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What is PCOS & How Do I Know If I Have It?

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Polycystic Ovary Syndrome (PCOS) is one of the most common hormone disorders affecting women, yet it’s also one of the most misunderstood. With symptoms that often vary from person to person, PCOS can feel like an elusive puzzle. Let’s break down what PCOS is, common symptoms, and how to know if you might have it.

What is PCOS?

PCOS is a hormonal condition that impacts how the ovaries function. It’s characterized by three main features:
1️⃣ Irregular or Missing Periods: This happens due to irregular ovulation or no ovulation at all.
2️⃣ High Levels of Androgens (Male Hormones): This can cause symptoms like excess facial or body hair, acne, or hair thinning on the scalp.
3️⃣ Polycystic Ovaries: Despite the name, this doesn’t always mean you have “cysts.” These "cysts" are actually immature follicles, and not every woman with PCOS has them... and not every woman with cysts has PCOS. 

PCOS can also affect metabolism, leading to issues like insulin resistance and an increased risk of type 2 diabetes.

Symptoms to Watch For

PCOS symptoms can look different for everyone, but some common signs include:

  • Irregular or absent periods (and therefore fertility struggles)
  • Weight gain, especially around the midsection.
  • Difficulty losing weight.
  • Acne or oily skin.
  • Hair growth on the face, chest, or back (hirsutism).
  • Hair thinning or balding at the crown of the head.
  • Dark patches of skin (often in creases like the neck or underarms).
  • Fatigue, mood swings, or depression.

Not all women with PCOS experience every symptom, and some symptoms might overlap with other conditions, making diagnosis tricky.

How Do I Know If I Have PCOS?

If you suspect PCOS, the first step is to consult with a healthcare provider. Diagnosing PCOS involves a combination of:

  • A thorough medical history (including menstrual cycle patterns).
  • A physical exam to check for signs like hirsutism or skin changes.
  • Blood tests to measure hormone levels.
  • An ultrasound to look for polycystic ovaries.

Why Getting an Accurate Diagnosis Matters

PCOS isn’t just about irregular periods—it can affect your long-term health, including your risk for diabetes, heart disease, and infertility. Getting the right diagnosis ensures you can take steps to manage symptoms and improve your overall well-being.

🎧 Want to learn more? Tune into the PCOS 365 Podcast episode 2 on “Getting an Accurate PCOS Diagnosis.” I’ll walk you through everything you need to know about testing and advocating for yourself at the doctor’s office. You can find the podcast on Apple & Spotify!

Take the Next Step: Grab Your Free PCOS Lab Checklist!

Ready to take control of your health? Download my PCOS Lab Checklist to make sure you’re asking for the right tests to get the full picture of your hormones. 👩‍⚕️

By understanding PCOS and how to get an accurate diagnosis, you’re one step closer to unlocking better health and reclaiming balance in your life. 💕