For years, millions of women have lived with uncomfortable symptoms without clear answers. Polycystic ovary syndrome (PCOS) could be the diagnosis no one has given you.

Polycystic ovary syndrome (PCOS) is an endocrine condition that affects between 8% and 13% of women of reproductive age. Despite its prevalence, it often goes undetected for years, causing confusion, distress, and physical discomfort that many women come to normalize.

PCOS occurs when the ovaries produce an abnormal amount of androgens (male hormones), interfering with regular ovulation. This can lead to a range of symptoms affecting various areas of the body:

• Irregular or absent periods

• Severe acne, even in adulthood

• Increased hair growth on the face, chest, or abdomen (hirsutism)

• Weight gain or difficulty losing weight

• Hair loss on the scalp

• Infertility or difficulty conceiving

Beyond the physical aspects, the emotional impact of PCOS can be profound. Many women report depression, anxiety, low self-esteem, and a sense of frustration at not finding answers or adequate treatments.

The diagnosis is made using a combination of medical history, hormone tests, and transvaginal ultrasound. Not all women with PCOS have ovarian cysts; the name can be misleading.

Treatment varies depending on the patient's symptoms and fertility goals. It may include:

• Hormonal contraceptives to regulate the cycle

• Metformin to improve insulin sensitivity

• Lifestyle changes: anti-inflammatory diet, regular exercise, and stress management

• Psychological support or therapy when there is emotional impact

PCOS has no cure, but it can be managed. With comprehensive care, women can lead full, healthy, and fertile lives if they so choose. The important thing is to break the silence, seek information, and demand complete medical attention.