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PCOD or PCOS: Key differences, symptoms, causes, and prevention tips every woman should know

PCOD or PCOS: Key differences, symptoms, causes, and prevention tips every woman should know

Time of India10-07-2025
Polycystic Ovarian Disease (PCOD) and Polycystic Ovarian Syndrome (PCOS) are two of the most common hormonal disorders affecting women in their reproductive years. While these conditions are often confused due to overlapping symptoms, they are distinct in terms of severity, long-term health impacts, and treatment approaches.
Understanding the differences between PCOD and PCOS is crucial for early detection and personalised treatment. While PCOD is relatively manageable with lifestyle changes, PCOS requires long-term medical attention to prevent complications like diabetes, infertility, and cardiovascular issues. A healthy lifestyle combined with regular checkups can greatly improve quality of life and reproductive health for women with either condition.
Understanding PCOS and PCOD: How it affects body
PCOS
PCOS is a serious hormonal and metabolic disorder that causes the ovaries to produce an abnormally high level of androgens (male hormones). This hormonal imbalance interferes with the development and release of eggs during ovulation.
How PCOS affects the body:
The hormonal imbalance leads to irregular periods or no ovulation at all.
Multiple immature follicles form into fluid-filled cysts in the ovaries.
These cysts remain unreleased, disrupting fertility.
Over time, PCOS can lead to insulin resistance, type 2 diabetes, obesity, and cardiovascular risks.
Women with PCOS may also experience acne, excess facial or body hair, and difficulty in conception. Because of its systemic effects, PCOS typically requires medical treatment and long-term management.
PCOD
PCOD is a condition in which the ovaries release immature or partially mature eggs. These eggs accumulate and form cysts in the ovaries, which may cause the ovaries to enlarge.
Common
causes of PCOD
Caused largely by lifestyle factors like poor diet, lack of physical activity, and stress.
Leads to irregular menstruation, weight gain, and mild hormonal imbalances.
Can be managed effectively through diet and exercise.
Unlike PCOS, PCOD is less severe and doesn't always impact fertility. Many women with PCOD can conceive naturally or with minimal medical help.
Key differences between PCOD and PCOS
Feature
PCOD (Polycystic Ovarian Disease)
PCOS (Polycystic Ovary Syndrome)
Severity
Less severe
More serious metabolic disorder
Cause
Lifestyle-related
Endocrine (hormonal) dysfunction
Ovulation
Irregular, but often occurs
Often absent due to anovulation
Fertility
Largely unaffected
Can severely affect fertility
Management
Diet and lifestyle
Requires medical treatment
Risk factors
Lower long-term risks
Risk of diabetes, heart disease, infertility
According to
UNICEF
, PCOS is more serious than PCOD due to its broader metabolic implications and impact on long-term health.
PCOD and PCOS: Common symptoms
Women may experience symptoms as early as their teenage years or only discover them later in life, especially when trying to conceive. The most common symptoms of both conditions include:
Irregular or missed periods
Heavy bleeding during periods
Excessive facial or body hair (hirsutism)
Acne on face, chest, or back
Weight gain or difficulty losing weight
Hair thinning or scalp hair loss
Skin pigmentation (especially on the neck or under breasts)
Difficulty conceiving
PCOD and PCOS: Causes behind
Excess androgen production:
Both PCOS and PCOD involve elevated levels of male hormones, disrupting ovulation and causing physical symptoms like acne and hair growth.
Insulin resistance:
Insulin resistance is common in PCOS, contributing to higher androgen levels and increased fat storage.
Lifestyle factors:
Poor diet, sedentary lifestyle, stress, and sleep irregularities can trigger or worsen both PCOD and PCOS.
Genetics:
A family history of PCOS or irregular menstrual cycles can increase the risk of both conditions.
Long-term complications of PCOS
PCOS, when left untreated, can lead to several chronic health conditions, including:
Type 2 diabetes
Infertility or complications during pregnancy
Endometrial cancer
Hypertension and heart disease
Anxiety, depression, and sleep apnea
Obesity and metabolic syndrome
Treatment options for PCOD and PCOS
While there's no permanent cure, both conditions can be managed through a combination of lifestyle changes and medical treatment:
Lifestyle modifications
Weight loss:
Losing 5–10% of body weight can regulate menstrual cycles and improve insulin sensitivity.
Low-glycemic diet:
Focus on high-fiber, low-sugar foods to stabilize insulin levels.
Exercise:
Moderate activity like brisk walking, yoga, or cycling improves hormonal balance.
Medical treatments
Hormonal therapy:
Oral contraceptives to regularize periods and reduce androgen levels.
Insulin-sensitizing drugs:
Like metformin, especially in PCOS patients with insulin resistance.
Fertility treatments:
Ovulation-inducing medications (e.g., clomiphene) and assisted reproduction.
Ovarian drilling:
A laparoscopic procedure for patients with PCOS unresponsive to medication.
Tips to manage PCOD and PCOS naturally
Eat balanced meals rich in whole grains, lean proteins, and healthy fats.
Avoid refined sugars and trans fats.
Get 7–9 hours of sleep daily.
Practice stress-reducing activities like meditation, journaling, or walking.
Stay hydrated and limit caffeine intake.
PCODs and PCOS: Related FAQs
What is the main
difference between PCOD and PCOS
?
PCOD is a lifestyle-related condition causing immature egg release, while PCOS is a hormonal disorder leading to high androgen levels and ovulation issues.
Which is more serious—PCOD or PCOS?
PCOS is more serious. It's a metabolic disorder that can cause infertility, diabetes, and heart disease if not managed properly.
Can women with PCOD or PCOS get pregnant?
Yes. PCOD usually allows natural pregnancy with minor help. PCOS may require fertility treatments due to irregular ovulation.
What are common symptoms of PCOD and PCOS?
Symptoms include irregular periods, acne, weight gain, hair thinning, and excess facial or body hair.
How can PCOD and PCOS be managed naturally?
Healthy diet, weight loss, regular exercise, and stress reduction can significantly improve symptoms of both conditions.
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