Counselling for PCOS – Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects 1 in 10 women of reproductive age. While it is often associated with irregular periods, weight fluctuations, and fertility challenges, its effects on mental health are just as significant but frequently overlooked. Many women with PCOS experience anxiety, depression, low self-esteem, and emotional distress, making it essential to address both the physical and psychological aspects of the condition.
At Horizon Counselling, we recognise the deep connection between hormonal health and mental well-being. Understanding PCOS, its symptoms, and the emotional toll it can take is the first step toward managing its impact and finding the right support.
What is Polycystic Ovary Syndrome (PCOS)?
PCOS is a hormonal imbalance that affects the way the ovaries function. The condition is characterised by:
- Irregular or absent periods due to ovulatory dysfunction
- Excess androgen levels, which can lead to acne, excessive hair growth (hirsutism), and hair thinning
- Polycystic ovaries, where the ovaries become enlarged and contain fluid-filled follicles that surround the eggs
Despite its name, not all women with PCOS actually have cysts on their ovaries, and symptoms can vary widely from person to person.
Common Symptoms of PCOS
PCOS symptoms range from mild to severe, and many women are unaware they have the condition until they experience difficulties with their periods or fertility. Some of the most common signs include:
- Irregular or absent menstrual cycles
- Weight gain or difficulty losing weight
- Excessive hair growth (face, chest, back)
- Thinning hair or hair loss
- Oily skin and acne
- Insulin resistance, increasing the risk of Type 2 diabetes
- Fatigue and low energy levels
- Difficulty conceiving due to irregular ovulation
While these physical symptoms can be frustrating and distressing, the emotional and psychological impact of PCOS is equally significant.
The Link Between PCOS and Mental Health
PCOS not only affects the body, it can take a serious toll on mental well-being. Women with PCOS are more likely to experience:
1. Anxiety and Depression
Studies show that women with PCOS are twice as likely to experience anxiety and depression compared to those without the condition. This may be due to:
- Hormonal imbalances, particularly high levels of androgens and insulin resistance
- Body image concerns, especially related to weight gain, acne, and excessive hair growth
- Fertility struggles, which can lead to stress and emotional distress
- The unpredictability of symptoms, which can create frustration and uncertainty
2. Low Self-Esteem and Body Image Issues
The physical symptoms of PCOS, such as weight gain, acne, and hair thinning, can have a huge impact on self-confidence. Many women feel self-conscious or unattractive, leading to withdrawal from social situations and feelings of isolation.
3. Mood Swings and Emotional Instability
PCOS can cause frequent mood swings due to fluctuating hormone levels. Many women experience:
- Irritability and heightened emotions
- Difficulty managing stress
- Sudden dips in motivation or energy
These mood fluctuations can make everyday life feel overwhelming, affecting relationships, work, and personal well-being.
4. Sleep Disturbances and Fatigue
Many women with PCOS struggle with poor sleep quality, insomnia, or excessive fatigue. Sleep deprivation can worsen anxiety and depression, creating a vicious cycle that impacts daily functioning.
5. Increased Risk of Eating Disorders
PCOS is linked to binge eating, emotional eating, and disordered eating patterns. The frustration of weight gain, body image concerns, and insulin resistance can lead to an unhealthy relationship with food, further affecting mental health.
Managing PCOS and Supporting Mental Well-Being
While there is no cure for PCOS, there are ways to manage symptoms and protect mental health. A combination of lifestyle changes, medical treatments, and emotional support can help women regain control and feel more balanced.
1. Seeking Medical Support
- Consulting a doctor or endocrinologist can help regulate hormonal imbalances
- Medications such as birth control pills or insulin-sensitising drugs may help manage symptoms
2. Prioritising Mental Health
- Counselling or therapy can help process emotions, address body image concerns, and develop coping strategies
- Mindfulness, meditation, and stress management techniques can help regulate mood swings
3. Healthy Lifestyle Changes
- Regular exercise helps manage insulin resistance, supports weight management, and improves mood
- A balanced diet, rich in whole foods, protein, and fibre, can help stabilise blood sugar levels and reduce symptoms
4. Finding a Support System
- Connecting with support groups or talking to others with PCOS can reduce feelings of isolation
- Speaking openly with partners, family, or close friends about the emotional impact of PCOS can help lighten the mental load
Understanding PCOS is the First Step
PCOS is a complex condition that affects both physical and mental health. However, with the right support, lifestyle changes, and self-compassion, it is possible to manage symptoms and improve overall well-being.
If PCOS is affecting your confidence, relationships, or emotional health, remember that help is available. You don’t have to navigate this journey alone, Horizon Counselling is here to support you in finding balance, relief, and confidence in yourself.
How Horizon Counselling Can Help
PCOS affects more than just physical health, it can be an emotional and psychological burden. If you’re struggling with anxiety, depression, body image concerns, or the emotional impact of PCOS, Horizon Counselling is here to support you.
Our trained therapists provide a safe, compassionate space to help you manage stress, build self-esteem, and regain a sense of control over your well-being. If PCOS is affecting your mental health, reach out to Horizon Counselling at 01752 221119 or email info@horizonplymouth.co.uk to explore how counselling can help.