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Published in Female Health on Sep 17th 2025

PCOS and Women’s Health: Understanding the Bigger Picture

When most people hear about polycystic ovary syndrome (PCOS), they most likely associate the condition with fertility. While it’s true that PCOS is one of the most common causes of infertility, the condition affects far more than reproductive health. PCOS is a complex hormonal and metabolic disorder that can touch almost every part of a woman’s well-being—from heart health to emotional balance. At Pacific Women’s OB/GYN, we want our patients to understand the bigger picture, so you feel informed, supported, and empowered in your care.

What is PCOS?

PCOS is a hormonal disorder that affects up to 1 in 10 women of reproductive age. It is characterized by:

• Irregular menstrual cycles or absent periods
• Elevated androgen levels (which can lead to hirsutism—facial or excess body hair—or acne)
• Ovaries that may have many small follicles (sometimes called “cysts”) on ultrasound

In some women, PCOS may also contribute to changes in sleep patterns or weight. Because symptoms can look different from one woman to the next, it can take time to recognize and diagnose.

Risks of PCOS Beyond Reproductive Health

Because PCOS involves complex hormonal shifts, its impact reaches well beyond fertility. For example, many women with PCOS also experience insulin resistance, meaning their bodies don’t use insulin as effectively as they should. As a result, insulin and blood sugar levels become elevated, which can increase the risk of type 2 diabetes, high cholesterol and hypertension. If left unaddressed, these changes can place extra strain on the heart and blood vessels, raising the risk for cardiovascular disease

Hormonal changes in PCOS can also influence mood and emotional well-being. Studies show that women with PCOS are more likely to experience depression, anxiety, and even eating disorders. These struggles can be just as disruptive as the physical symptoms, yet they’re often less visible. Recognizing that PCOS has both a physical and emotional impact is key to getting the comprehensive care and support that women deserve.

Managing PCOS

There isn’t a single approach to treating PCOS that works for everyone, but lifestyle changes combined with professional help can make symptoms more manageable and significantly reduce long-term health risks. Many women find that balanced nutrition, regular physical activity, and better sleep hygiene can help improve energy levels and hormonal balance.

Stress management—through mindfulness, counseling, or simply setting aside time for yourself—can also play an important role. In some cases, your provider may recommend medication to help regulate menstrual cycles, improve acne, or address insulin resistance. Working closely with a trusted care team ensures that treatment decisions are tailored to your unique needs and goals, so that your plan supports not just your reproductive health, but your overall well-being.

A Partner in Health

Living with PCOS can sometimes feel overwhelming, but you don’t have to navigate it alone. At Pacific Women’s OB/GYN, we view PCOS as part of your overall health journey. That means looking beyond fertility to support your heart, your mind, and your quality of life. Whether you’re focused on family building, finding relief from frustrating symptoms, or safeguarding your long-term health, our team is here to listen and guide you every step of the way. Reach out to Pacific Women’s OB/GYN to find care that meets you where you are and supports you for the long run.