fertility basics

Polycystic Ovarian Syndrome (PCOS) - Symptoms, Causes and Treatments

  • 4.6   (7 Votes)
Medically Reviewed by Dr. Deepika Tiwari - MBBS on 16 Jul 2018 - Written by Dr. Sunil Eshwar - MBBS - Grammatically Approved by Dr. Kavita Jaggi Agrawal - MBBS

Polycystic Ovarian Syndrome (PCOS) is one of the most common health problems in women. PCOS symptoms include acne, weight gain, thinning of scalp hair, and unusual growth of hair in the body. PCOS treatment includes consuming healthy diet, and opting for ovarian drilling surgery.

Polycystic Ovarian Syndrome, known as PCOS. As many as 1 in 10 women have PCOS and most of them are not aware that they have PCOS. Women suffering from PCOS do not understand that why they are gaining weight or why they have unusual growth of body hair and why they feel depressed and stressed and why they start balding, why they have to pluck chin hair. 

Many people view PCOS as a cosmetic problem or issue, not realizing that it has potentially devastating consequences. We need more awareness about PCOS as this may cause infertility problems and issues. Here are some signs of PCOS, it would be helpful for you to know whether you might be struggling with PCOS or not?

Irregular Period: Irregular periods, especially those cycles that last 35+ days, might be detected with the PCOS problems. This can also be called amenorrhea. Not having your period or menses means that you rarely ovulate and you cannot track your ovulation period or fertility days.

PCOS, Ovulation, Fertility

If you do not ovulate or get menses or can't track your ovulation period, you cannot become pregnant and in the worse condition, you are at a greater risk of miscarriage or repeated TTC failure.

Thin Hair

Thinning of hair, it’s called androgen excess- thinning of hairline is a common symptom for women who are suffering from PCOS. Androgen excess can cause issues including the excessive and unusual growth of facial and body hair, and male-pattern baldness.


Acne and excessive breakouts tends to flare up in areas that are usually considered “hormonally sensitive,” especially the lower third area of the face, cheeks, jawline, chin, and upper neck, so keep a check on this.


More than 60% of women who have PCOS are also overweight or obese and can cause infertility problems if not treated on time. PCOS makes it more difficult for the body to use the hormone insulin, which normally helps convert sugars and starches from foods into energy.

So if you find these symptoms or changes in your body, then it’s time to talk to your doctor about PCOS issues which may also cause infertility problems. Though there is no cure of PCOS, PCOS can be managed and tackled through early identification and regular treatment which is essential in minimizing some of the condition’s effects.

What are the symptoms?

Symptoms tend to be mild at first in the PCOS. You may have only a few symptoms at the start of the PCOS. The most common symptoms are:

  • Acne
  • Weight gain, obese and trouble losing weight
  • The extra or unusual growth of hair on the face and body. Often women get thicker and darker facial hair and more hair on the chest, belly, and back
  • Thinning of hairline on the scalp

Treatment of PCOS, Infertility

  • Irregular periods or extended menstrual cycle. Some women have no periods even. Others have very heavy bleeding during menses
  • Fertility problems. Many women who have PCOS have trouble getting pregnant (infertility)
  • Depression and overstress

How is PCOS treated?

PCOS can be treated but can't be cured. Treatment focuses on controlling symptoms of PCOS and managing the condition to prevent complications in coming life. The treatment will vary from woman to woman, depending on specific symptoms occurs with them. Tips for controlling symptoms may include:

1- Eat a healthy diet. A healthy diet and include green veggies and salads and regular exercise not much but regular is recommended for all women suffering from PCOS, particularly those who are overweight and obese.

2- Take birth control pills if you aren’t planning to become pregnant. Women who don’t want to become pregnant may be prescribed birth control pills. If a woman with PCOS is infertile or have fertility issues, fertility drugs which are used for infertility issues may be prescribed to aid in ovulation period and then she can track her ovulation period easily.

3- Surgery. Surgery may be recommended for some women having PCOS. Ovarian drilling is a procedure done for PCOS in which your doctor punctures your ovary with a small needle that carries an electric current. It’s a short-term solution that can promote ovulation period. 

Dr. Sunil Eshwar

Written by

Infertility Specialist, IVF Specialist

Dr. Sunil Eshwar is an Infertility specialist who is presently specializing in laparoscopic surgery, high-risk pregnancies and infertility treatments such as IVF and IUI. Dr. Sunil Eshwar completed his MBBS from Bangalore Medical College and Research Institute in 2000 and MD from Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) in 2004. Later, he completed DNB from National Board of Examination in 2006. Dr. Sunil Eshwar is currently practicing at Apollo Fertility, Brookfield, Bangalore. For more information about Dr. Sunil Eshwar, visit elawoman.com


1.  Most effective ways to track ovulation with irregular period cycle  ovulation period, Elawoman - 2017
2.  Pcod - causes and natural remedies of pcod  PCOS, Elawoman - 2017
3.  Emergency contraceptive pills - types, how to use, contraceptive pills in india  birth control pills, Elawoman - 2017
4.  Top 7 aspects to consider while trying to get pregnant without any success  become pregnant, Elawoman - 2017
5.  Effect of infertility drugs on premature menopause - when to worry, what to do  fertility drugs, Elawoman - 2017



Brienne Tarth

My weight is increasing drastically and I lost so much hair this month. Is that mean I have PCOS as I could see some symptoms?

Oct. 13, 2018, 2:40 p.m. 4.5


Nancy Clove

I opted natural remedy to fight PCOS symptoms like maintaining a healthy diet with low carbohydrate, exercise and meditation.

Aug. 3, 2018, 9:45 p.m. 4.5


Shalini Mathur

Please suggest me with some hair growth medicine. My PCOS was treated a year ago, but my hair didn't come back.

March 11, 2018, 11:32 a.m. 4.5


Malika Rawal

I was diagnosed with PCOS after my ultrasound. My doctor suggested me with anti-estrogen tablets which are Clomid and it works good with very mild side-effects.

Dec. 10, 2017, 4:30 p.m. 5.0


Alka Yadav

I too have PCOS but I did not go for laparoscopy and you won't believe I have attained pregnancy. I have taken certain diet plan and I worked a lot on my weight loss. I believe my hard work has brought me the success. You should also work out as it does wonders.

Nov. 2, 2017, 3:31 p.m. 4.5



I have PCOS. I'm not getting fat. Egg is also releasing on time but not getting pregnancy. Doctor suggested me to go for laparoscopy. Can anyone suggest me.

April 6, 2017, 11:25 a.m. 5.0


Barkha Saxena

Women with PCOS can also have cancer of the uterine lining i.e endometrial cancer. It requires surgery for further treatment.

Feb. 24, 2017, 5:24 p.m. 4.5

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