Understanding PCOS: It’s More Than Just Irregular Periods

By Dr. Aswin Pankajakshan, Consultant Endocrinologist

When we hear the term Polycystic Ovary Syndrome (PCOS), the most common association people make is irregular periods. While that’s certainly a hallmark symptom, PCOS is far more complex and widespread in its effects than many realize. It is not just a gynecological issue, but a full-body endocrine disorder that can impact your metabolism, hormones, skin, weight, mental health, and long-term health risks.

As an Endocrinologist in Dubai, I often meet women who are frustrated by years of misdiagnosis, dismissed symptoms, or incomplete treatments. Understanding PCOS properly is the first step toward managing it effectively.

What Exactly is PCOS?

PCOS affects 1 in 10 women of reproductive age. While the exact cause isn’t fully understood, it is linked to insulin resistance, hormonal imbalance, and genetics.

The three main criteria for PCOS diagnosis (you need two out of three):

• Irregular or absent periods (ovulatory dysfunction)
• Elevated androgens (male hormones), causing acne, hair thinning, or excessive facial/body
  hair
• Polycystic-appearing ovaries on ultrasound (but having cysts isn’t essential!)

Many women don’t fit the typical PCOS “image.” Some may have normal cycles, a slim body type, or minimal skin symptoms—making PCOS often underdiagnosed.

The Broader Impact of PCOS

1. Insulin Resistance & Metabolic Health

Most women with PCOS have some level of insulin resistance. This triggers excess insulin production, which then stimulates the ovaries to produce more testosterone, disturbing ovulation.

Signs linked to insulin resistance:

• Unexplained weight gain or difficulty losing weight

• Sugar cravings and energy crashes

• Higher risk of type 2 diabetes

Managing insulin resistance is key—not just regulating periods.

2. Long-Term Health Risks

If left untreated, PCOS may increase risks of:

• Type 2 diabetes and prediabetes

• High cholesterol and heart disease

• Infertility

• Sleep apnea

• Endometrial cancer (due to unopposed estrogen)

This makes regular monitoring with a PCOS doctor in Dubai essential for early intervention.

3. PCOS and Mental Health

Studies show women with PCOS are 3–5 times more likely to struggle with anxiety or depression. This isn’t only because of visible symptoms like acne, hair loss, or weight gain—it’s also due to biochemical imbalances. Hormones, insulin resistance, and inflammation directly affect mood regulation.

How Can PCOS Be Managed?

There’s no single treatment for PCOS because each woman’s journey is unique. A tailored plan often includes:

• Nutrition: A diet rich in low-GI and anti-inflammatory foods

• Exercise: Regular activity, especially strength training and walking

• Stress management: Mindfulness, therapy, and proper sleep

• Medical therapy: Metformin, hormone therapy, or fertility medications (if pregnancy is a goal)

• Monitoring: Regular checks for blood sugar, cholesterol, and mental health

Conclusion

One of the biggest myths about PCOS is that “you just have to live with it.” This is not true. With the right Endocrinologist in Dubai, women can regulate cycles, lose stubborn weight, improve skin and hair, reduce the risk of diabetes, and take control of their health.

At Fakeeh University Hospital, Dr. Aswin Pankajakshan, Consultant Endocrinologist, provides evidence-based, patient-centered care for PCOS and other hormonal disorders. With the right diagnosis and a personalized plan, understanding PCOS  and can be managing effectively so it doesn’t control your life.

📅 Book your consultation with Dr. Aswin today and take the first step toward hormonal balance and better health.