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?

What should you do and how can we help you?

I know firsthand the deep impact this disorder can have on a woman's physical and mental health. Many patients feel desperate when they first come to us.

Below are just some of the ways we approach women who visit us:

- We take the time to listen and understand the unique concerns and issues of each woman. Not everyone experiences things in the same way.

- We inform patients with Polycystic Ovary Syndrome about the disorder. Many women with polycystic ovaries do not understand what causes their symptoms and may feel disappointed and confused. By providing them with clear and accurate information, we can help them better understand what is happening to them and make more informed decisions about their health.

- We treat the physical symptoms of Polycystic Ovary Syndrome with lifestyle changes, such as weight loss and healthy eating, as well as medication like birth control pills and metformin, where needed. Treating the physical symptoms offers both immediate and indirect improvement of psychological symptoms.

- We encourage women to communicate openly and honestly with their partner about the effects of Polycystic Ovary Syndrome on relationships and sexual disposition. Share your thoughts and feelings and be prepared to listen to your partner's opinion.

- We understand that it is not solely the responsibility of gynecologists to help patients with Polycystic Ovary Syndrome. A mental health counselor specializing in supporting women living with chronic conditions can be extremely helpful in managing psychological and emotional issues that arise.

Sources:

Thomas R Berni and others, Polycystic Ovary Syndrome Is Associated With Adverse Mental Health and Neurodevelopmental Outcomes, The Journal of Clinical Endocrinology & Metabolism, Volume 103, Issue 6, June 2018, Pages 2116–2125, https://doi.org/10.1210/jc.2017-02667

Blay SL, Aguiar JV, Passos IC. Polycystic ovary syndrome and mental disorders: a systematic review and exploratory meta-analysis. Neuropsychiatr Dis Treat. 2016;12:2895-2903
https://doi.org/10.2147/NDT.S91700