As midwives, we support women through all stages of reproductive health, and one condition we frequently see (and talk about!) is Polycystic Ovary Syndrome, or PCOS.
It’s one of the most common hormonal conditions affecting women, yet many still feel confused, isolated, or even dismissed when they first hear the diagnosis.
So, let’s break it down.
What is PCOS?
PCOS affects how the ovaries work, and while it can look different for everyone, there are three key features we look out for:
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Irregular or absent periods, your ovaries may not be releasing eggs regularly (ovulating), which can impact fertility.
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Higher levels of androgens, these are hormones often called “male” hormones. Higher levels can cause:
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Acne
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Excess facial/body hair (hirsutism)
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Thinning hair on the scalp
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Polycystic ovaries on ultrasound, the ovaries might look larger and contain many small follicles (fluid-filled sacs). These aren't harmful or true “cysts” despite the name!
To be diagnosed with PCOS, you typically only need to have two out of these three features.
Read here to find out more about diagnosing Polycystic ovary syndrome - NHS
What Does PCOS Look Like in Real Life?
Every person’s experience with PCOS is different. It can affect people in many ways. Some might notice:
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Irregular or missing periods
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Difficulty conceiving
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Changes in skin or hair
Others may have no symptoms at all and only discover PCOS during a scan or blood test.
What’s important to remember is, you are not alone and PCOS doesn’t define your fertility or your health future.
What Can Help?
There’s no one-size-fits-all treatment for PCOS, but as midwives, we often work alongside GPs, dietitians, and endocrinologists to help support people in managing their symptoms.
Some common approaches include:
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Lifestyle support – Nutrition, gentle movement, and stress management can make a big difference.
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Cycle tracking – Even with irregular periods, learning more about your cycle can help you feel more in tune with your body.
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Medication – Some may be offered medication to regulate periods, manage symptoms, or support fertility.
For more support The Royal College of Obstetricians have a fabulous leaflet RCOG Leaflet: Managing PCOS (PDF)
From One Midwife to You…
We see you. If you’ve been diagnosed with PCOS, or you’re simply feeling like something isn’t right with your cycle, please know that you deserve to be heard and supported.
PCOS can feel overwhelming at first. But with the right care, knowledge, and support, it’s absolutely manageable, and if you're hoping to get pregnant? Many people with PCOS go on to have healthy pregnancies. You’re not alone in this journey.
Talk to your midwife or GP if you have questions or concerns. You know your body best, and we’re here to listen.
