Is your skin constantly breaking out? Are you gaining weight even while following a healthy lifestyle? Are you constantly feeling lethargic and moody, or experiencing unexplained hair loss? Then, your body may be signalling a red flag.

PCOS, or polycystic ovarian syndrome, is a common endocrine disorder affecting women during reproductive age. PCOS is seen as a complex endocrine disorder associated with metabolic dysfunction. Even though the condition is called polycystic ovarian syndrome, you can have PCOS without cysts on the ovaries, and you can also have regular cycles but still have PCOS.

 As per the Indian Council of Medical Research (ICMR) study report 2023, around 20-25% of Indian women in their reproductive age are affected by PCOS. It is more than just a hormonal imbalance, and it often occurs silently, disturbing your energy, emotions, and confidence. PCOS often presents with subtle signs that are mostly overlooked, and ignoring these early warning signs can delay diagnosis and make regulating the condition harder. Thus, recognising the hidden signs of PCOS can help you immensely in seeking prompt medical care and appropriate lifestyle modifications.

Hidden Signs Of PCOS

Persistent Acne Beyond Teenage Years

Acne breakouts around the chin, jawline, and cheeks that do not settle down with a regular skincare routine are usually related to hormonal imbalance. Unlike regular breakouts, PCOS-related acne often comes with oily skin and flare-ups around the menstrual cycle.

Unexplained Hair Growth

Excess hair growth on the face, chest, back, or abdomen is a sign of high levels of the male hormone androgen. This condition is medically termed as hirsutism. Never ignore even fine or sparse growth in unusual regions.

Excessive Hair Thinning

PCOS can cause androgenic alopecia, a condition leading to hair loss on the scalp, particularly around the crown. This condition is often misinterpreted as stress or an unhealthy diet, but it is mostly hormone-driven.

Dark Patches on Skin (Acanthosis Nigricans)

Darkened skin folds on the neck, underarms, thighs, or groin region is an evident sign of insulin resistance, a key indicator of PCOS. In most cases, these patches are mistaken for dirt or tanned skin; however, they are prominent medical warnings.

Mood Swings

Irritability, depression, or anxiety can be linked to hormonal fluctuations and insulin resistance. PCOS can take a roller coaster ride, affecting your mental well-being.

Difficulty Losing Weight

Women with PCOS may struggle with losing weight despite being regular on workouts and eating a wholesome diet. Insulin resistance, which is common among PCOS, is a contributing factor that makes fat loss more difficult.

Fatigue

Feeling extremely tired, lethargic, having brain fog, or poor concentration even after proper rest can be an overlooked symptom of a hormonal imbalance.

Why Early Detection Matters?

Identifying these hidden signs early allows women to:

Get an appropriate diagnosis and treatment.

Effectively control insulin resistance through a healthy diet and exercise.

Prevent long-term complications like type 2 diabetes infertility, and cardiovascular disease in the future.

Conclusion

PCOS is a complex hormonal disorder in women of reproductive age with symptoms that often go unnoticed or misinterpreted. If you experience any of these subtle signs, like breakouts, hair loss, dark skin patches, or unexplained mood changes, then seek help from a gynaecologist or endocrinologist. Early lifestyle modifications and prompt medical care can make a huge difference in managing PCOS.

(This article is reviewed by Kalyani, Chief Content Editor)

Author Profile:

M Sowmya Binu

With over 15 years of expertise and a Postgraduate degree in Nutrition, M Sowmya Binu is a seasoned professional in the field of nutrition. Specialising in tailoring personalised diet plans, she underscores the significance of a balanced approach to health, emphasising the integration of medication with dietary intake for holistic wellness. Passionate about equipping individuals with knowledge to make informed decisions, Sowmya adeptly develops insightful content encompassing a wide array of topics, including food, nutrition, supplements, and overall health.

References:

https://pmc.ncbi.nlm.nih.gov/articles/PMC10683967/

Clinical presentation and diagnosis of Polycystic Ovarian Syndrome

Jessica A Lentscher 1, Alan DeCherney 1

https://www.ncbi.nlm.nih.gov/books/NBK459251/

Polycystic Ovarian Syndrome

Anukrati Shukla; Lorena I. Rasquin; Catherine Anastasopoulou.