Suppose you’ve ever been told you have polycystic ovaries or suspect you might have Polycystic Ovarian Syndrome (PCOS). In that case, it’s important to understand that while these terms are related, they’re not the same.
Here’s a simple explanation to help you understand the difference.
What are Polycystic Ovaries
Polycystic ovaries (PCO) describe a condition where your ovaries appear larger than normal and contain multiple tiny follicles (fluid-filled sacs). These follicles can be seen on an ultrasound and resemble a “string of pearls.”
It’s not uncommon for young women to have polycystic ovaries; in fact, up to 1 in 4 women may have this without experiencing symptoms or health problems.
Key points about polycystic ovaries:
Not a diagnosis: Having polycystic ovaries doesn’t automatically mean you have PCOS.
Normal hormone levels: Women with PCO may have regular menstrual cycles and balanced hormone levels.
No symptoms required: You may not have irregular periods or weight gain symptoms.
Polycystic ovaries are often considered a normal variant and don’t always require treatment unless they cause other issues.
What is Polycystic Ovarian Syndrome (PCOS)
PCOS, on the other hand, is a more complex condition that involves multiple symptoms and is considered a syndrome. This means it’s a collection of related symptoms rather than a single issue. PCOS affects about 1 in 10 women of reproductive age and can have long-term health implications if not managed.
To be diagnosed with PCOS, you generally need at least two of these three criteria:
Irregular periods: Infrequent or no ovulation, leading to missed periods.
Signs of high androgens (male hormones): This can cause acne, excessive hair growth (hirsutism), or hair thinning.
Polycystic ovaries on ultrasound.
Key points about PCOS:
It often leads to symptoms like weight gain, difficulty managing weight, and fertility issues.
PCOS is linked to insulin resistance, which can increase the risk of developing diabetes or heart disease later in life.
Managing symptoms may require lifestyle changes, medication, or other treatments.
What to do next
While polycystic ovaries are a physical characteristic seen on an ultrasound, PCOS is a broader health condition that involves hormonal imbalances and other symptoms.
If you’re experiencing irregular periods, acne, or other concerning symptoms, talk to Dr Anmar Mariud to understand whether you have PCOS or simply polycystic ovaries.
Early management can help you stay healthy and avoid complications.