Navigating the possibility of having PCOS can feel overwhelming. If you’re here, you might be wondering if what you’re experiencing is normal or something more. I want you to know that you’re not alone, and whatever emotions you’re feeling—confusion, fear, frustration, or even relief for seeking answers—they’re all valid. Be kind to yourself as you explore what’s going on with your body. There’s no rush, and this is your journey.
Okay, so let’s break down some things that might help you better understand what you’re experiencing and whether PCOS could be part of the picture.
Signs to Look for Before Seeking a PCOS Diagnosis
If you’ve been noticing changes in your body or health that don’t feel right, it’s worth paying attention. PCOS shows up differently for everyone, but some common signs include:
- Irregular or Absent Periods: Missing periods or having an unpredictable cycle can indicate hormonal imbalances.
- Excess Hair Growth (Hirsutism): Unwanted hair on areas like the face, chest, or back may point to elevated androgen levels.
- Persistent Acne or Oily Skin: If acne treatments aren’t working, hormones could be playing a role.
- Weight Gain or Difficulty Losing Weight: Particularly around your midsection, this can be linked to insulin resistance.
- Hair Thinning or Scalp Hair Loss: Noticing more hair shedding? Androgens might be involved.
- Fatigue and Low Energy Levels: Feeling drained could stem from inflammation or blood sugar imbalances.
- Mood Swings, Anxiety, or Depression: Hormonal shifts can deeply impact your emotional well-being.
- Difficulty Conceiving: PCOS is a leading cause of infertility, though not everyone with PCOS struggles with fertility.
If some of these resonate with you, the next step is to reach out for professional guidance.
Getting a Diagnosis: Who to See and What to Expect
If you suspect PCOS, start by booking an appointment with your healthcare provider. In the UK, this usually means seeing your General Practitioner (GP), who can refer you to a specialist if needed. Depending on your concerns, you might be referred to:
- An Endocrinologist: They specialize in hormonal conditions and can help manage hormonal imbalances related to PCOS.
- A Gynecologist: They focus on reproductive health, addressing menstrual irregularities and fertility concerns.
How PCOS is Diagnosed
There’s no single test for PCOS. Healthcare providers often use the Rotterdam Criteria, which requires at least two of these three factors for a diagnosis:
- Irregular or Absent Ovulation: Determined through your menstrual history and blood tests.
- Elevated Androgen Levels: Measured via blood tests or observed through physical symptoms like excess hair growth or acne.
- Polycystic Ovaries: Identified through an ultrasound, showing multiple small cysts.
In addition to these, your provider may check for diabetes, cholesterol levels, and other metabolic markers to get a comprehensive view of your health.
Types of PCOS: Understanding the Differences
PCOS isn’t a one-size-fits-all condition—there are different types, and understanding which type you have can help guide treatment:
- Insulin-Resistant PCOS: The most common form, often linked to high blood sugar levels and weight gain. Lifestyle changes can make a significant difference here.
- Post-Pill PCOS: Occurs after coming off birth control. The hormonal fluctuations can be temporary and may resolve with time and targeted care.
- Androgen-Dominant (Adrenal) PCOS: Stemming from the adrenal glands, this type is often related to how your body handles stress.
- Inflammatory PCOS: Triggered by chronic inflammation, which can throw hormones out of balance.
Navigating the Emotional Journey After a PCOS Diagnosis
Finding out you have PCOS can stir up a lot of emotions like fear, sadness, confusion, or even guilt. Some people feel relief just knowing what’s going on with their body. However you feel, know that it’s okay. Give yourself the space to process it all. Here are some ways to take care of yourself emotionally:
- Lean on Your Support System: Talk to friends, family, or join a support group. Having people who listen without judgment can be comforting.
- Educate Yourself: Knowledge is power. Understanding PCOS helps you make informed decisions about your health.
- Create a Plan: Start with small, manageable steps. That could mean changing your eating habits, adding movement to your day, or practicing stress-reducing activities.
- Be Kind to Yourself: This journey isn’t about perfection. Celebrate progress, no matter how small, and give yourself grace along the way.
PCOS can feel like a lot to take in, but remember that you don’t have to figure it out alone. With the right support, guidance, and a plan tailored to you, living a balanced, healthy life is possible. If you need help creating a sustainable lifestyle plan, consider working with professionals like doctors, nutritionists, fitness coaches, or someone who understands the journey firsthand.
👉 Need personalized support? Work with me to build a plan that meets you where you are and helps you move forward with confidence.Together, we’ll focus on gradual, sustainable changes that fit your lifestyle and help you feel more like yourself again.