoms of PCOS

All symptoms of PCOD, plus:

  • Severe insulin resistance (leading to diabetes risk)

  • Dark patches on skin (acanthosis nigricans)

  • Higher risk of heart disease and high blood pressure

  • Sleep apnea (breathing problems during sleep)

Causes of PCOS

The causes of PCOS include:

  • Strong genetic link

  • Chronic insulin resistance

  • Inflammation in the body

PCOS is less common but has more serious long-term health risks if left untreated.

Key Differences Between PCOD and PCOS

Feature

PCOD

PCOS

Definition

Ovaries contain immature eggs forming cysts

A metabolic disorder affecting hormones & insulin

Severity

Less severe, manageable with lifestyle changes

More severe, higher health risks

Fertility Issues

Can still conceive with treatment

Higher difficulty in conceiving

 Insulin Resistance

May or may not be present

Almost always present

Long-term Risks

Mostly hormonal issues

Diabetes, heart disease, high BP risks

How Are They Diagnosed?

Both conditions are diagnosed through:

  • Blood tests (hormone levels, insulin, cholesterol)

  • Pelvic ultrasound (to check for cysts)

  • Medical history review

If you experience symptoms like irregular periods, excessive hair growth, or sudden weight gain, consult a doctor for proper diagnosis.

How to Manage PCOD & PCOS?

1. Dietary Changes

Foods to eat and avoid include:

  • Eat whole foods: Fruits, vegetables, whole grains, lean proteins.

  • Avoid sugar & refined carbs: They worsen insulin resistance.

  • Healthy fats: Nuts, seeds, olive oil help balance hormones.

2. Regular Exercise

Regular exercises include:

  • 30 minutes daily (walking, yoga, strength training).

  • Helps in weight management and insulin sensitivity.

3. Stress Management

Practice meditation, deep breathing, or hobbies to reduce stress.

4. Medical Treatment

Medical treatment options include:

  • Birth control pills (to regulate periods).

  • Metformin (for insulin resistance).

  • Fertility treatments if trying to conceive.

When to See a Doctor?

If you notice:

  • Irregular or painful periods

  • Unexplained weight gain

  • Excessive hair growth or hair loss

  • Difficulty getting pregnant

Final Thoughts

While PCOD and PCOS share some similarities, PCOS is a more serious condition with long-term health risks. Both can be managed effectively with lifestyle changes, diet, and medical support.

Consult Top Gynaecologist

Consult Top Gynaecologists

Dr. Somdutta Basu, Obstetrician and Gynaecologist

Dr. Somdutta Basu

Obstetrician and Gynaecologist

7 Years • MBBS, MS Obstetrics & Gynaecology

Bansdroni

Siddhita Healthcare., Bansdroni

650

650

Dr. Sangeetha M, Obstetrician and Gynaecologist

Dr. Sangeetha M

Obstetrician and Gynaecologist

21 Years • MBBS, MS ( Obstetrics & Gynaecology )

Bansdroni

Siddhita Healthcare., Bansdroni

650

650

Dr. Susmita Basu, Obstetrician and Gynaecologist

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Obstetrician and Gynaecologist

19 Years • MBBS, DGO, MD Anatomy

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MCR SUPER SPECIALITY POLY CLINIC & PATHOLOGY, Kolkata

1000

1200

Dr. Debashree Saha, Obstetrician and Gynaecologist

Dr. Debashree Saha

Obstetrician and Gynaecologist

4 Years • MBBS, MS (Obstetrics & Gynaecology)

Kolkata

DR. DEBASHREE SAHA Clinic, Kolkata

500

Dr. Arti Sharma, Obstetrician and Gynaecologist

Dr. Arti Sharma

Obstetrician and Gynaecologist

8 Years • MBBS, DNB(obstetrics and gynaecology)

Bengaluru

DIAGNOFY CLINIC, Bengaluru

600

Consult Top Gynaecologist

Dr. Somdutta Basu, Obstetrician and Gynaecologist

Dr. Somdutta Basu

Obstetrician and Gynaecologist

7 Years • MBBS, MS Obstetrics & Gynaecology

Bansdroni

Siddhita Healthcare., Bansdroni

650

650

Dr. Sangeetha M, Obstetrician and Gynaecologist

Dr. Sangeetha M

Obstetrician and Gynaecologist

21 Years • MBBS, MS ( Obstetrics & Gynaecology )

Bansdroni

Siddhita Healthcare., Bansdroni

650

650

Dr. Susmita Basu, Obstetrician and Gynaecologist

Dr. Susmita Basu

Obstetrician and Gynaecologist

19 Years • MBBS, DGO, MD Anatomy

Kolkata

MCR SUPER SPECIALITY POLY CLINIC & PATHOLOGY, Kolkata

1000

1200

Dr. Debashree Saha, Obstetrician and Gynaecologist

Dr. Debashree Saha

Obstetrician and Gynaecologist

4 Years • MBBS, MS (Obstetrics & Gynaecology)

Kolkata

DR. DEBASHREE SAHA Clinic, Kolkata

500

Dr. Arti Sharma, Obstetrician and Gynaecologist

Dr. Arti Sharma

Obstetrician and Gynaecologist

8 Years • MBBS, DNB(obstetrics and gynaecology)

Bengaluru

DIAGNOFY CLINIC, Bengaluru

600

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