What is Polycystic Ovary Syndrome (PCOS)? Symptoms, Causes, Diagnosis, Treatment (2020) l A Complete Guide

PCOS - Polycystic Ovary Syndrome is not a disease. It's a syndrome or a set of symptoms that causes hormonal imbalances and infertility-related issues in women during their reproductive years.

What is Polycystic Ovary Syndrome (PCOS)? 2020

Hello friends~ In this post, you will know what is PCOS? I have also explained the Symptoms, Causes, Diagnosis and Treatment of PCOS in simple words. 
  1. What is PCOS?
  2. PCOS Causes
  3. PCOS Symptoms
  4. How PCOS is diagnosed?
  5. PCOS Treatment
  6. PCOS side-effect on the body
  7. Conclusion

1. What is PCOS?

Polycystic Ovary Syndrome [PCOS] or Polycystic Ovary Disease [PCOD] is a common health condition which disrupts the normal flow of hormones in a woman's body and subsequently leads to infertility issues. 

The term "Polycystic" means multiple cysts. Women diagnosed with PCOS usually carry many cysts inside their ovaries. That's why this condition is called "Polycystic Ovary Syndrome".

In simple language, PCOS = Hormonal Imbalance.  

When the hormonal imbalance occurs in a woman's body, it affects the proper functioning of her ovaries and other reproductive organs - which consequently leads to untimely ovulation, irregular periods and infertility-related problems.

In short, the whole mechanism in a woman's body goes out of balance due to hormonal imbalance and lack of ovulation. This condition is called PCOS.

What is a cyst? A cyst is a thin-walled hollow organ filled with a liquid substance. These cysts are normally found in the ovaries of women with PCOS. These cysts are actually follicles, and each follicle contains an immature egg. But in POCS, these eggs fail to mature enough to stimulate ovulation.

2. Causes of PCOS

Doctors couldn't discover the real cause of PCOS even after many research. But according to them, there are some factors that might be the cause of PCOS:-

 High Insulin Resistance - Insulin is a hormone produced by Pancreas. It regulates the blood sugar level in a human's body. But women with PCOS have high insulin resistance. Therefore, their bodies always demand a high amount of insulin, unlike normal women. And, the excess flow of insulin stimulates their ovaries to produce more male hormones "Androgen" than usual.

 High Androgen Level - Androgen is a male hormone which is also present in a woman's body. But, the excess presence of male hormones in a woman's body disturbs the proper functioning of ovaries. And when ovaries fail to produce the required amount of reproductive/sex hormones (Ex - Estrogen and Progestoren), neither ovulation takes places nor the menstrual cycle.

 Research also shows that PCOS is a genetic disorder that passes from parents to offspring.

3. PCOS Symptoms

The symptoms of PCOS usually start to appear during the first menstrual cycle. But in some cases, these symptoms are detected later after many years of her puberty. These are some common symptoms of PCOS:-

  1. Missed, Prolonged or Irregular menstrual cycle.
  2. Heavy bleeding 
  3. Hirsutism - Unwanted growth of hair on a woman's face, chin, neck, back, belly, chest and other places.
  4. Male pattern baldness 
  5. Acne and darkening of the skin.
  6. Obesity
  7. Mood swings
  8. Pelvic pain, and so on.

4. How PCOS is diagnosed?

This condition has become so common nowadays that one out of ten women experiences this problem. However, in most of the cases, PCOS is detected after marriage when couples try to conceive but fail. 

When a couple can't conceive normally and consults a Gynochologist, their doctor asks them to do some blood tests. These blood tests are run by doctors to determine if the patient has signs of PCOS.

The blood test is done to measure the level of the following reproductive hormones:-


LH hormone
 AMH hormone
 FSH hormone

Along with the blood test, some other tests are also done, like -


Ultrasound of the lower abdomen to see the condition of ovaries.


Transvaginal scan/Pelvic Exam to see the uterus lining and condition.

Sometimes, doctors also ask your husband to do the semen analysis test for better treatment. 

What is Polycystic Ovary Syndrome (PCOS)? 2020

5. PCOS Treatment

PCOS is an untreatable condition. You have heard it right, it can't be cured completelySince the exact cause of PCOS is unknown, the exact treatment that can uproot PCOS from its root is also unclear. 

However, the symptoms and the negative impact of PCOS can be reduced and suppressed either with the help of over-the-counter medicines and a few lifestyle changes - that only a woman with POCS can make it happen with her firm determination.

 Treatment through medication:-
The way doctors/gynaecologists treat women with PCOS and keep them on medications totally depend upon certain factors, like the patient's age, weight, physical condition, levels of hormones and most importantly - her mental condition. 

Ovulation is very important to conceive. But women with PCOS don't ovulate regularly. Even if they ovulate, they don't release enough mature eggs to fertilize. This causes infertility. This.is the reason why they go through hard timing in getting pregnant.

