Category: PCOS

Polycystic ovarian syndrome (PCOS) is a complex hormonal disorder that affects lots of systems in the body. Yes, PCOS can impact more than just the reproductive system! This is why the symptoms of PCOS are so vast and can encompass the whole body. Things like irregular periods, excess facial hair growth, acne, fatigue, mood swings, infertility, weight gain, sleep issues, and digestive system problems are all very common symptoms in people with PCOS. 

Today, I am going to focus on that last one! Digestive issues include food sensitivities, poor nutrient absorption, cramping, bathroom struggles, and BLOATING. Bloating is so common with PCOS, that it even has a name. They call it “PCOS belly” and this describes how a Cyster’s belly is sometimes prominent due to hormonal imbalances that affect fat distribution. This causes more fat storage in her abdominal cavity. Many times this can give a bloated look and can negatively affect our confidence, and it can feel extremely uncomfortable, too! 

Luckily, there are lots of ways to reduce bloating, relieve digestive issues, and reverse your symptoms naturally. So let’s dive into this!

PCOS Bloating: Why It Happens and What To Do About It

First of all, what is bloating? Bloating is when your stomach feels full and tight because of excess gas and other digestive issues. Many women experience this pressure during certain parts of their menstrual cycle, but women with PCOS often feel it all the time! It can get extremely uncomfortable and can seriously affect our quality of life. 

How Does PCOS Cause Bloating?

There are quite a few ways polycystic ovary syndrome (PCOS) can contribute to bloating. PCOS is primarily a hormone condition, and those fluctuations in hormones trigger inflammation and disrupt the digestive process by altering the balance of flora and bile acids in your gut microbiota. Plus, low progesterone can cause fluid retention, which can lead to bloating.

Having high testosterone leads to belly fat with PCOS as well. Most women with PCOS struggle with high testosterone. Having high testosterone makes us store fat deeper in our abdominal cavity. The deeper fat is stored, the more dangerous it is for your health compared to the fat that’s stored just under your skin.

But, that’s not all. Women with PCOS are more prone to digestive disorders like irritable bowel syndrome (IBS), GERD, and chronic constipation. And, if you’re on any common PCOS prescriptions like metformin, clomiphene, or hormonal birth control, that could cause bloating, too. It all plays a role! 

How To Get Rid of PCOS Bloating

Eat more fiber. 

One of the essential elements of managing PCOS effectively is a balanced diet! And including fiber is a MUST not just for our well-being but for mending our bloating issues. It helps by improving insulin sensitivity, which can worsen hormonal imbalances and inflammation. Additionally, fiber helps promote regular bowel movements and gut health.  

High-fiber foods include legumes, quinoa, sweet potatoes, nuts, seeds like chia seeds, fruits, and cruciferous vegetables! (Which include asparagus, beans, broccoli, brussels sprouts, cabbage, and cauliflower.) Whole grains are also a great source of fiber, just be sure that they’re gluten free. You can find LOTS of high-fiber meals and snacks on The Cysterhood app! Give it a download for all my favorite PCOS-friendly recipes. You can also read about the connection between PCOS and IBS in this post.

Cut inflammatory foods. 

Inflammation is a big part of why Cysters experience bloating and poor gut health. It can actually contribute to a lot of PCOS issues and perpetuate a cycle of hormonal imbalance and insulin resistance, too. I recommend trying to reduce inflammatory foods like dairy products, gluten, fried foods, processed snacks, and alcohol for 30 days (then reintroducing these back afterward to see how much you can tolerate). The less chronic inflammation in our bodies, the better our gut health can be!  

Manage blood sugar levels. 

Insulin resistance is when your body becomes less reactive to glucose. So, instead of converting it to energy, your cells absorb the sugar as fat and raise your insulin levels. This can trigger inflammation and cause hormone imbalances like hyperandrogenism! Both leading to belly fat. Knowing your Carb Tolerance Range and focusing on an anti-inflammatory, balanced PCOS diet to manage your blood sugar levels, reduce bloating, and find lots more symptom relief! 

Practice mindful eating.

Mindful eating is when you slow down, chew thoroughly, and pay attention to your body’s while you eat. It’s not just to prevent you from overeating, but it’s actually super helpful for reducing bloating! Mindful eating reduces the amount of air swallowed and gives the digestive system time to properly break down food.

Stay hydrated. 

