PCOS and PCOD are two distinct conditions that affect a woman’s hormonal and reproductive health.
These terms are used interchangeably or assumed to be the same.
The truth is although they share some similarities, they are two distinct conditions.
Both conditions affect the ovaries but differ in causes, symptoms and health implications.
In this article, we will clarify any confusion related to PCOS and PCOD, as well as the differences between PCOS and PCOD, and explain how to deal with it.
What Is PCOS?
Polycystic ovary syndrome (PCOS) is a condition that affects a woman’s hormone level during their reproductive years, that is, 12 to 51. Many women have PCOS but have no idea about it. In one study, up to 70 per cent of women with PCOS hadn’t been diagnosed.
In PCOS, a woman’s ovaries, a reproductive organ that produces oestrogen and progesterone, are affected. The ovaries also produce a small amount of male hormones known as androgens. PCOS is a syndrome that affects the ovaries and ovulation. The three main features are:
- Cysts in ovaries.
- High level of male hormones.
- Irregular or skipped periods.
Women with PCOS have symptoms like severe acne, excessive hair growth and weight gain. It significantly disrupts the menstrual cycle, often causing long delays between periods or absent periods.
Experiencing symptoms related to PCOS or PCOD? Consult our experts for comprehensive insights!
What Is PCOD?
Polycystic Ovary Disease (PCOD) is a condition where a woman’s ovaries contain many immature or partially mature eggs. These eggs eventually become cysts, leading to enlarged ovaries that secrete large amounts of androgens. This hormonal imbalance can cause various symptoms, including irregular menstrual cycles, weight gain, acne, and excessive hair growth on the face and body.
Women with PCOD may experience difficulties with fertility because the ovaries do not release eggs regularly. The exact cause of PCOD is not fully understood, but it is believed to be related to genetic and lifestyle factors.
Managing PCOD typically involves lifestyle changes such as maintaining a healthy diet, regular exercise, and weight management to improve insulin sensitivity. In some cases, gynaecologists might prescribe medications to regulate menstrual cycles, manage symptoms, and address fertility issues. Early diagnosis and treatment are important to reduce the risk of complications and improve overall health and well-being.
Key Differences Between PCOS and PCOD
Some females might be confused about whether PCOS and PCOD are the same. Both medical condition is related to ovaries and hormonal imbalances during their reproductive age and have similar symptoms, but here are the key differences between PCOS and PCOD.
Aspect | PCOS (Polycystic Ovary Syndrome) | PCOD (Polycystic Ovary Disease) |
Definition | A hormonal disorder causing enlarged ovaries with small cysts on the outer edges. | A condition where the ovaries contain many immature or partially mature eggs that turn into cysts. |
Prevalence | It affects approximately 5-10% of women of reproductive age. | It is more common than PCOS but less severe. |
Diagnosis | Confirming requires a combination of clinical signs, symptoms, blood tests (hormone levels), and ultrasound. | It is diagnosed through ultrasound, showing multiple cysts and associated symptoms. |
Hormonal Imbalance | Involves higher levels of androgens (male hormones), which can disrupt the menstrual cycle. | It also involves higher levels of androgens but is typically less severe than in PCOS. |
Menstrual Cycle | It often causes irregular or missed periods. | It can cause irregular periods but not as severe as PCOS. |
Symptoms | 1. Irregular periods. 2. Excessive hair growth on the face and body. 3. Acne. 4. Weight gain. 5. Thinning hair on the scalp. 6. Darkening of the skin, especially in the neck creases and under the breasts. |
1. Irregular periods. 2. Excessive hair growth on the body and face 3. Deepening of voice 4. Weight gain 5. Acne |
Effect on Fertility | PCOS can affect a woman’s fertility due to irregular ovulation or lack of ovulation. Even if they do get pregnant, there are high risks of complications, miscarriage or premature delivery. | PCOD does not affect a woman’s fertility as they do ovulate. They might get pregnant with a little bit of help from medications. |
How To Deal With PCOS And PCOD
If you have been diagnosed with PCOS or PCOD, you should consult your gynaecologist and physician for the right treatment plan. You should make these changes in your lifestyle to have a better life:
1. Lifestyle adjustments
This goes without saying that exercising daily will keep you fit. Exercise helps lower your blood sugar levels. This means that people with PCOS or PCOD can increase their daily activity and exercise moderately to prevent insulin from shooting up. Being active may also help keep your weight under control and reduce the risk of developing diabetes. Sometimes, a simple walk for 20-30 after a meal can be effective. You could add HIIT training to your daily routine or try something as relaxing as yoga.
2. Medication
PCOS could be treated with medication. Remember that you must maintain a healthy lifestyle irrespective of the medicines. If you do not plan to become pregnant, you can go for birth control pills, as they help regulate your menstrual cycle and also improve acne and help with excess hair growth. Metformin is a drug used to treat diabetes. It works by helping the body process insulin. Once insulin is under control, some people might see improvements in their menstrual cycle.
If you want to become pregnant now or in future, you could use medicines like clomiphene and letrozole to induce ovulation. Physicians would suggest in vitro fertilisation (IVF), where your egg and your partner’s sperm would be fertilised in a lab before transferring it to your uterus.
It is better to talk to gynaecologists for expert advice. If you are from London, contact our private gynaecologist to get all your questions answered.
3. High Fibre Diet
A high carbohydrate diet might increase your insulin levels, so women should have no more than 24 grams of added sugar per day. Work with a dietitian to determine how to stay within your limit. Choose complex carbohydrates and foods high in fibre, like pear, apple, and avocados. You should try and avoid food like pasta, white bread, and breakfast cereals or at least reduce their amount in your diet.
4. Maintain Healthy Weight
Weight loss can lower your insulin and androgen levels, which can help with regular ovulation. Reaching out to a dietician would be a better option for creating a sustainable weight loss plan and reducing portions and processed foods. The physician might recommend a calorie deficit while keeping your day full of healthy eating. Even losing 5% of your body weight would lead to a big change in your PCOS or PCOD journey.
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Conclusion
While PCOS and PCOD share similarities, they differ in severity and impact on a woman’s health. Understanding these differences is important for effective management and treatment. If you are experiencing symptoms related to PCOS or PCOD, seeking professional medical advice is essential. At Women’s Healthcare, we have experienced gynaecologists who will give personalised care and support for your reproductive health. Contact us and book your appointment now!

Neha Goel
Neha Goel, a Psychology alumna and MBA graduate from CASS Business School, London, brings together her expertise as a Reiki Practitioner and Practice Manager. She integrates psychology and business strategies to foster holistic well-being and personal development.