Dec. 10, 2025

Understanding PCOS: Symptoms and Solutions Explained

Dr. Anne Hussain dives deep into Polycystic Ovary Syndrome (PCOS) as someone who has PCOS herself.

Show Notes

In this episode of Phase to Phase, Dr. Anne Hussain dives deep into Polycystic Ovary Syndrome (PCOS), a topic near and dear to her heart as someone who has PCOS herself. This common yet complex condition affects so much more than your ovaries, menstrual cycles, and fertility. She emphasizes that PCOS is a lifelong, multi-system condition that requires a comprehensive approach to management that will evolve over time. She breaks down how PCOS is diagnosed, the role of insulin resistance and inflammation, how your PCOS is not your fault, and the impacts on your long term health–from weight and skin to fertility and heart health. Dr. Hussain also highlights the role of nutrition, exercise, sleep, and stress management in managing PCOS, as well as potentially beneficial medications and supplements. Whether you’ve just been diagnosed or have been managing symptoms for years, this episode is a must-listen to help you advocate for yourself and build a sustainable plan rooted in science and self-compassion.

Takeaways

It’s not just about your ovaries, periods, or fertility. PCOS is actually a multi-system, lifelong hormonal and metabolic condition that impacts your mood, energy, skin, and long-term health.
You don’t need to have polycystic ovaries to have PCOS! PCOS requires us to rule out conditions that look like PCOS, while meeting two of the three Rotterdam diagnostic criteria of: (1) irregular or anovulatory menstrual cycles, (2) hyperandrogenic symptoms or labs (like acne, hirsutism, and hair loss, or high testosterone and DHEA in blood), (3) polycystic ovaries on ultrasound or high AMH in blood
PCOS comes in all shapes and sizes. Symptoms of PCOS can vary from person to person and these symptoms can change over time! The common signs and symptoms seen in PCOS include irregular periods, acne, hair loss, hirsutism, fatty liver, abdominal weight gain, infertility, gestational diabetes, mood dysregulation, higher risk of heart disease, and more
Insulin resistance is the biggest underlying factor in PCOS and contributes to the hormonal dysregulation that is often seen in PCOS. PCOS is influenced by genetic, environmental, familial, and lifestyle factors. You did not cause your PCOS!
Managing your PCOS often requires a multimodal approach with a focus on foundations like nutrition, exercise, sleep, mental health support, stress management, and more. Medications and supplements can be layered on top depending on your, your goals, and your health.