Our bodies can’t carry out its thousands of daily chemical reactions and processes optimally without water! We NEED to stay hydrated to feel our best. When we’re dehydrated, our body actually retains fluid (yes, tool little water can lead to water retention!) which can cause constipation. However, when we’re hydrated, it helps everything get flushed out to reduce bloating!

Exercise regularly. 

Regular exercise lowers insulin resistance, hormonal imbalances, and inflammation—the three things that contribute the most to PCOS symptoms like boating! Doing physical activity like slow-weighted workouts can help deflate that bloat and encourage healthy digestion. Just make sure you keep the workouts low-impact, such as lifting weights over high-intensity cardio. Raising your heart rate for long periods of time and pumping your body full of adrenaline (like in a 60 minute cardio kickboxing class) can sometimes worsen symptoms! You can find PCOS-friendly workouts on The Cysterhood app as well! 

Take probiotics and curcumin. 

Probiotics are supplements that help with the balance of good and bad bacteria in our gut microbiome. When your gut bacteria is balanced, you’ll likely find relief from most of your GI issues including bloating! 

Another natural supplement that’s super helpful for bloating is curcumin aka turmeric! It has anti-inflammatory health benefits that can help improve your gut health and reduce bloating. Plus, curcumin has plenty of other PCOS benefits too! Just make sure you get high-quality vitamins like my PCOS-friendly supplement line Ovafit! 

Trade soda for herbal tea or kombucha. 

Carbonation and sugar can both lead to significant bloat. So, if you’re drinking a few sodas every day, this most likely won’t help you reduce bloating. Swap your soda for herbal tea like peppermint tea or chamomile. They both have ingredients that relax the muscles in the digestive tract to relieve gas and bloating. Ginger is also a good choice because it’s anti-inflammatory. If you’re interested in grabbing some tea, try Tesosterone Relief Tea that can also help you lower androgen levels!

If you like kombucha, that’s another good alternative for a healthy gut! It’s a fermented drink that naturally contains probiotics, which we’ve already discussed are great for bloating relief! Here are other PCOS benefits of kombucha as well! I like to pour about half a cup and put in a bunch of ice, this makes it super refreshing and low sugar since I’m drinking less than I would if I had the whole bottle.

Strive for quality sleep. 

Sleep is essential for proper hormone balance. Ensuring you get 8 hours of good sleep can help you see big improvements in all your PCOS symptoms, including digestive problems and bloating. 

Of course, good sleep isn’t always a breeze with PCOS since Cysters are much more likely to experience sleep disorders. Sleep apnea and insomnia are very common! But, with strategies in the post called How to Get Better Sleep with PCOS, we hope we can help you figure out a nightly routine that works for you. 

There are lots of ways to relieve bloating with PCOS! 

There is no reason you should live with any chronic symptoms that reduce your quality of life. Bloating combined with all the other symptoms of PCOS can be really difficult to deal with day after day. However, you can find natural healing from your PCOS and live symptom-free!

Find out more on the blog, on my podcast, and on The Cysterhood app. We can do this together!

Polycystic ovary syndrome (PCOS) is a hormonal condition that affects women of reproductive age. Because it involves hormonal imbalances, PCOS can impact SO many systems in the body, triggering a long list of symptoms that can really decrease a Cyster’s quality of life. This is why many Cysters are searching for ways to manage common symptoms of PCOS including weight gain, irregular periods, excess hair growth, acne, mood swings, fatigue, and even abdominal pain. 

Are you surprised to hear abdominal pain or pelvic pain could be caused by PCOS? It’s true! There are a few ways PCOS can trigger abdominal pain, so today I’m going to talk about why it happens and what you can do about it. 

Note: Polycystic ovarian syndrome (PCOS) recently got a much-needed name change! It’s now called polyendocrine metabolic ovarian syndrome. This new name more accurately represents the condition, so you’ll see me use PMOS in newer posts and sometimes jump between the two names as we’re transitioning. I just wanted to update you all so you weren’t confused by the two different names! 

Abdominal Pain in PCOS (or PMOS): What’s Normal and When to Be Concerned

Though there’s no direct treatment for PCOS, you don’t need to jump straight to medications like metformin or hormonal birth control for your symptom management if you don’t want to (those aren’t your only options). There are so many ways to naturally ease symptoms like abdominal pain and even reverse your PCOS! 

