PCOS MYTH BUSTING: SEPARATING FACT FROM FICTION

Polycystic Ovary Syndrome (PCOS) is one of the most common hormonal conditions affecting women of reproductive age, yet it remains one of the most misunderstood. With a sea of information (and misinformation) circulating online and in conversations, it’s no wonder that myths about PCOS often overshadow the facts. Whether you've just been diagnosed or have been managing PCOS for years, getting clarity is essential—not just for your peace of mind, but for your health too.

In this article, we’ll tackle some of the most common myths and set the record straight with accurate, evidence-based information.

This is perhaps the most persistent myth of all. Despite the name, not everyone with PCOS has ovarian cysts. In fact, the "cysts" often seen on ultrasound are not true cysts but immature follicles that haven’t developed properly due to hormonal imbalances.

Diagnosis is based on assessment using the Rotterdam Criteria , and includes looking to see if you have:

• Irregular or absent periods
• Excess androgens (male hormones)
• Polycystic-looking ovaries on an ultrasound or raised levels of Anti Mullerian Hormone (AMH)

However, as only 2 of these 3 factors need to be present, you can have a diagnosis of PCOS without any cysts at all.

Weight is frequently linked to PCOS, but the condition affects women of all shapes and sizes. It’s true that many women with PCOS struggle with weight loss due to insulin resistance, but “lean PCOS” is a recognised subtype where individuals are of normal weight.

Regardless of body type, hormonal imbalances, ovulatory issues, and metabolic symptoms can still be present. Dismissing Polycystic Ovary Syndrome in someone who isn’t overweight can lead to missed diagnoses and delayed care.

It’s a common fear, but let’s be clear: PCOS does not mean you are infertile. It might make conception more challenging due to irregular or absent ovulation, but many women with PCOS go on to conceive naturally or require a little help from their doctor.

Lifestyle changes, medications such as ovulation inducers, and fertility treatments can all help support pregnancy. A diagnosis is not the end of your fertility journey—it’s the beginning of understanding your body better.

PCOS looks different in every woman. Some may struggle with acne, others with excess facial hair, some with irregular cycles, and some may not notice symptoms until they try to conceive. The spectrum of symptoms is wide, and severity varies. Because of this, personalised management plans—rather than a one-size-fits-all approach—are key.

Here at One Day Tests we offer personalised consultations to help you get knowledgeable and empowered manage your PCOS and, if your trying to conceive, your fertility too!

While the combined oral contraceptive pill is a common and effective option for managing symptoms such as irregular periods and acne, it’s far from the only tool available.

PCOS management includes lifestyle interventions:

• Diet 
• Exercise 
• Medications and treatments targeted to specific symptoms. 

If you're trying to conceive, there are ovulation induction medications that can support your fertility goals. Treatment should be tailored to your symptoms, your goals, and your overall health.

While irregular or absent periods are a hallmark symptom, some women with PCOS do have regular cycles. This is especially true for those who have already made positive steps in managing their condition through:

• Diet
• Exercise 
• Medication

Diagnosis is based on a combination of features, not menstrual cycle alone. See your doctor or book an appointment with one of our Women’s Health Specialist to get a diagnosis and find out how to manage your condition for better health and fertility.