Today, while I still have to manage my symptoms, I feel more in control. My journey with PCOS isn’t perfect, but I’ve learned to adapt and live a fulfilling life. To anyone dealing with PCOS, know that you’re not alone—there are ways to manage this, and support is out there.” – Sarah, 32

The symptoms of PCOS can vary widely between individuals and may evolve over time. Some women experience long, heavy, or absent periods, while others may struggle with acne, excessive hair growth on the face or body, and hair thinning. Weight gain, particularly around the abdomen, is another common feature. These symptoms can be socially isolating and contribute to negative body image, infertility issues, and even anxiety or depression.

Polycystic ovaries, which can be identified through an ultrasound scan. Doctors are careful to exclude other conditions that may cause similar symptoms and consider factors like puberty or menopause that may naturally result in irregular cycles. Interestingly, not all women with PCOS will show the classic ovarian cysts during a scan.

In countries like Nigeria, about 6–8% of women are affected by PCOS, with varying symptoms across different regions and communities. Cultural factors and limited access to healthcare can also influence how PCOS is diagnosed and treated in certain populations.

There are also many myths surrounding PCOS. One common misconception is that it only affects overweight women. While weight can exacerbate symptoms, PCOS affects women of all body types. Another myth is that having PCOS always means you can’t have children. In reality, many women with PCOS can conceive with appropriate treatment. Additionally, some people mistakenly think PCOS is only a reproductive issue when, in fact, it has broader metabolic implications, such as an increased risk of cardiovascular disease.

Without treatment, PCOS can lead to several complications, including infertility, metabolic syndrome, endometrial cancer, sleep apnea, and mental health issues. Early diagnosis and intervention are key to preventing these long-term risks.

PCOS is a complex condition that affects more than just reproductive health. It impacts metabolic, emotional, and social well-being, and understanding its symptoms and risk factors is essential for better management. In countries like Nigeria, where cultural factors and healthcare access may limit diagnosis, increased awareness and education are vital.