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Reviewed by

DR. SHAFALIKA SB

Consultant - Minimally Invasive Gynaecology

Manipal Hospitals, Hebbal

PCOS vs PCOD: What’s the Difference?

Reviewed by:

DR. SHAFALIKA SB

Posted On: Jun 16, 2025
blogs read 7 Min Read
PCOS vs PCOD

Are you struggling with irregular periods, acne, or unexplained weight gain? You’re not alone. Polycystic Ovary Syndrome (PCOS) and Polycystic Ovarian Disease (PCOD) are now more common than ever, especially in women who are in their reproductive years. In fast-paced cities like Bangalore, where long work hours and little focus on wellness have become the norm, these disorders are leading causes of gynaecological worries.

The stresses of urban life—irregular work schedules, processed food, and sedentary habits—are contributing to the rise in these reproductive health concerns. Whether it’s a teenager dealing with erratic periods or a professional grappling with persistent acne and weight gain, it’s crucial to understand the difference between PCOS and PCOD. Early detection and intervention can pave the way for the right treatment, helping you manage symptoms and maintain long-term health.

 

PCOS vs PCOD: Are They the Same?

While the two terms are often used interchangeably, PCOS and PCOD are distinct conditions with overlapping features. Understanding their unique characteristics helps individuals seek the right care and manage symptoms appropriately. Although both involve ovarian cysts and hormonal imbalances, PCOD is more of a functional condition, while PCOS is a complex endocrine disorder that can impact various bodily systems.

PCOS vs PCOD

Common Symptoms Women Shouldn’t Ignore

Women with PCOS or PCOD may present with a variety of symptoms, some of which are subtle and easily mistaken for stress or dietary changes. Paying attention to early signs can make all the difference in achieving hormonal balance and maintaining reproductive health.

  • Irregular Periods: One of the most common symptoms. In PCOD, cycles are often delayed but not completely absent, while PCOS may cause complete cessation of menstruation (amenorrhoea).

  • Acne and Oily Skin: Due to excess androgens.

  • Weight Gain or Difficulty Losing Weight: Particularly around the abdomen.

  • Hair Thinning or Hair Loss: Especially noticeable at the crown or hairline.

  • Hirsutism: Unwanted hair growth on the face, chest, or back.

  • Mood Swings and Anxiety: Hormonal imbalances can affect emotional regulation.

  • Fertility Challenges: Ovulation may be irregular or absent, particularly in PCOS.

Recognising these signs early can prevent the progression of either condition and reduce the risk of complications.

Why PCOS/PCOD Is Becoming More Common in Bangalore?

Modern urban living—particularly in metropolitan cities like Bangalore—plays a significant role in the rising incidence of PCOD and PCOS. Long work hours, increased exposure to environmental pollutants, irregular eating patterns, and high consumption of processed food are just a few of the triggers.

Studies in recent years have suggested that young women in metro cities show a higher incidence of PCOS, with prevalence rates in India ranging from 9% to 36% among reproductive-aged women. Factors such as sleep deprivation, sedentary work culture, and stress from academic or career pressures are also contributing to the hormonal imbalances that underpin these disorders.

When to See a Specialist for PCOD/PCOS symptoms?

Many women overlook symptoms or dismiss them as temporary hormonal shifts. However, certain red flags should prompt a visit to a gynaecologist:

  • No periods for more than 3 months

  • Sudden weight gain or difficulty losing weight

  • Severe acne unresponsive to over-the-counter treatments

  • Excessive hair growth or hair thinning

  • Difficulty in conceiving after trying for 6-12 months

  • Early diagnosis enables timely PCOS treatment and PCOD treatment, which can significantly improve health outcomes and quality of life.

Diagnosis

There’s no single diagnostic test to confirm PCOS or PCOD. Diagnosis typically involves clinical assessment, medical history, and targeted investigations.

  • Hormonal Blood Panels: To check testosterone levels, LH, FSH, prolactin, insulin, and thyroid hormones.

  • Pelvic Ultrasound: Helps visualise the presence of cysts in the ovaries.

  • Metabolic Screening: Evaluates risks related to blood sugar, cholesterol, and insulin resistance.

At Manipal Hospital Hebbal, our patient-first approach ensures comfort and clarity at every stage. Women with PCOS or PCOD are offered personalised diagnostic plans and detailed explanations to support informed decision-making.

Treatment Approaches at Manipal Hospital Hebbal

The management of PCOS and PCOD is tailored according to the severity of the condition, age, and future fertility plans. Treatment is not a one-size-fits-all solution and often involves a blend of therapies:

1. Lifestyle Modification

The first line of intervention includes:

  • Nutritional guidance to support weight loss and blood sugar control

  • Stress reduction techniques such as yoga or mindfulness

  • Tailored exercise routines focusing on metabolic health

2. Personalised Medication Plans

Depending on symptoms, patients may receive:

  • Oral contraceptives to regulate periods

  • Anti-androgens for acne or excess hair

  • Insulin-sensitising drugs like metformin

  • Ovulation-inducing medication if trying to conceive

  • 3. Fertility-Focused Treatments

Women struggling with conception can benefit from assisted reproductive techniques or ovulation monitoring under the care of experienced fertility specialists.

4. Multidisciplinary Support

What sets Manipal Hospital Hebbal apart is its integrated model of care:

  • Nutritionists help in maintaining a PCOS-friendly diet

  • Endocrinologists manage insulin resistance and metabolic issues

  • Mental health clinicians address anxiety or mood disorders, which are often accompanied by hormonal imbalance

Whether the goal is managing symptoms or achieving pregnancy, comprehensive care ensures that every aspect of the condition is addressed.

Conclusion

Both PCOS and PCOD are manageable with the proper medical support and lifestyle interventions. Early diagnosis not only prevents complications but also restores hormonal balance, improves fertility, and enhances overall well-being. If you’ve noticed troubling menstrual patterns, weight fluctuations, or skin changes, don’t wait. Book a consultation with an expert OBG specialist in Bangalore at Manipal Hospital Hebbal, and take your first step towards clarity, control, and care.

FAQ's

Stress is not considered a direct cause for PCOS/PCOD but can aggravate symptoms by disrupting the hormone balance. It may alter sleep patterns and cause abnormal weight or periods. Managing your stress keeps your hormones balanced.
 

Given proper treatment, many women with PCOS and PCOD do conceive. PCOS poses a bigger threat to ovulation; nevertheless, ovarian stimulation and fertility drugs used in early treatment are of great assistance. 
 

Lifestyle modifications constitute the usual therapy of PCOD. PCOS includes drug therapy and specialist care of longer duration. Treatment depends on symptoms, severity, and fertility desires.
 

Yes, if your period could be late or you do not get one for months. In many cases, irregular periods are an ominous sign of an incipient abnormality in the hormonal constitution. Early check-up might save you from major complications. 
 

Definitely! A healthy and balanced diet will prevent both insulin spikes and hormone imbalance. It could also combat symptoms of acne, weight gain, and mood swings. The diet is part and parcel of treatment
 

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