September 18, 2025

What Is PCOS and Why Is It So Often Misdiagnosed?

What Is PCOS and Why Is It So Often Misdiagnosed?

Polycystic Ovary Syndrome (PCOS) is one of the most common yet misunderstood hormonal conditions affecting women today. Despite its prevalence, PCOS is often misdiagnosed, dismissed, or misunderstood by both patients and providers. For many women, the road to a proper diagnosis takes years and it’s not uncommon to be told the NEW symptoms are "just part of being a woman."

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In this blog, we’ll cover what PCOS really is, why it’s so often missed, and how to start addressing the root cause of your symptoms, naturally and effectively.

WHAT IS PCOS?

PCOS is not just about cysts on your ovaries. In fact, many women with PCOS don’t have visible cysts at all. The name can be misleading.

At its core, PCOS is a hormonal imbalance that impacts the ovaries and how they function. Most cases involve elevated androgens (male hormones like testosterone), insulin resistance, and disrupted ovulation.

Common criteria used for diagnosis (called the Rotterdam Criteria) include:

  • Irregular or absent periods

  • Elevated androgens (facial hair, acne, hair thinning)

  • Polycystic ovaries on ultrasound

If you have any 2 of these 3, you may be diagnosed with PCOS.

WHY IS PCOS SO OFTEN MISDIAGNOSED?

  • Symptoms vary widely. Some women gain weight. Others don’t. Some struggle with acne or facial hair, while others experience intense fatigue or anxiety.

  • Standard blood tests often appear "normal."

  • PCOS symptoms mimic other conditions like hypothyroidism, adrenal issues, and even perimenopause.

  • Lean women are often overlooked due to weight bias in healthcare.

Far too many women are offered birth control or antidepressants without deeper investigation.

THE LINK BETWEEN PCOS & INSULIN RESISTANCE

Up to 70% of women with PCOS also struggle with insulin resistance. When your cells don’t respond properly to insulin, your body compensates by making more, leading to fat storage, increased androgens, and inflammation.

This hormonal disruption can:

  • Cause cravings and energy crashes

  • Trigger stubborn belly fat

  • Disrupt ovulation and fertility

  • Elevate cortisol and stress hormones

SIGNS YOU MAY HAVE PCOS

  • Irregular or missing periods

  • Weight gain (especially around the belly)

  • Acne or oily skin

  • Facial hair or hair loss

  • Fatigue or brain fog

  • Fertility issues

  • Mood swings or anxiety

DAILY HABITS THAT SUPPORT PCOS NATURALLY

Balancing hormones takes time and consistency. Some simple strategies to support your body:

  • Eat a high-protein breakfast (helps regulate insulin and cravings)

  • Walk after meals (improves blood sugar)

  • Prioritize 7–9 hours of sleep

  • Limit added sugar and refined carbs

  • Manage stress daily (breathwork, stretching, journaling)

SUPPLEMENT SUPPORT FROM WATERS WELLNESS

While lifestyle shifts are essential, targeted supplementation can help address root causes.

We recommend:


CONCLUSION

PCOS may feel overwhelming, but knowledge is power. When you understand your hormonal landscape, you can make informed, empowering choices that move you toward balance.

Explore PCOS support supplements at Waters Wellness or schedule a consultation for a personalized plan.