Dr. Yashvi Singh, BDS
When I think of PCOS, I don’t just think of irregular cycles or hormonal imbalances; instead, I think of my cousin. Watching her navigate the ups and downs of this condition has opened my eyes to just how much it can affect not only the body but the mind and spirit too.
More Than a Physical Diagnosis
Polycystic Ovary Syndrome (PCOS) is often discussed in terms of its physical symptoms, like weight gain, acne, hair growth, and fertility challenges. But what’s less talked about is the heavy psychological burden many women carry alongside these visible signs. My cousin, for example, has always been open about her struggles not just with her body but with her mood, her self-esteem, and her sense of belonging.
Scientific research backs up what I’ve seen firsthand. Women with PCOS are significantly more likely to experience anxiety, depression, and low self-worth than women without the condition. The hormonal imbalances at the heart of PCOS can disrupt neurotransmitters in the brain, leading to mood swings and emotional instability. It’s not just “in your head” but a real biological response to a complex disorder.
PCOS is more than a physical condition—it’s an emotional journey many fight in silence.
The Emotional Toll
The emotional impact of PCOS can be profound. Many women feel isolated or misunderstood, especially when symptoms like weight gain, unwanted hair, or acne become visible to others.
Social withdrawal is common, and relationships with family, friends, and partners can become strained as a result. My cousin has confided how difficult it is to explain the exhaustion or the sudden waves of sadness to people who haven’t experienced it themselves.
Body image issues are also a major challenge. The struggle to manage weight, combined with changes in appearance, can take a toll on self-confidence. Studies show that negative body image and low self-esteem are common among women with PCOS, often leading to further emotional distress.
Why Support Matters
One thing that makes a difference, and something that’s helped my cousin time and again, is support. Whether it’s from family, friends, or a support group, having people who listen and understand can ease the burden.
Research has shown that strong social support is linked to lower levels of anxiety and depression in women with PCOS. In fact, women who feel supported are better able to manage both the physical and emotional symptoms of the condition.
MedBound Times connected with Dr. Preeti Sharma, MBBS, MD (Psychiatry), Consultant Psychiatrist, Apollo Medics Super Speciality Hospital, Lucknow, for her insights on PCOD:
PCOD impacts more than hormones—it affects mental health too. Stigma and social pressure worsen anxiety and self-esteem. Holistic care with mental health support is key to true healing.Dr. Preeti Sharma, MBBS, MD (Psychiatry), Consultant Psychiatrist, Apollo Medics Super Speciality Hospital, Lucknow
Coping and Moving Forward
Managing PCOS isn’t just about medication or diet, but caring for mental health too. Therapy, mindfulness practices like yoga, lifestyle modifications, and building a strong support system can all play a role in improving overall emotional well-being.
My cousin found comfort in connecting with others who understood her journey, and it made a world of difference in how she approached her health.
If you or someone you love is struggling with PCOS, know that you’re not alone. The link between hormones and mental health is real, and it’s okay to ask for help, whether from a healthcare provider, a counsellor, or a trusted friend.
Final Thoughts
PCOS is more than a hormonal disorder; it’s a condition that touches every part of a woman’s life, including her mental and emotional health. Breaking the silence and offering support can help lighten the load for so many women who are quietly fighting this battle every day.
References:
Karakose, Meltem, and Ayse Kucukkelepce. “Experience of Mental Health in Women with Polycystic Ovary Syndrome: A Descriptive Phenomenological Study.” Journal of Psychosomatic Obstetrics & Gynecology (2023). https://www.tandfonline.com/doi/full/10.1080/0167482X.2023.2218987.sciencedirect.com+4tandfonline.com+4researchgate.net+4
Brutocao, Claire, Feras Zaiem, Mouaz Alsawas, Allison S. Morrow, M. Hassan Murad, and Asma Javed. “Psychiatric Disorders in Women with Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis.” Endocrine 62, no. 2 (2018): 318–325. https://pubmed.ncbi.nlm.nih.gov/30066285/.pubmed.ncbi.nlm.nih.gov
Crete, Jennifer, and Marla E. Adamshick. “A Life Course Perspective on Polycystic Ovary Syndrome.” International Journal of Women's Health 6 (2014): 115–122. https://pmc.ncbi.nlm.nih.gov/articles/PMC3904822/.pmc.ncbi.nlm.nih.gov+1pubmed.ncbi.nlm.nih.gov+1
Balikci, Adem, Murat Erdem, Uğur Keskin, Selma Bozkurt Zincir, Murat Gülsün, Fatih Özçelik, Emin Özgür Akgül, Süleyman Akarsu, Muzaffer Öztosun, and Ali Ergün. “Depression, Anxiety, and Anger in Patients with Polycystic Ovary Syndrome.” Archives of Neuropsychiatry 51, no. 4 (2014): 328–333. https://pmc.ncbi.nlm.nih.gov/articles/PMC5353166/.pmc.ncbi.nlm.nih.gov+3pmc.ncbi.nlm.nih.gov+3pubmed.ncbi.nlm.nih.gov+3
Saad, Saman. “Effect of Social Support on Anxiety among Women with PCOS.” International Journal of Indian Psychology 10, no. 4 (2022): 836–843. https://ijip.in/wp-content/uploads/2022/12/18.01.080.20221004.pdf.
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