Here’s what you need to know about this common PCOS symptom: 

How Does PCOS Cause Abdominal Pain?

There are lots of reasons women with PCOS may experience abdominal pain, but most of them trace back to the same root causes: inflammation, insulin resistance, and hormonal imbalances. These underlying issues are key to improving symptoms, but first, let’s break down the specific ways they can lead to abdominal pain:

Ovarian Cysts: 

Ovarian cysts are small, fluid-filled sacs that can form on or inside the ovaries. With PCOS, the body’s hormone levels, especially excessive androgens, can mess with ovulation. That means the follicles (which normally release an egg) don’t mature properly, so they just stick around on the ovary. While many cysts go away on their own, some can cause symptoms like bloating, pelvic pain, or cramping. (For more on cysts, listen to this episode of A Cyster and Her Mister.)

Period Pain: 

Periods aren’t just irregular with PCOS they can be super heavy and painful, too. That’s partly because sex hormone imbalances (like too much estrogen or not enough progesterone) can lead to a thicker buildup of the uterine lining. When your body finally sheds that lining, it can make cramps a lot more intense. Plus, PCOS is linked to higher levels of inflammation, which can amplify period discomfort and abdominal pain even more. (Here’s more on what periods are like with PCOS.)

Gut Issues: 

Hormonal imbalances, especially elevated androgen and insulin levels, can disrupt the gut microbiome (the balance of good and bad bacteria in your digestive system). PCOS is also linked to higher levels of inflammation, which can affect how your gut functions and lead to symptoms like bloating, gas, constipation, or diarrhea. All of this can make your digestive system more sensitive, causing pain or cramping in the lower abdomen. 

Endometriosis:

Endometriosis can cause abdominal pain because tissue similar to the uterine lining grows outside the uterus on places like the ovaries, fallopian tubes, or even the intestines. This tissue still responds to your monthly hormones, so it bleeds and gets inflamed during your cycle, but since it has nowhere to go, it can lead to swelling, scarring, and intense pain. 

PCOS and endometriosis are sometimes confused because both can cause irregular menstrual cycles, pelvic pain, and fertility issues, but they’re very different: PCOS is driven by hormonal imbalances and lack of ovulation, while displaced tissue and inflammation causes endometriosis. Some people even have both, which can make getting an accurate diagnosis and a good treatment plan super difficult, so it’s important to get checked if you’re dealing with ongoing pain. Here’s more on PCOS vs. endometriosis.

Can PCOS Cause Cramping During Periods?

Yes. PMOS can cause cramping. High androgen levels in a Cyster’s body can disrupt ovulation in a big way. Those high levels of male sex hormones can cause multiple small, immature follicles to develop in the ovaries instead of allowing one dominant egg. As a result, ovulation may happen late or not happen at all.

Here’s the problem: The whole time your body is waiting to ovulate, estrogen keeps building the uterine lining in preparation for a possible pregnancy. The longer that delay lasts, the thicker the lining can become. Eventually, you ovulate, the hormone levels shift, and your body sheds that lining through menstruation. Since there’s a lot more tissue to get rid of, periods can be much heavier and a lot more painful. Cue the cramps! 

PMOS or PCOS Pelvic Pain During Ovulation

If you’re feeling lower abdominal pain outside of your period, PMOS or PCOS could still play a role. Remember all those immature follicles I mentioned? When lots of them build up, the ovaries can become enlarged. That enlargement can create different types of pain like pressure, aching, heaviness, or general discomfort in the lower abdomen. And if you do eventually ovulate after a delay, that process can sometimes trigger lower abdominal pain or cramping around ovulation. Some people feel pain as a sharp twinge, while others notice more of a dull ache or lingering discomfort.

PMOS and PCOS Lower Abdomen Pain Causes

• Hormonal fluctuations: Shifts in estrogen and progesterone throughout irregular cycles can sometimes trigger cramping or pelvic discomfort outside of your period.
• Enlarged ovaries: The buildup of multiple immature follicles can cause the ovaries to enlarge, creating feelings of pressure, aching, heaviness, or lower abdominal discomfort.
• Bloating and fluid retention: Hormonal changes can lead to bloating, which may make your lower abdomen feel tender, tight, or uncomfortable.
• Delayed or irregular ovulation: Long or unpredictable cycles can sometimes cause cramping and pelvic discomfort at unexpected times throughout the month.
• Inflammation: PCOS is associated with low-grade inflammation in some people, which may increase sensitivity and contribute to pelvic discomfort.
• Ovarian cysts: Cysters can develop cysts on the ovaries when follicles keep growing instead of releasing as an egg. If a cyst grows larger, it can put pressure on surrounding tissue and cause lower abdominal pain.

