Understanding the The Mental and Emotional Toll of PCOS on Women

Studies have shown that PCOS is diagnosed in one in six infertile women in Nigeria. According to the World Health Organization, Polycystic ovary syndrome (PCOS) affects an estimated 8–13% of reproductive-aged women and Up to 70% of affected women remain undiagnosed worldwide.

PCOS is more common than you might think, yet it often flies under the radar. Even though it affects millions of women, many don’t realize they have it until they face challenges like difficulty getting pregnant. 

Polycystic Ovary Syndrome (PCOS) is often thought of in terms of its physical symptoms: irregular periods, weight gain, acne, and excess hair growth. But for many women, the most challenging aspects of PCOS are the ones you can’t see — the emotional and mental struggles that come with it. 

These invisible impacts often remain unspoken, even as they affect countless women navigating their day-to-day lives. September is PCOS awareness month and we are taking a deep look into the mental health challenges associated with PCOS and offering guidance on how to cope with mood swings, depression, and anxiety.

The Mental Health Challenges of Polycystic Ovary Syndrome

For many women, a PCOS diagnosis brings more than just physical symptoms. The condition can trigger a range of emotional responses, from frustration and sadness to anger and anxiety. Imagine feeling trapped in your own body, unable to control your weight despite your best efforts, or battling acne well into your late 20s and 30s. Now, add unpredictable mood swings and the looming possibility of fertility issues. It’s no wonder so many women with PCOS struggle with mental health concerns.

Why PCOS Takes a Toll on Mental Health

The reasons behind the emotional toll of PCOS are complex and multifaceted. Hormonal imbalances, such as elevated levels of androgens (male hormones), can directly affect your mood. For some people, these fluctuations lead to irritability and anxiety; for others, they contribute to depression. The struggle with physical symptoms can also impact self-esteem, leading to a sense of helplessness or loss of control over one’s body.

Research suggests that women with PCOS are three times more likely to suffer from anxiety and depression than those without the condition. This isn’t just a result of hormonal shifts; it’s also due to the chronic stress of managing a condition that affects so many aspects of life, from physical health to social interactions and even future plans.

PCOS and Mood Swings: More Than Just Hormones

While mood swings are a common experience for many women, PCOS can make them particularly intense. One moment, you might feel fine; the next, you’re overwhelmed by sadness or frustration for no apparent reason. These rapid shifts can make it difficult to maintain relationships, manage work stress, or even complete daily tasks.

Understanding the Causes of Mood Swings in Women with Polycystic Ovary Syndrome

Mood swings in women with PCOS are primarily linked to hormonal fluctuations. Androgens, insulin, and cortisol levels can affect neurotransmitters like serotonin, which regulate mood. Beyond biology, there’s also the constant emotional stress of living with an unpredictable condition. The frustration of not knowing how you will feel from one day to the next can be exhausting in itself.

How to Cope with Mood Swings

1. Mindful Awareness: Start by acknowledging your emotions without judging yourself. When a mood swing hits, take a moment to breathe and give a name to what you’re feeling. Be as honest with yourself as possible about what it is you feel, even if you don’t like the words that come out. This practice can help you understand and manage your emotions better.

2. Establish Routine: Regular sleep patterns, exercise, and nutrition can stabilize mood. Consistent routines help regulate your body’s internal clock and can reduce the intensity of mood swings. Constantly having unpredictable days with no structure can contribute to negative feelings and further worsen your experience.

3. Support Network: There is so much power in community, especially amongst women. Reach out to others who understand what you’re going through. Joining a support group or connecting with friends who also have PCOS can provide emotional validation and a sense of belonging.

Depression and Anxiety: The Silent Companions of PCOS

For some women, the emotional impact of PCOS goes beyond mood swings to full-fledged depression or anxiety. It’s not just about having a bad day; it’s an ongoing struggle that affects everything from relationships to career aspirations.

Recognizing the Signs of Depression in Women with PCOS

Depression in women with PCOS can manifest in various ways: feelings of hopelessness, fatigue, difficulty concentrating, loss of interest in activities, or changes in appetite. If these symptoms persist for more than two weeks, it’s crucial to seek help from a healthcare professional.

Coping Strategies for Depression

1. Professional Support: Therapy can be immensely helpful in managing depression related to PCOS. Cognitive-behavioral therapy (CBT) has been proven effective in treating depression and anxiety, especially when they are linked to a chronic condition like PCOS. In a place where seeking therapy can feel like a taboo, it’s important to take charge of your own healing. Don’t let stigma hold you back—reach out, find the support you need, and take the first step toward a healthier, happier you. You deserve this, girl.
2. Self-Care Practices: Engaging in self-care activities can help manage symptoms of depression. This can be as simple as going for a walk, taking a hot bath, or spending time with loved ones. The key is to find what makes you feel good and make it a regular part of your life.
3. Medication: In some cases, medication may be necessary to help manage depression or anxiety. Always consult with a healthcare provider to determine the best approach for your unique situation.

Practical Tips for PCOS Self-Care

Taking care of your mental health is as essential as managing the physical symptoms of PCOS. Here are some self-care tips specifically tailored to help you cope with the emotional toll of PCOS:

1. Exercise Regularly: Physical activity releases endorphins, which are natural mood elevators. Aim for at least 30 minutes of exercise most days of the week. It’ll help relieve stress, improve your mood and your outlook on life. A win-win!
2. Eat a Balanced Diet: Certain foods can help stabilize mood swings. Incorporate plenty of fruits, vegetables, whole grains, and lean proteins into your diet. Avoid excessive sugar and processed foods that can cause blood sugar spikes.
3. Sleep Well: As fun as it can be to spend hours on end doom scrolling on late nights, poor sleep can exacerbate the mood swings and anxiety. Aim for 7-9 hours of sleep per night and establish a bedtime routine to help your body wind down.
4. Stay Connected: Don’t isolate yourself. Reach out to friends, family, or online support groups where you can share your experiences and receive support.

Sharing Your PCOS Story

One of the most empowering things you can do as someone living with PCOS is to share your story. It’s easy to feel isolated or misunderstood, but remember that many women are dealing with similar struggles. By speaking out, you not only help yourself but also contribute to a broader understanding of what it means to live with PCOS.

If you’re comfortable with speaking up, do so unashamedly. No pressure at all.

Conclusion

Polycystic Ovary Syndrome is more than just a physical condition; it’s a complex experience that affects both the body and mind. By recognizing and addressing the mental health challenges associated with PCOS, we can better support the women who live with it every day. Remember to prioritize self-care, seek professional help when needed, and stay connected to those who understand your journey.

We are tirelessly rooting for you!

Loved this article? Check out this article on Empowering women through accessible healthcare.

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