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Understanding PCOS: Symptoms, Treatment, and Causes

Know about the pcos, know understanding, symptoms, treatment and causes. Learn about the management and treatment options of pcos.

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Written by Dr. Siri Nallapu

Reviewed by Dr. M L Ezhilarasan MBBS

Last updated on 13th Jan, 2026

PCOS

Introduction

Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects many women, especially during their reproductive years. If you or someone you know has been diagnosed with PCOS, you might have questions about what it means, how it affects your health, and what you can do to manage it. This article will help you understand PCOS in simple terms, covering its symptoms, causes, and treatment options.

What is PCOS?

PCOS is a condition where a woman’s ovaries produce higher-than-normal levels of male hormones (androgens). This hormonal imbalance can lead to irregular periods, ovarian cysts, and other health issues. While the exact cause of PCOS is not fully understood, genetics, insulin resistance, and lifestyle factors play a significant role.

Consult a Gynaecologist for Personalised Advice

Dr. Amit Choraria, Surgical Oncologist

Dr. Amit Choraria

Surgical Oncologist

18 Years • MBBS, MS (Surgery) Fellow, Surgical Oncology, Tata Medical Center (FSO) Fellow, European Board of Surgery (Surgical Oncology) (FEBS) Fellow, Minimal Access Surgery (FMAS) Fellow, Indian Association of Gastrointestinal Endosurgeons (FIAGES) UICC Fellow, Royal Marsden NHS, London, UK Visiting Scholar, Plastic Reconstructive Surgery, CGMH, Taiwan Fellow, Robotic Surgical Oncology, Vattikuti Foundation, USA

Kolkata

Apollo Multispeciality Hospitals , Kolkata, Kolkata

recommendation

95%

(75+ Patients)

1000

1000

Dr. Prashant Chandra Das, Surgical Oncologist

Dr. Prashant Chandra Das

Surgical Oncologist

15 Years • MBBS (MKCG Medical college) MCh (Surgical Oncology, Kidwai memorial institute of Oncology, Bangalore) MS (General Surgery, BHU Varanasi) Fellowship in Minimal Access Surgery ( FMAS). ESSO Course On Minimally Invasive Esophagectomy & Gastrectomy (UMC, Utrecht, Netherlands). Trained in Robotic and Laparoscopic Cancer Surgery.

Bhubaneswar

Apollo Hospitals Old Sainik School Road, Bhubaneswar

recommendation

90%

(25+ Patients)

1000

Dr. Kumar Gubbala, Gynaecological Oncologist

Dr. Kumar Gubbala

Gynaecological Oncologist

7 Years • MBBS, MRCOG

Chennai

Apollo Proton Cancer Center, Chennai

recommendation

97%

(25+ Patients)

3100

2600

Dr. Swati Shah, Surgical Oncologist

Dr. Swati Shah

Surgical Oncologist

15 Years • DNB Surgical Oncology, certified Robotic Cancer Surgeon

Ahmedabad

Apollo Hospitals Gandhinagar, Ahmedabad

recommendation

91%

(25+ Patients)

1500

1600

Common Symptoms of PCOS

PCOS affects women differently, but some common symptoms include:

  1.  Irregular or Missed Periods – Women with PCOS often have fewer than eight periods a year or very heavy periods.
  2.  Excess Hair Growth (Hirsutism) – Due to high androgen levels, some women experience unwanted hair growth on 
    the face, chest, or back.
  3.  Acne and Oily Skin – Hormonal imbalances can cause persistent acne, especially along the jawline.
  4.  Weight Gain – Many women with PCOS struggle with weight gain or difficulty losing weight.
  5.  Thinning Hair or Hair Loss – Some may notice hair thinning on the scalp (similar to male-pattern baldness).
  6.  Darkening of Skin – Dark patches may appear on the neck, underarms, or groin (a condition called acanthosis nigricans).
  7.  Difficulty Getting Pregnant – PCOS is a leading cause of infertility due to irregular ovulation.

If you experience these symptoms, it’s important to consult a doctor for proper diagnosis and treatment.

What Causes PCOS?

While the exact cause is unknown, several factors contribute to PCOS:

  • Insulin Resistance – Many women with PCOS have insulin resistance, meaning their bodies don’t use insulin effectively, leading to higher blood sugar and increased androgen production.
  • Hormonal Imbalance – Elevated levels of androgens disrupt normal ovarian function.
  • Genetics – PCOS often runs in families, suggesting a genetic link.
  • Lifestyle Factors – Poor diet, lack of exercise, and stress can worsen symptoms.