How To Manage Abdominal Pain In PCOS or PMOS

Try an anti-inflammatory gluten- and dairy-free diet. 

Diets aren’t just about weight loss—they’re about giving your body the tools it needs to function and heal. For many women with PCOS, abdominal pain can be triggered by underlying inflammation, gut imbalances, and hormone fluctuations. That’s why I recommend trying a gluten- and dairy-free anti-inflammatory diet.

This approach has helped many Cysters reduce inflammation, improve insulin resistance, and bring hormones into better balance—all key factors that contribute to bloating, cramping, and pelvic pain. As your gut and metabolism begin to heal, you might be surprised at how much better your body feels. Real food, real relief.

If you’re ready to manage PCOS symptoms naturally through diet, download The Cysterhood app. It’s full of PCOS-friendly recipes and meal plans you’ll love what you’re eating and how you’re feeling! 

Take Ovasitol.

There are so many supplements that can kick-start your journey to reversing PCOS by providing tons of extra support with essential vitamins and minerals. Specifically for abdominal pain with PCOS, I recommend taking Ovasitol.

Ovasitol is a high-quality inositol supplement made with a 40:1 ratio of myo- and d-chiro-inositol, which mirrors the ratio naturally found in the body. This combo is especially helpful for improving insulin sensitivity, promoting regular ovulation, and supporting hormone balance, three key factors that can reduce the formation of painful cysts. When insulin and androgen levels start to stabilize, your cycles become more regular and your ovaries are less likely to develop those fluid-filled cysts that can trigger cramping and discomfort. Here’s more about cramps and PCOS.

I recommend taking Ovasitol twice a day with meals for consistent support, and it’s one of the simplest, most effective ways to start managing PCOS from the root.

Getting these specifically from OvaFit ensures that you get NSF-certified and high-quality supplements at the carefully selected dosages suggested by research on women with PCOS. Talk to your doctor before starting any new supplements to make sure they’re right for you. 

Do regular slow-weighted workouts. 

Exercise can also make a big difference when it comes to the root issues of PCOS! But I completely understand if those crunches and sit-ups you thought you needed to do to lose belly fat are causing more discomfort than progress (and PSA, there are more effective ways to target PCOS belly). Slow, weighted workouts help reduce inflammation, improve insulin sensitivity, balance hormones, support digestion, and relieve stress, all of which give your dysregulated body the support it needs. As these areas improve, there’s a good chance you’ll notice your abdominal pain improving, too. You’ll find slow-weighted workout routines on the app along with those PCOS-friendly recipes!

Use heating pads or take a warm bath. 

While you work on addressing the root causes of your abdominal pain to get lasting relief, heat therapy can be a great way to temporarily reduce pain while you work on the root causes. A heating pad or warm bath can help relax muscles, boost circulation, calm nerve sensitivity, support digestion, and reduce stress, making it easier to cope when the pain flares up.

Practice stress management. 

Stress management is another important step for relieving abdominal pain with PCOS because stress increases inflammation, disrupts hormone balance, and can cause muscles in the abdomen and pelvis to tense up leading to more pain. It also affects digestion and makes your body more sensitive to discomfort. 

So, try calming your mind and body with things like yoga, meditation, nature walks, journaling, better sleep, or your favorite hobbies. You’ll not only feel mentally better, but physically too. 

Stay hydrated. 

Want a really easy way to ease abdominal pain? Drink more water! Proper hydration helps flush out toxins, reduce bloating, support digestion, and lower inflammation, all of which can contribute to less cramping and discomfort. Water also keeps your hormones and metabolism functioning more smoothly, giving your body the support it needs to manage pain more effectively.

I also recommend drinking Testosterone Relief Tea. Elevated androgens can contribute to inflammation, irregular ovulation, and ovarian cyst formation…all of which may lead to cramping, bloating, or discomfort in your lower belly. I created this science-backed herbal blend in this tea to help naturally lower testosterone levels and support hormonal balance. Ingredients like spearmint, chamomile, and nettle are known for their anti-inflammatory and hormone-regulating properties, making this tea a gentle but effective option for supporting pain relief and easing uncomfortable symptoms tied to PCOS.