Women's reproductive organs release hormones like Estrogens and Progesterone -which control the menstrual cycle. And their ovaries produce a small amount of male hormone which is called Androgens. These reproductive hormones play a very crucial role in getting pregnant. But in PCOS, these hormones fail to work properly as they are supposed to. This kind of condition triggered by hormonal imbalance is called PCOS. 

Androgen - it is a male hormone which is also found in every woman's body. The Androgen level should remain under check in a woman's body. But in PCOS, the androgen exceeds the normal range - which is not a good sign. Because the excess production of Androgen 'male hormones' affects their menstrual cycle - which is the main cause of irregular periods. 

Estrogen - it is also called as the female sex hormone which is secreted by ovaries. It is important for sexual and reproductive development. it controls the growth of uterine lining during the menstrual cycle and at the time of early pregnancy. But in PCOS, the estrogen level goes higher than normal range - which is not a good sign. Because then, it thickens the endometrial, which may lead to irregular period and other infertility problem.    

Progesterone - It is a reproductive hormone which helps to prepare the uterine lining for pregnancy. But for women with PCOS, progesterone level slips below the normal range - which is again not a good sign. Because the progesterone level determines whether the ovulation occurs and an egg is released in a particular month or not.

Therefore, gynaecologists prescribe some hormonal medicines to reduce the negative impact of PCOS by balancing the reproductive hormones. Simultaneously, they keep the couple on other medications too to improve their chances of conception. This way, they help the couple get pregnant over a period of time. This "period of time" differs from one couple to another depending upon their physical condition. The better the condition, the quicker the result.

As per the research, the presence of male hormones in a woman's body suffering from PCOS is generally higher than normal. This hormonal imbalance is the root cause of delay in period and other infertility-related problems. 

 Treatment through natural way:-
A few lifestyle changes and maintaining a balanced weight can be a miraculous natural treatment for women with PCOS. All you have to do is to plan your diet, add a regular exercise routine and 15mins of meditation in your daily routine. Along with this, maintaining a healthy lifestyle is very important. 

What is Polycystic Ovary Syndrome (PCOS)? 2020

I'm also a PCOS patient and have been trying to conceive for the last four years. But no result so far. So, I would like to say based on my experience that no matter how many pills you take to improve your fertility, nothing will work if you can't lead a Healthy and Stress-Free Life. Doctors may prescribe you Metformin, Clomid and Folic Acid to lower your insulin level and regulate ovulation, but your body won't respond to those pills if you don't think positive and stay away from unnecessary stress.

I'm going to share my four-year-long PCOS journey in my next post with proofs, diet plan, dos, don'ts, complications and achievements.

7. PCOS side-effect on the body

Women with PCOS.have higher risk of these problems:

  1. Infertility - women with PCOS suffer a lot to have a normal conception.
  2. Risk of miscarriage or premature delivery.
  3. Abnormal weight gain.
  4. Prone to Type 2 diabetes.
  5. Risk of endometrial cancer
  6. Depression and sleep disorder.
  7. Risk of high Blood pressure and Gastritis.

8. Conclusion


PCOS is not a life-threatening disease. It's just a health condition, a common hormonal disorder that affects one out of ten women throughout the world. 


It can be kept under check with proper medication, food, regular exercise, brisk walk, healthy lifestyle and stress-free mind.


Women with PCOS can have a hard time getting pregnant. But, they can conceive under the guidance of doctors.


However, if this condition is left untreated for a long time, it might become an underlying cause of several other health issues like Depression, Diabetes, Endometrial Cancer, Obesity and High Blood Pressure.

NOTE:- Being a PCOS patient, I know what's the best way to suppress the symptoms of PCOS. I'm going to share everything in my next post.

Next Post »


Click here for Comments
June 23, 2020 at 11:04 PM ×

Lots of information, well written 👍

Ajay Singh
June 26, 2020 at 7:59 AM ×

Well described information

July 5, 2020 at 9:48 PM ×

Well written ...Good information

July 18, 2020 at 10:04 AM ×

PCOS is certainly scary. Funny, so many women are not even aware of this syndrome. Thank you for this eye opening article. It is worth sharing so others can be aware of this condition.

July 19, 2020 at 8:51 AM ×

Hormonal imbalance in women can lead to such an annoying condition. This article is a must read for women since it's written by a wonderful person who has had a first hand experience of PCOS.

Kord Blog
July 20, 2020 at 5:28 PM ×

Now I have a shot of idea, ladies should look up on this. What I can as a cross-cutting issue to this PCOS is that it can lead to divorce in case conception is denied.

July 22, 2020 at 10:11 PM ×

How nicely you have written about PCOS. Well explained