Appointment
  • 19/08/2025
  • By: Dr. Anandmayee Sinha

PCOD and PCOS: Causes, Symptoms, Differences and Treatment

What is PCOD?

Polycystic Ovarian Disease (PCOD) is a medical condition in which a woman's ovaries generate immature or partially mature eggs in large numbers during reproductive age. These eggs develop into cysts in the ovaries over time. Due to the cysts, ovaries become large & secrete large amounts of male hormones (androgen) which causes infertility problems, irregular periods, unwanted weight gain, and other health issues.

While relatively common, most women are not aware of the signs and symptoms of PCOD, the implications of the condition, and available treatment options. So let us take a closer look.

Almost 10% of women in the world are suffering from PCOD. In compare to PCOD women with PCOS produce higher-than-normal amounts of male hormones. This hormone imbalance causes them to skip menstrual periods and makes it harder for them to get pregnant.

What Problem PCOD May Cause?

The symptoms associated with PCOD often leave a lasting impact on women’s physical and mental well-being. It is estimated that about 34% of the women suffering from PCOD problem also suffer from depression, and nearly 45% suffer from anxiety. This makes it essential to diagnose and manage the symptoms early to prevent PCOD problems in future.

Many of the women diagnosed with PCOD problem also experience poor quality of life-related to-

  • Mood swings
  • Negative social relationships
  • Low self-confidence
  • Negative self-image
  • Disruption of eating and sleep patterns
  • Low motivation

Let us look at how we can differentiate between PCOD vs PCOS.

PCOD PCOS
PCOD is a medical condition where the women’s ovaries produce immature or partially impure eggs, which transform into cysts. PCOS is a more severe condition where the ovaries produce a high quantity of male hormones, resulting in excess cyst formation.
About one-third of women worldwide suffer from PCOD, which means pretty common. PCOS is a disease that affects fewer women than PCOD.
PCOD does not affect fertility in women. In about 80% of the cases, women can conceive with little help and medications. PCOS affects female fertility adversely. As the woman is not ovulating regularly, it is difficult to conceive. Even if they do, there is a risk of miscarriage, premature birth, or complications during pregnancy.
PCOD has no serious complications. Type 2 diabetes, high blood pressure, heart disease, and advanced endometrial cancer are serious complications associated with PCOS.
PCOD doesn’t have severe complications and can be healed with the right diet plan. While polycystic ovary syndrome (PCOS) cannot be cured, the symptoms can be controlled through lifestyle changes and medicines.
PCOD does not release as many male hormones as PCOS, the symptoms are less frequent and rarely noticeable. Women suffering from PCOS often struggle with the symptoms from a younger age.
PCOD sufferers are not threatened with such issues. PCOS is inherently a metabolic disorder. This means it is often accompanied by a greater risk of developing high blood pressure (hypertension), diabetes, cardiovascular diseases, obesity, and cancers of the uterus and breast.
Women who suffer from PCOD experience mild to moderate symptoms. These symptoms can be managed with diet, lifestyle changes, and medication. Women suffering from PCOS may require infertility treatments and active treatment protocols to manage other health conditions that they may develop.

PCOD/PCOS Problem Symptoms

Here are some common signs and symptoms of PCOD/PCOS problems-
  • Irregular or unpredictable menstrual periods
  • Heavy bleeding during periods
  • Excess body hair
  • Acne
  • Hair loss or male pattern baldness
  • Difficulty in getting pregnant
  • Obesity
  • Darkening of skin or pigmentation around the neck
  • Sleep disorders
  • Depression

PCOD/PCOS Causes

The exact cause of PCOD problem remains unclear. Doctors believe that PCOD can have both genetic and environmental causes. PCOD is often associated with –

  • An unhealthy diet
  • A sedentary lifestyle
  • Pollution
  • Hormone altering medication
  • Several OTC (over the counter) medications and supplements

How is PCOD Problem diagnosed?

Diagnosis is crucial in finding a solution to PCOD problems. Your gynecologist will start with a physical exam and take a history of your symptoms. The doctor may then recommend tests such as -

  • Blood tests (to check for the hormonal levels, blood sugar, insulin, and cholesterol)
  • Pelvic ultrasound (to look for cysts in the ovaries and measure the lining of the uterus)

Treatment for Polycystic Ovarian Disease (PCOD)

While there is no permanent cure for Polycystic Ovarian Disease (PCOD), it can be effectively managed through a combination of lifestyle changes, medications, and, in rare cases, surgical intervention. The goal of treatment is to regulate hormone levels, restore ovulation, manage symptoms, and prevent long-term complications such as diabetes, infertility, or cardiovascular issues.

If you don’t plan to become pregnant, treatments include:

While there is no permanent cure for Polycystic Ovarian Disease (PCOD), it can be effectively managed through a combination of lifestyle changes, medications, and, in rare cases, surgical intervention. The goal of treatment is to regulate hormone levels, restore ovulation, manage symptoms, and prevent long-term complications such as diabetes, infertility, or cardiovascular issues.

  • Hormonal birth control: Options include birth control pills, patches, shots, a or an intrauterine device (IUD). Hormonal birth control helps to regulate your menstrual cycle, some forms will also improve acne and help with excess hair growth.
  • Insulin-sensitizing medicine: Metformin is a drug used to treat diabetes. It works by helping your body process insulin. Once insulin is under control, some people with PCOS see improvements in their menstrual cycles.
  • Medications to block androgens: Some medications can block the effect of androgens. This helps control acne or hair growth. Talk to your healthcare provider about whether such treatment is right for you.
  • Lifestyle changes: Eating a nutritious diet and maintaining a body weight that’s healthy for you can have a positive effect on insulin levels.

If you want to become pregnant now or in the future, treatment for PCOS includes:

  • Drugs to induce ovulation (releasing an egg): A successful pregnancy begins with ovulation. Certain drugs have been proven to induce ovulation in people with PCOS. The medications clomiphene and letrozole are taken orally, while gonadotropins are given by injection.
  • Surgery: A surgical procedure can help restore ovulation by removing tissue in your ovaries that produces androgen hormones. With newer medications available, surgeons rarely perform this procedure.
  • In vitro fertilization (IVF): This is an option for people with PCOS when medication doesn’t help with ovulation. Your provider fertilizes your egg with your partner’s sperm in a lab before transferring it to your uterus.
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