It’s not just soothing to sip…it’s part of a consistent routine that supports your healing from the inside out. Many Cysters find that enjoying the tea once or twice a day helps reduce bloating, lessen pelvic pain, and promote more regular cycles over time.

Relieve pressure by resting in the fetal position. 

Here’s another one that won’t cure abdominal pain, but can help you get through it as you work through healing! Try sleeping in the fetal position, which can relax the abdominal muscles to reduce cramping and tension. For some, it even has a bonus relaxing effect! 

Consider acupuncture. 

Acupuncture for PCOS works by stimulating specific points on the body to promote better blood flow, reduce inflammation, and calm the nervous system. This means it’s great for easing pain! Acupuncture may also support hormone regulation and improve insulin sensitivity, making it a holistic option for addressing both the pain and the underlying causes of PCOS. Many Cysters find it especially helpful during painful flare-ups or as part of an ongoing healing plan!

Try a TENS (Transcutaneous Electrical Nerve Stimulation) machine. 

For people really struggling with chronic pain, TENS machines can be a natural, drug-free way to get some temporary, but immediate relief. While others have reported it doesn’t stop the pain completely, they also say it can take the edge off while you figure out other ways to target the root cause. The machine sends mild electrical impulses through the skin to stimulate the nerves, blocking pain signals from reaching the brain. You can find discrete options like Livia that allow you to go about your day even while dealing with your abdominal or pelvic pain. 

Get a consultation with a pelvic floor physical therapist. 

Ongoing abdominal or pelvic pain is not uncommon, but it doesn’t have to be your “normal.” If you’re doing what I’ve recommended on this list and just aren’t seeing relief (or not enough relief), get a consultation with a pelvic floor physical therapist. There could be an undiagnosed injury or other problem that a specialized healthcare provider could help address. It never hurts to dig deeper, you deserve the full picture when it comes to your pelvic health!

Get to the root of your chronic pain to find long-term PCOS healing! 

It’s true that PCOS doesn’t have a “cure,” but that does NOT mean you’re just stuck with your symptoms. No way! A holistic, natural approach to PCOS management can actually get to the root of your body’s dysfunction to reverse the condition, allowing you to finally live symptom-free! 

For more on how to tackle polycystic ovarian syndrome, browse the PCOS Weight Loss blog and tune in weekly to the A Cyster and Her Mister podcast! It’s time to say goodbye to pain and difficult PCOS symptoms with a lifestyle that allows you to thrive with PCOS. 

Polycystic ovary syndrome (PCOS) is one of the most common hormonal conditions affecting women today, yet so many of us are left with more questions than answers when we’re first diagnosed. Doctors often recommend birth control, weight loss, or metformin—but those don’t always get to the root cause of our symptoms. That’s why so many Cysters turn to natural strategies to manage (and even reverse) their symptoms, like balancing blood sugar, managing stress, and using herbs to support their hormones.

One popular herb in the PCOS world? Ashwagandha. It’s best known for reducing stress and balancing cortisol, which can be super helpful for women with PCOS-related fatigue, anxiety, and insulin resistance.

But here’s the thing: ashwagandha isn’t the best herb for every Cyster. While it has some potential benefits, it can also increase testosterone levels, which could make symptoms like acne, hair thinning, and hirsutism (unwanted hair growth) worse instead of better.

So, should you add ashwagandha to your PCOS healing routine? Let’s break down the pros and cons so you can decide if it’s the right fit for you!

Ashwagandha and PCOS: Is It Helpful or Harmful?

What Is Ashwagandha?

Ashwagandha (Withania somnifera) is an adaptogenic herb also known as Indian ginseng or winter cherry. It’s often used in Ayurvedic medicine, which is an Indian medical strategy that focuses on health and well-being. Ashwagandha is widely used because it includes SO many bioactive compounds that make it beneficial for a variety of ailments!

Here are some:

• Withanolides – Anti-inflammatory and anti-stress
• Alkaloids – Anti-inflammatory and pain-relief
• Saponins – Antioxidant and‌ immune system support
• Flavonoids – Antioxidant 
• Choline – Brain and nervous system support
• Tannins – Anti-inflammatory and antimicrobial 
• Iron – Energy and metabolic health

Is Ashwagandha Good For PCOS?