How Does PCOS Affect Health?

If left unmanaged, PCOS can lead to long-term health problems such as:

  • Type 2 Diabetes – Due to insulin resistance.
  • Heart Disease – Higher risk of high cholesterol and high blood pressure.
  • Endometrial Cancer – Irregular periods can cause thickening of the uterine lining.
  • Sleep Apnea – Weight gain increases the risk of sleep disorders.
  • Depression & Anxiety – Hormonal changes and body image concerns can affect mental health.

Managing PCOS: Lifestyle and Treatment Options

While there’s no cure for PCOS, symptoms can be managed effectively with lifestyle changes and medical treatments.

1. Healthy Eating Habits

  • Focus on a balanced diet with whole grains, lean proteins, and plenty of fruits and vegetables.
  • Reduce sugar and processed foods to help control insulin levels.
  • Include anti-inflammatory foods like turmeric, fish, and nuts.

2. Regular Exercise

  • Physical activity helps lower insulin resistance and manage weight.
  • Aim for at least 30 minutes of moderate exercise (walking, yoga, swimming) most days.

3. Weight Management

  • Even a 5-10% weight loss can improve hormone levels and menstrual regularity.

4. Medications (if needed)

  • Birth Control Pills – Help regulate periods and reduce androgen levels.
  • Metformin – Improves insulin resistance.
  • Fertility Treatments – If pregnancy is desired, medications like Clomid may help.

5. Stress Management

  • Practices like meditation, deep breathing, and adequate sleep can help balance hormones.

When to See a Doctor?

If you suspect you have PCOS, consult a doctor if you experience:

  • Irregular or absent periods for several months.
  • Severe acne or excessive hair growth.
  • Difficulty getting pregnant.

Early diagnosis and treatment can prevent complications and improve quality of life.

Final Thoughts

PCOS is a manageable condition with the right lifestyle changes and medical support. By understanding your symptoms 
and taking proactive steps, you can lead a healthy and fulfilling life. Remember, you’re not alone; many women successfully manage PCOS every day.

Consult a Gynaecologist for Personalised Advice

Dr. Amit Choraria, Surgical Oncologist

Dr. Amit Choraria

Surgical Oncologist

18 Years • MBBS, MS (Surgery) Fellow, Surgical Oncology, Tata Medical Center (FSO) Fellow, European Board of Surgery (Surgical Oncology) (FEBS) Fellow, Minimal Access Surgery (FMAS) Fellow, Indian Association of Gastrointestinal Endosurgeons (FIAGES) UICC Fellow, Royal Marsden NHS, London, UK Visiting Scholar, Plastic Reconstructive Surgery, CGMH, Taiwan Fellow, Robotic Surgical Oncology, Vattikuti Foundation, USA

Kolkata

Apollo Multispeciality Hospitals , Kolkata, Kolkata

recommendation

95%

(75+ Patients)

1000

1000

Dr. Prashant Chandra Das, Surgical Oncologist

Dr. Prashant Chandra Das

Surgical Oncologist

15 Years • MBBS (MKCG Medical college) MCh (Surgical Oncology, Kidwai memorial institute of Oncology, Bangalore) MS (General Surgery, BHU Varanasi) Fellowship in Minimal Access Surgery ( FMAS). ESSO Course On Minimally Invasive Esophagectomy & Gastrectomy (UMC, Utrecht, Netherlands). Trained in Robotic and Laparoscopic Cancer Surgery.

Bhubaneswar

Apollo Hospitals Old Sainik School Road, Bhubaneswar

recommendation

90%

(25+ Patients)

1000

Dr. Kumar Gubbala, Gynaecological Oncologist

Dr. Kumar Gubbala

Gynaecological Oncologist

7 Years • MBBS, MRCOG

Chennai

Apollo Proton Cancer Center, Chennai

recommendation

97%

(25+ Patients)

3100

2600

Dr. Swati Shah, Surgical Oncologist

Dr. Swati Shah

Surgical Oncologist

15 Years • DNB Surgical Oncology, certified Robotic Cancer Surgeon

Ahmedabad

Apollo Hospitals Gandhinagar, Ahmedabad

recommendation

91%

(25+ Patients)

