Introduction – What is PCOS ?
If you’ve ever been told you have Polycystic ovarian syndrome just because your ultrasound showed “multiple cysts,” here’s the truth: Polycystic ovarian syndrome isn’t just about ovaries, and it’s definitely not about cysts. In fact, the name itself is misleading.
PCOS (Polycystic Ovary Syndrome) is a hormonal and metabolic imbalance. The ovaries aren’t the main villains—they are more like the victims of a bigger problem happening in your body.
Root Cause of Polycystic ovarian syndrome
- Insulin resistance → The body doesn’t handle sugar properly.
- Hormonal imbalance → Too much androgen (male hormones).
- Genetics + lifestyle → A mix of family history, diet, stress, and environment.
Why Ultrasound Alone Isn’t Enough
Many teenagers and young women naturally have “polycystic-looking ovaries.”
Polycystic ovarian syndrome diagnosis must follow Rotterdam’s criteria:
- Irregular periods
- Signs of high androgens (acne, hair growth, hair loss)
- Polycystic ovaries on scan
At least 2 of the above are needed, not just a scan!
Myth vs Fact
❌ Myth: PCOS is a disease of ovaries.
✅ Fact: PCOS is a whole-body condition involving metabolism, hormones, and long-term health.
Takeaway
Polycystic ovarian syndrome is not just a gynecological issue. It’s a lifestyle and health condition that needs a holistic approach.