In short: Yes, but you should feel empowered, not afraid. PCOS isn’t life-threatening, but it can have a ripple effect on multiple aspects of your health. It’s important to understand the potential complications so you can take proactive steps early.
Some health impacts associated with unmanaged PCOS include:
- Infertility or difficulty conceiving due to irregular ovulation
- Insulin resistance and increased risk of type 2 diabetes
- Weight gain or difficulty losing weight
- High blood pressure and cholesterol issues
- Endometrial cancer risk, especially with long-term missed periods
- Mental health concerns, such as anxiety, depression, or low self-esteem
What Are the Most Common Symptoms of PCOS?
PCOS doesn’t look the same in everyone, which is why it can go undiagnosed for years. Recognising the most common symptoms can help you identify when to seek support.
Key signs and symptoms of PCOS include:
- Irregular, infrequent, or absent periods
- Excess facial or body hair (hirsutism)
- Persistent acne, oily skin, or scalp issues
- Thinning hair or hair loss on the scalp
- Weight gain or difficulty losing weight
- Darkened skin patches (acanthosis nigricans)
- Fatigue or low mood
- Trouble getting pregnant
How Is PCOS Diagnosed?
PCOS is diagnosed based on a combination of symptoms, blood test results, and imaging, not on cysts alone. The Rotterdam criteria are widely used to confirm diagnosis.
You only need two of the following three criteria for a diagnosis:
- Irregular or absent ovulation (e.g. missed or infrequent periods)
- Signs of elevated androgens, such as acne, unwanted hair, or high testosterone
- Polycystic-appearing ovaries seen on ultrasound
Can PCOS Be Managed?
Yes. While PCOS has no cure, symptoms can be managed effectively with lifestyle changes, medication, and individualised care. The goal is to support your hormonal balance, cycle regularity, metabolic health, and overall wellbeing.
Treatment options your GP may discuss with you include:
- Lifestyle support: Nutrition changes, strength-based exercise, weight management, and sleep
- Hormonal therapies: Birth control pills, anti-androgen medications, or ovulation inducers
- Insulin-regulating medications: Such as metformin for those with insulin resistance
- Targeted supplements: Including inositol, vitamin D, or magnesium
- Emotional support: Mental health care, therapy referrals, and self-care strategies
When Should You See a Doctor About PCOS?
If you’re experiencing any symptoms linked to PCOS even mildly it’s worth having a conversation with your doctor. Early intervention leads to better outcomes.
Speak to your GP if you notice any of the following:
- Menstrual cycles that are irregular or absent
- Excessive hair growth, acne, or scalp hair thinning
- Difficulty losing weight despite healthy habits
- Low energy, poor mood, or feeling hormonally “off”
- Trouble getting pregnant after 6–12 months of trying
Is PCOS Genetic?
Yes, PCOS can run in families. While the exact cause of PCOS is still being researched, there is a strong genetic link. If your mother or sister has PCOS, your chances of developing it may be higher. Experts believe a combination of genetic and environmental factors influences the development of PCOS.
Can PCOS Cause Hair Loss and Is It Reversible?
Yes, PCOS can lead to hair thinning or hair loss due to elevated androgen levels. This type of hair loss, known as androgenic alopecia, often affects the scalp in a pattern similar to male hair loss. The good news is that it is usually reversible. With appropriate treatment such as hormonal therapy or lifestyle changes, many women notice improvements in hair thickness and overall hair health.
Does PCOS Continue After Menopause?
PCOS does not go away after menopause. While ovulation and periods stop, many of the hormonal imbalances and metabolic risks associated with PCOS can persist. These include a higher risk of developing type 2 diabetes, high blood pressure, and cardiovascular disease. Ongoing medical support and lifestyle care remain important even after menopause.
Can PCOS Cause Endometriosis?
PCOS does not directly cause endometriosis, but it is possible to have both conditions at the same time. They are separate medical issues that affect the reproductive system in different ways, although both can impact fertility and overall hormonal health. And it is possible for a person to have both PCOS and endometriosis. Although unrelated, these conditions can coexist, making diagnosis and management more complex. For example, someone may experience irregular periods from PCOS along with chronic pelvic pain from endometriosis.
If you are noticing overlapping symptoms such as period irregularity, pelvic discomfort, or fertility concerns, speak to a qualified GP for comprehensive evaluation and support.
Get Personalised PCOS Management at Sirona Women’s Health
If you’re living with symptoms of PCOS or wondering whether your hormonal health is on track, you don’t need to manage it alone. Even mild or vague symptoms can signal an underlying hormonal imbalance that deserves attention.
At Sirona Women’s Health in Brisbane, our all-female GP team offers expert, compassionate care for women experiencing PCOS whether you’re newly diagnosed, have been managing it for years, or simply want answers about your reproductive health.
Book your consultation online or contact our friendly team today to take the next step toward feeling your best. We take the time to listen, assess your full picture, and provide evidence-based options tailored to your body, lifestyle, and goals.