Psychological challenges in patients with polycystic ovarian syndrome

The Polycystic Ovary Syndrome (PCOS) affects millions of women worldwide and is perhaps the most well-known hormonal disorder. Common characteristics of the syndrome are irregular cycles, high androgens, and cysts in the ovaries. Although PCOS is mainly considered a bodily condition, its psychological effects can be equally—if not more—significant for a woman.

Is there a direct scientific relationship between Polycystic Ovary Syndrome and a woman's mental disposition?

The answer is YES.

A characteristic of Polycystic Ovary Syndrome is hormonal imbalances. Androgens are known to play a role in regulating mood and emotional behavior. The high levels of androgens produced in women with polycystic ovaries can affect mental disposition and contribute to the development of unpleasant psychological conditions.

Polycystic Ovary Syndrome is also associated with chronic low-grade inflammation. This chronic inflammation is believed to contribute to changes in an individual's mood.

Additionally, some studies have shown that women with polycystic ovaries have low levels of sex hormone-binding globulin (SHBG), which is known to cause mood swings and depression.

What are the most common psychological problems associated with Polycystic Ovary Syndrome?

• Anxiety and Depression
  Among the most common psychological issues associated with PCOS are anxiety and depression. Women with Polycystic Ovary Syndrome seem to have twice the risk of developing these disorders. The physical symptoms of polycystic ovaries can be particularly intense, and the uncertainty surrounding the disorder can cause some women to experience anxiety and depression. Additionally, many women with polycystic ovaries feel bad about their bodies and weight, which can further contribute to worsening feelings of depression and anxiety.

• Low Self-Esteem
    Many patients suffering from the syndrome have low self-esteem. The physical manifestations of the syndrome can be difficult to hide, and many women feel uncomfortable about their appearance. Severe acne and excessive facial and body hair can contribute to feelings of low self-esteem.

• Impact of Polycystic Ovary Syndrome on Relationships and Sexuality
  Women with polycystic ovaries may experience symptoms such as irregular periods, weight gain, and even reduced libido. These symptoms can affect a woman's sexual desire and self-image, which often has negative effects on her relationship with her partner.

• The Struggle for Fertility in Women with Polycystic Ovaries
  Infertility can be a blow to women with Polycystic Ovary Syndrome, who often struggle to conceive due to the disorder. This can lead to feelings of despair, helplessness, and sadness. Even if a woman can become pregnant, the fear of miscarriage can also cause her psychological distress.
  More about the relationship between Polycystic Ovary Syndrome and fertility and miscarriages here.

• Feeling of Social Isolation
  The feeling of isolation is also common among women with PCOS, as they may feel that they are the only ones struggling with the syndrome's difficult problems. It is important to remember that you are not alone and that there are many available ways to get help.