1500

1600

Consult a Gynaecologist for Personalised Advice

Dr. Amit Choraria, Surgical Oncologist

Dr. Amit Choraria

Surgical Oncologist

18 Years • MBBS, MS (Surgery) Fellow, Surgical Oncology, Tata Medical Center (FSO) Fellow, European Board of Surgery (Surgical Oncology) (FEBS) Fellow, Minimal Access Surgery (FMAS) Fellow, Indian Association of Gastrointestinal Endosurgeons (FIAGES) UICC Fellow, Royal Marsden NHS, London, UK Visiting Scholar, Plastic Reconstructive Surgery, CGMH, Taiwan Fellow, Robotic Surgical Oncology, Vattikuti Foundation, USA

Kolkata

Apollo Multispeciality Hospitals , Kolkata, Kolkata

recommendation

95%

(75+ Patients)

1000

1000

Dr Shefali Sardana, Medical Oncologist

Dr Shefali Sardana

Medical Oncologist

18 Years • MBBS, MD (Medicine), DNB (Medical Oncology)

Delhi

Apollo Hospitals Indraprastha, Delhi

2000

2000

Dr. Prashant Chandra Das, Surgical Oncologist

Dr. Prashant Chandra Das

Surgical Oncologist

15 Years • MBBS (MKCG Medical college) MCh (Surgical Oncology, Kidwai memorial institute of Oncology, Bangalore) MS (General Surgery, BHU Varanasi) Fellowship in Minimal Access Surgery ( FMAS). ESSO Course On Minimally Invasive Esophagectomy & Gastrectomy (UMC, Utrecht, Netherlands). Trained in Robotic and Laparoscopic Cancer Surgery.

Bhubaneswar

Apollo Hospitals Old Sainik School Road, Bhubaneswar

recommendation

90%

(25+ Patients)

1000

Dr. Kumar Gubbala, Gynaecological Oncologist

Dr. Kumar Gubbala

Gynaecological Oncologist

7 Years • MBBS, MRCOG

Chennai

Apollo Proton Cancer Center, Chennai

recommendation

97%

(25+ Patients)

3100

2600

Dr. Swati Shah, Surgical Oncologist

Dr. Swati Shah

Surgical Oncologist

15 Years • DNB Surgical Oncology, certified Robotic Cancer Surgeon

Ahmedabad

Apollo Hospitals Gandhinagar, Ahmedabad

recommendation

91%

(25+ Patients)

1500

1600

Consult a Gynaecologist for Personalised Advice

Dr. Amit Choraria, Surgical Oncologist

Dr. Amit Choraria

Surgical Oncologist

18 Years • MBBS, MS (Surgery) Fellow, Surgical Oncology, Tata Medical Center (FSO) Fellow, European Board of Surgery (Surgical Oncology) (FEBS) Fellow, Minimal Access Surgery (FMAS) Fellow, Indian Association of Gastrointestinal Endosurgeons (FIAGES) UICC Fellow, Royal Marsden NHS, London, UK Visiting Scholar, Plastic Reconstructive Surgery, CGMH, Taiwan Fellow, Robotic Surgical Oncology, Vattikuti Foundation, USA

Kolkata

Apollo Multispeciality Hospitals , Kolkata, Kolkata

recommendation

95%

(75+ Patients)

1000

1000

Dr Shefali Sardana, Medical Oncologist

Dr Shefali Sardana

Medical Oncologist

18 Years • MBBS, MD (Medicine), DNB (Medical Oncology)

Delhi

Apollo Hospitals Indraprastha, Delhi

2000

2000

Dr. Prashant Chandra Das, Surgical Oncologist

Dr. Prashant Chandra Das

Surgical Oncologist

15 Years • MBBS (MKCG Medical college) MCh (Surgical Oncology, Kidwai memorial institute of Oncology, Bangalore) MS (General Surgery, BHU Varanasi) Fellowship in Minimal Access Surgery ( FMAS). ESSO Course On Minimally Invasive Esophagectomy & Gastrectomy (UMC, Utrecht, Netherlands). Trained in Robotic and Laparoscopic Cancer Surgery.

Bhubaneswar

Apollo Hospitals Old Sainik School Road, Bhubaneswar

recommendation

90%

(25+ Patients)

1000

Dr. Kumar Gubbala, Gynaecological Oncologist

Dr. Kumar Gubbala

Gynaecological Oncologist

7 Years • MBBS, MRCOG

Chennai

Apollo Proton Cancer Center, Chennai

recommendation

97%

(25+ Patients)

3100

2600

Dr. Swati Shah, Surgical Oncologist

Dr. Swati Shah

Surgical Oncologist

15 Years • DNB Surgical Oncology, certified Robotic Cancer Surgeon

Ahmedabad

Apollo Hospitals Gandhinagar, Ahmedabad

recommendation

91%

(25+ Patients)

1500

1600

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