It depends. While ashwagandha can be helpful for some Cysters, it’s not the best fit for everyone.

Ashwagandha is best known for its ability to reduce stress and lower cortisol levels, which can be super beneficial if you struggle with adrenal fatigue, insulin resistance, or chronic inflammation—all of which are common in PCOS. Some research also suggests it may support thyroid function, which could be helpful for Cysters with thyroid-driven PCOS.

However, there’s a big catch—ashwagandha may also increase testosterone levels in some women, which can make symptoms like acne, hair loss, and hirsutism (unwanted hair growth) worse instead of better. Since many women with PCOS already have elevated androgens, this is something to keep in mind before adding ashwagandha to your routine.

So, is ashwagandha good for PCOS? It depends on your unique hormone profile! If stress is your biggest trigger, it might be a helpful tool. But if you’re already dealing with high testosterone, you may want to try other PCOS-friendly herbs instead.

What Dose of Ashwagandha for PCOS?

Most research suggests you try 300-600 mg per day of ashwagandha root extract, split into two doses. Of course, talk to your doctor about it before you start taking it! And, if you both decide ashwagandha is right for you, make sure the supplement you purchase is PCOS-friendly and NSF-certified.

What Are The Benefits Of Ashwagandha For PCOS?

Pro: Helps Reduce Stress and Anxiety

Stress is more than just a feeling—chronic stress levels are a huge driver of PCOS symptoms. When you’re constantly dealing with high cortisol levels, it can lead to blood sugar spikes, insulin resistance, poor sleep, digestive issues, and even worsened hormonal imbalances. That’s why managing stress isn’t just about feeling better—it’s essential for healing PCOS at the root.

This is where ashwagandha shines! It’s an adaptogen, meaning it helps the body adapt to stress by balancing the HPA (hypothalamic-pituitary-adrenal) axis, which controls your stress response. Studies show that ashwagandha can lower cortisol levels, support serotonin and GABA activity (your brain’s “calm and happy” chemicals), and promote relaxation—all of which reduces anxiety, improves mood, and betters sleep long term.

If you struggle with adrenal-driven PCOS, chronic stress, or burnout, ashwagandha might be a helpful addition to your routine. Just keep in mind that lowering stress is only one piece of the puzzle—supporting blood sugar regulation, eating nourishing meals, and getting gentle movement in all work together to bring your hormones back into balance!

Con: Increases Testosterone Levels

One of the biggest hormone imbalances in PCOS is elevated androgens (male hormones like testosterone), which can lead to frustrating symptoms like irregular periods, acne, hair loss, and hirsutism (unwanted hair growth on the face and body). While some herbs are great for naturally lowering androgens, ashwagandha might actually do the opposite.

Researchers have performed most studies on ashwagandha’s effects on men, where data showed the herb significantly increased testosterone levels. While there’s little research confirming this effect in women, it’s something to keep in mind—especially if you have PCOS, since our hormone levels tend to be extra sensitive.

If you already struggle with high androgens, adding ashwagandha to your routine could potentially make symptoms like acne, hair loss, and irregular cycles worse. That being said, hormone balance is complex, and every body reacts differently! If you’re considering ashwagandha, it’s a good idea to track your symptoms and listen to your body to see how it affects you. And if lowering testosterone is your goal, herbs like spearmint may be more beneficial options.

Pro: Regulates Thyroid Hormones 

Hypothyroidism and thyroid disorders is really common with PCOS. In fact, about 25-40% of women with PCOS have some kind of thyroid dysfunction. Basically, it’s when your thyroid gland doesn’t produce enough T3 and T4 hormones to support metabolism, energy, and other essential body functions. It’s another contributor to PCOS fatigue, weight gain, hair loss, mood issues, and more. 

The withanolides in ashwagandha have been shown to stimulate the production of T3 and T4! And the anti-inflammatory and antioxidant properties of ashwagandha can protect the thyroid cells from autoimmune and oxidative stress damage, supporting overall thyroid health! If you have hypothyroidism, Hashimoto’s, or other thyroid-related health conditions, be sure to talk to your doctor first if you’re interested in ashwagandha, as it may interfere with your medications.

Con: May Interfere with Medications

If you take medication for PCOS-related issues like insulin resistance, thyroid dysfunction, or high blood pressure, you’ll want to be extra cautious with ashwagandha. This herb can interact with several common medications, potentially altering their effects or making them too strong.

• Insulin Resistance & Diabetes Medications: Ashwagandha may lower blood sugar levels, which could enhance the effects of medications like metformin or other diabetes drugs. While this might sound beneficial, it can actually lead to blood sugar dropping too low (hypoglycemia), causing dizziness, fatigue, and shakiness.

• Thyroid Medications: As mentioned earlier, some research suggests ashwagandha can stimulate thyroid hormone production, which could interfere with medications for hypothyroidism (like levothyroxine). Monitor your side effects closely and ensure you communicate any changes with your doctor.

• Blood Pressure Medications: Some research suggests that ashwagandha can lower blood pressure. So taking it alongside blood pressure-lowering medications could cause levels to drop too low, leading to dizziness, fainting, or weakness.

Because PCOS is a condition that already affects multiple systems in the body, adding a new supplement like ashwagandha should always be done with caution. If you’re currently on medication, it’s best to consult your doctor before adding ashwagandha to your routine to ensure it won’t interfere with your treatment plan.

Pro: Improves Sleep

Getting enough sleep isn’t just about feeling rested—it’s essential for hormone balance, metabolism, and overall health. But if you have PCOS, you’ve probably noticed that quality sleep can feel impossible. Women with PCOS are more likely to struggle with insomnia, restless sleep, and even sleep apnea due to hormone imbalances, high cortisol levels, and blood sugar fluctuations. And when sleep is off? Everything gets worse. But good sleep can make all the difference: It can help improve insulin sensitivity, reduce inflammation, and balance hormones for whole-body relief.

Building a solid nighttime routine is key—things like setting a consistent bedtime, getting natural sunlight during the day, and avoiding blue light before bed all help. But if you need extra support, ashwagandha may help! This adaptogenic herb not only lowers stress, can also promote relaxation for more restful sleep. Although ashwagandha is not part of my own sleep routine, I wanted to share this information in case it is helpful for your routine.

Can Ashwagandha Cause Heavy Periods?

Ashwagandha doesn’t normally cause heavy periods. In fact, its effects on cortisol and overall hormone balance can often be supportive. However, if you haven’t been ovulating regularly, the first few periods after starting ashwagandha may feel heavier than usual. This can happen as your body begins to regulate and sheds a buildup of uterine lining from previous cycles.

Trust the process, but definitely contact your doctor if you’re:

• soaking through a pad/tampon every 1–2 hours
• bleeding longer than 7–8 days
• Passing large blood clots 
• Experiencing extreme fatigue

Does Ashwagandha Help With Acne?

Ashwagandha can help with acne by reducing inflammation and supporting hormone balance. Why does thai work? Because ashwagandha supplementation can directly reduce cortisol levels. Cortisol is your stress hormone, and when it’s elevated, it can trigger a chain reaction in the body, increasing insulin resistance, inflammation, and androgen levels.

Those last two are big ones. High androgens boost oil production throughout the body, leading to hormonal acne. Then inflammation steps in, triggering irritation and redness. By helping regulate cortisol levels, ashwagandha can interrupt that cycle and support calmer, clearer skin.

Can Ashwagandha Cause Hair Loss?

Ashwagandha doesn’t typically cause hair loss. In fact, its ability to lower cortisol and reduce inflammation can actually support healthier hair growth. However, in some cases, ashwagandha may increase androgen levels, which can contribute to hair thinning or shedding, especially if you’re already dealing with hormonal imbalances like PCOS.

If your hair loss is primarily stress-related, ashwagandha may be incredibly helpful. But if it’s driven by high androgens, it could potentially make things worse. Pay attention to how your body responds. If you notice increased shedding after starting it, it may not be the best fit for you.

How To Take Ashwagandha For PCOS

Although I don’t take ashwagandha myself, if you’re considering adding ashwagandha to your routine, I can’t stress enough how important it is to find a high-quality, third-party tested supplement to ensure purity and potency. Most studies on ashwagandha use doses between 300-600 mg per day, but the right amount can vary based on individual needs.

Because ashwagandha can interact with medications and affect hormone levels, it’s best to check with your doctor before adding it to your routine—especially if you’re managing PCOS-related conditions like insulin resistance, thyroid imbalances, or high cortisol.

