Polycystic Ovary Syndrome
Last Updated: July 3, 2026
Key Points
- Affects how a woman's ovaries work
- Involves irregular periods, excess male hormones, and many small follicles in ovaries
- Very common, affecting about 1 in 10 women
- Symptoms usually appear in late teens or early 20s
Overview
Polycystic Ovary Syndrome (PCOS) is a widespread condition that impacts how a woman's ovaries function. It is characterized by three main features: irregular periods, higher levels of "male" hormones (androgens), and ovaries that appear enlarged with many small fluid-filled sacs (follicles) surrounding the eggs. A diagnosis is typically made if at least two of these features are present. The exact cause of PCOS is not fully understood, but it often runs in families and is linked to abnormal hormone levels. A key factor is high levels of insulin, a hormone that regulates blood sugar. Many women with PCOS are resistant to insulin, causing their bodies to produce even more, which in turn can increase the production of male hormones. Being overweight or obese can further increase insulin production. While there is no cure for PCOS, its symptoms can be effectively managed. Treatment often begins with lifestyle changes, such as weight loss and a healthy diet, which can significantly improve symptoms. Various medicines are available to address specific issues like excessive hair growth, irregular periods, and fertility challenges. For some, a minor surgical procedure called laparoscopic ovarian drilling (LOD) may be an option to improve fertility.
Signs and Symptoms
- Irregular periods or no periods
- Difficulty getting pregnant
- Excessive hair growth (face, chest, back, buttocks)
- Weight gain
- Thinning hair or hair loss from the head
- Oily skin or acne
Things That Increase the Risk
- Family history of PCOS
- Abnormal hormone levels
- High insulin levels
- Insulin resistance
- Being overweight or obese
Diagnosis
- Review of symptoms and medical history
- Physical examination for signs like excess hair
- Blood tests to check hormone levels
- Ultrasound scan to examine ovaries
Treatment & Management
- Weight loss and healthy, balanced diet
- Medicines for excessive hair growth
- Medicines for irregular periods
- Medicines for fertility problems
- Laparoscopic ovarian drilling (LOD) for fertility
Prevention
- Maintain a healthy body weight
- Eat a balanced and nutritious diet
- Engage in regular physical activity
- Monitor for symptoms and seek early medical advice
Available Treatments
Explore our range of treatment options for Polycystic Ovary Syndrome:
Surgical Options
Learn about surgical procedures available for Polycystic Ovary Syndrome:
Contents
Quick Info
Affects
Women's ovaries
Prevalence
About 1 in 10 women
Diagnosis
Symptoms, hormone tests, ultrasound
Treatment
Symptom management, lifestyle changes
Medically Reviewed
Dr. Vijay Bhat
Orthopedic Surgeon · Apollo Hospitals, Chennai
Reviewed on July 3, 2026
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