Understanding PCOS: A Comprehensive Guide
- florianegoest
- Aug 16, 2025
- 3 min read
Updated: Sep 15, 2025
What is PCOS?
PCOS is the most prevalent hormonal disorder among individuals of reproductive age. However, much remains unknown about its causes and optimal management.
According to the World Health Organisation, polycystic ovary syndrome (PCOS) affects between 6% and 13% of women globally. That is approximately 1 in 8 women.
PCOS stands for "Polycystic Ovarian Syndrome," which can be misleading. Due to hormonal imbalances, multiple fluid-filled sacs may be found on the ovaries of those affected. These are not true "cysts," but rather underdeveloped egg follicles that did not get released during ovulation.
It is possible to see ‘polycystic ovaries’ on an ultrasound scan without having Polycystic Ovary Syndrome. Conversely, you can have PCOS without displaying ‘polycystic ovaries’ on your ultrasound.
There is now an Australian-led global survey aiming to find a better name to describe what impacts millions of menstruators worldwide. You can find it here: Survey on PCOS Name Change.
The survey has received over 6,500 responses to date. It presents three options: choosing a generic name, selecting a name that more accurately represents the pathology and symptoms, or retaining the acronym PCOS while altering the words each letter stands for.
Symptoms of PCOS
While a doctor must perform tests to determine if you have PCOS, here are some common symptoms to look out for:
🩸 Irregular or infrequent periods (or none at all)
🪒 Excessive hair growth (hello, chin whiskers)
⚖️ Unwanted weight gain
🧑🦲 Thinning hair or hair loss
🍕 Acne or oily skin
🤰 Difficulty conceiving
What Causes PCOS?
The exact cause of PCOS remains unknown, much like many issues affecting the anatomically female body. However, genetics and family history are significant factors. It is estimated that up to one-third of women with PCOS have a family member with the condition, such as a mother, aunt, sister, or daughter.
Approximately 85% of women with PCOS experience insulin resistance. Elevated insulin levels in the body can cause the ovaries to function differently, leading to the production of higher levels of androgens (male-type hormones). This hormonal imbalance results in various symptoms.
There is so much more to the condition that has been described as a multi-system disorder. Reducing it to polycystic ovaries only can lead to confusion, missed and delayed diagnosis, and inadequate information provision and care.
How Can I Manage My PCOS?
Managing PCOS effectively requires a comprehensive approach. Based on your symptoms, you can consult various healthcare professionals, including:
Endocrinologists
Gynecologists
Dietitians
Dermatologists
Exercise physiologists
Fertility specialists
Psychologists
Your GP can assist in coordinating your care and refer you to specialists as needed.
Lifestyle Changes
According to Hormones Australia, adopting a healthy lifestyle is the most effective way to manage PCOS and lessen symptom severity. This involves:
Eating a balanced diet
Maintaining a healthy weight
Staying physically active
Reducing or eliminating harmful habits like smoking and excessive drinking
Personal Experience
Our founder Flo was diagnosed with PCOS in 2021. She finds that managing cramps with heat packs (like our Soothe Pack) helps, as well as taking magnesium baths to relax her body and mind.
Conclusion
PCOS is a complex condition that requires understanding and management. If you suspect you have PCOS or know someone who does, consider taking the survey to share your thoughts.
Remember to share this post to help raise awareness about PCOS and its impact on individuals worldwide.
Further Reading
For more information, check out these sources:










