Polycystic Ovary Syndrome (PCOS) isn’t just a condition that happens in your 20s or 30s – it’s a lifelong chronic condition that can follow you through every stage of life. While it’s often associated with irregular periods and fertility challenges, the impact of PCOS goes far beyond that. It’s a hormonal and endocrine condition that affects the whole body, influencing metabolic health, hormone balance and even mental wellbeing across the decades.
🌸 PCOS in your 20s
For many women, their 20s are when PCOS first comes into focus – though not everyone is diagnosed at this stage. Common concerns include irregular periods, adult acne, excess hair growth (especially on the face) or thinning hair in a male-patterned way. Experiencing these symptoms early (whether before or after a diagnosis) can be tough on self-confidence and mental health, often triggering anxiety, body-image challenges and self-esteem struggles.
That’s why understanding PCOS is such a crucial first step in taking control (check out our PCOS blog for a full breakdown). Getting a grasp on the condition in these early stages and supporting your body with the right nutrition and lifestyle choices (more information here!), can have a lasting, positive impact as you move through your 30s and beyond.
🌸 PCOS in your 30s
In your 30s, the focus often shifts from managing physical symptoms to questions around fertility. This is the age many women start thinking about starting a family, and concerns about conceiving can take centre stage. While PCOS is a common cause of infertility, it’s also one of the most treatable. Many women with PCOS go on to have healthy pregnancies.
However, it's true that PCOS can increase the risk of complications such as miscarriage, gestational hypertension, preeclampsia, gestational diabetes and premature birth. The good news is that these risks can be actively managed during pregnancy. Lifestyle measures like maintaining a balanced diet, regular physical activity and a healthy weight before conception can make a significant difference (read our full blog on this here).
🌸 PCOS in your 40s and Beyond
PCOS doesn’t just disappear as perimenopause or menopause sets in – the hormonal and metabolic risks persist. At this stage, the focus typically shifts from reproductive concerns to long-term health risks. While menstrual symptoms may ease, insulin resistance, cholesterol issues and cardiovascular risks become more prominent.
Women with PCOS who have gone through menopause have a higher likelihood of developing conditions such as type 2 diabetes, high cholesterol, high blood pressure, heart attack and stroke. This is because, as women age, PCOS often transitions from primarily a reproductive disorder to more of a metabolic one, making ongoing monitoring and lifestyle management essential.
🌸 Why Early Management Matters?
PCOS isn’t just about reproductive health – it can increase the risk of a wide range of long-term health problems, no matter your age. Some of the most common risks associated with PCOS include:
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Insulin resistance
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Type 2 diabetes
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Obesity
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High blood cholesterol
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High blood pressure (hypertension)
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Excess fat in the liver
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Cardiovascular disease
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Mental health conditions such as depression and anxiety
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Sleep apnea which can cause daytime fatigue
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Endometrial (womb) cancer
❤️ PCOS can increase the chance of cardiovascular issues in women:
- Obesity: Women with PCOS often experience weight gain due to higher levels of insulin and androgens, particularly around the abdominal area. This type of weight gain increases the risk of stroke or heart attack. Excess insulin, if unmanaged, can lead to type 2 diabetes, which also raises the risk of cardiovascular events.
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Diabetes: Excess insulin, if unmanaged, can lead to type 2 diabetes, which also raises the risk of cardiovascular events.
Starting management early is crucial. Implementing positive nutrition, regular exercise, and other lifestyle habits in your 20s or 30s can significantly reduce the risk of serious diseases decades later. Early awareness and action give women with PCOS a real advantage in protecting long-term health.
🌸 Self Advocacy in Health Care
Living with PCOS means becoming your own health advocate. Unfortunately, many women feel dismissed or misunderstood in healthcare settings, especially when symptoms like irregular periods, weight changes or mental health concerns are involved. Taking an active role in your care can make a huge difference.
Here are some practical ways to advocate for yourself:
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Track your symptoms: Keep a record of your cycles, skin changes, weight fluctuations, mood and energy levels. Detailed notes can help your healthcare provider understand your condition better.
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Ask direct questions: Don’t be afraid to ask about long-term health risks, not just fertility or menstrual issues.
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Seek second opinions: If you feel your concerns aren’t being heard, it’s okay to consult another provider.
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Ask to see a dietitian or nutritionist: They can help you map out a personalised nutrition plan to support hormone balance, weight management and overall health.
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Discuss mental health: PCOS affects more than the body – mental health matters too. Bring up anxiety, depression or body-image concerns.
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Stay informed: Knowledge is power. Read reputable sources, attend workshops or join support communities to understand the latest guidance on PCOS management.
Remember, you are the expert on your body. Advocating for yourself isn’t just about getting answers – it’s about ensuring you get the care, support and strategies you need to live well with PCOS at every stage of life.