12 PCOS myths, and what is actually true

PCOS comes with a lot of advice: from relatives, from neighbours, from Instagram. Some of it helps. A lot of it causes worry or guilt for no reason. Here are twelve myths we hear most often, and what is actually true.

Myth 1: "PCOS means you have cysts on your ovaries"

Fact: The "cysts" are usually small follicles, eggs that did not fully mature and release. They are not the kind of cyst that needs to be removed. And you can have PCOS without polycystic-looking ovaries on a scan.

Myth 2: "Only overweight women get PCOS"

Fact: Women of every body size can have PCOS. Weight can make symptoms stronger, but slim women get PCOS too, and they deserve the same care and attention.

Myth 3: "It will go away after marriage"

Fact: Marriage does not change your hormones. This myth delays care for many young women in India. If you have signs of PCOS, see a doctor now, whatever your plans are.

Myth 4: "It will go away after pregnancy"

Fact: Pregnancy does not cure PCOS. Some women notice changes after having a baby, but PCOS is long-term and still needs looking after.

Myth 5: "Women with PCOS cannot get pregnant"

Fact: Many women with PCOS get pregnant, some naturally and some with help. PCOS is a common cause of difficulty conceiving, and also a very treatable one. If you are planning a pregnancy, talk to your gynaecologist early.

Myth 6: "You must never eat rice again"

Fact: There is no single "PCOS diet" proven best for everyone. The 2023 international guideline recommends general healthy eating that suits your culture and taste. For many Telugu families that means less white rice per plate and more dal, vegetables and protein, not zero rice. Your dietitian can tell you what fits you. See our Telugu kitchen swaps.

Myth 7: "The pill cures PCOS"

Fact: Hormonal pills can help regulate periods and reduce acne or extra hair for many women. They manage symptoms; they are not a cure. Whether they suit you is a decision for you and your doctor.

Myth 8: "Supplements or a special tea will fix it"

Fact: Many products are sold with big promises. Evidence for most supplements in PCOS is limited or still being studied. Some can interact with medicines. Ask your doctor before starting anything, and be wary of anything that promises a cure.

Myth 9: "If your periods are regular, you do not have PCOS"

Fact: Most women with PCOS have irregular periods, but not all. A doctor looks at several signs together, not just one.

Myth 10: "PCOS is only about periods"

Fact: PCOS also affects how the body handles sugar and insulin, and it is linked to a higher risk of type 2 diabetes, high cholesterol and mood changes like anxiety and low mood. That is why doctors may check sugar and cholesterol too, and why feeling low is worth mentioning at your visit.

Myth 11: "Exercise only helps if you lose weight"

Fact: Regular movement helps how your body uses insulin, your mood and your sleep, even when the scale does not move. A daily walk counts.

Myth 12: "It is your fault"

Fact: PCOS runs in families and is linked to genes and hormones. Nobody causes their own PCOS. What you can do is follow a plan that helps you feel better, one day at a time, without guilt.

Related reading

• PCOS vs PCOD: what's the difference?
• Questions to ask your gynaecologist about PCOS
• How to follow your PCOS treatment plan every day