Ashwagandha is not for everyone, so be your own best health advocate!

Remember that there is no magic pill or herb to get rid of our PCOS symptoms. But also remember that everyone’s PCOS journey is different (it isn’t one-size-fits-all!) However, by trusting the process, listening to your body, and doing the research, it is possible to find the lifestyle that works uniquely for your PCOS body in order to manage (and even reverse) your symptoms. When combined with the right nutrition, slow weighted workouts, high-quality supplements, and stress management…herbs can also be helpful for your PCOS journey! We’re here to help you every step of the way.

You can find more resources and support on The Cysterhood app. Download it today to get everything you need to start thriving with PCOS! 

Polycystic ovary syndrome (PCOS) is a hormonal condition that affects millions of women. Usually those with PCOS start showing early signs shortly after puberty, and the symptoms reach their peak during reproductive years. These chronic symptoms include infertility, fatigue, weight gain, headaches, excessive hair growth on the face/body, head hair loss, sleep problems, mood swings, and more! 

Where do these symptoms come from? The root issues of PCOS are inflammation, insulin resistance, and, of course, hormone dysregulation! Some of the hormones that are out of whack are sex hormones like estrogen, testosterone, and progesterone. If you’re a Cyster and you’re hopeful for symptom relief and PCOS healing, you’ve probably wondered if menopause will bring an end to your chronic symptoms. It’s a great question!

So, today, I am dedicating this post to discussing how PCOS impacts menopause. We’ll get into all the details, so you know what to expect as you reach your 50s! 

Does PCOS Cause Early Menopause?

No. PCOS doesn’t cause early menopause. In fact, Cysters often experience delayed menopause! However, some symptoms of menopause are similar to PCOS, so it can be easy to mistake the two. Some overlapping symptoms of PCOS and menopause are: 

• Irregular or Absent Periods: Menopause is usually marked when you have a full year of no periods. So, when a woman experiences amenorrhea with PCOS, it can be mistaken for menopause. 
• Hot Flashes: Hormonal imbalances in both PCOS and menopause can affect the hypothalamus, which is the part of the brain that regulates body temperature. This can make the body feel hot.  
• Mood Swings: Hormonal imbalances, insulin resistance, sleeping issues, and more can cause mood swings in PCOS. Mood issues are common with menopausal hormone changes, too! 
• Weight Gain: Women with PCOS struggle to lose weight due to insulin resistance. With menopause, it’s because of hormone shifts! A big drop in estrogen can lead to an increase in androgen levels and insulin resistance. This results in the accumulation of abdominal fat similar to PCOS belly.  
• Sleep Disturbances: That drop in estrogen (as well as a dip in progesterone) can impact sleep in menopause. Similarly, the hormone imbalances affect sleep with PCOS. 
• Acne and Skin Problems: Low female hormone levels is to blame for this one, too! Drops in estrogen with menopause can lead to excess oil and reduced collagen production. PCOS causes acne due to elevated androgens levels, while other skin problems with PCOS (like skin darkening and skin tags) result from insulin resistance. 

How Does PCOS Affect Menopause

The hormonal imbalances of polycystic ovarian syndrome (PCOS) can affect menopause in quite a few ways. It’s a good idea for Cysters to be aware of how they may experience menopause differently before this season of life begins. Here’s what you can expect: 

Cysters experience menopause later than average. 

Most Cysters reach menopause later than other women. Menopause sets in for most women at around 50, but Cysters may not experience menopause for a few years after that! This is because women with PCOS have a larger ovarian reserve, which means more follicles (eggs) in the ovaries, which lengthens our reproductive lifespan. (More on this below!)

Hormones decline more gradually in perimenopause. 

Women with PCOS often experience a more gradual decline in hormones during the perimenopause phase. The unpredictable hormone fluctuations caused by irregular menstrual cycles, prominent insulin resistance, and elevated levels of male hormones all contribute to a slower decline in the hormones that trigger menopause. 

This means people with PCOS will have a longer perimenopause phase, which is the transitional period that leads into menopause. It usually starts in a woman’s 30s or 40s as hormones start to change. Symptoms usually include hot flashes, night sweats, mood swings, sleep disturbances, and vaginal dryness. It can be hard to spot since many of these symptoms overlap with PCOS symptoms. 

Increases the risk of osteoporosis, type 2 diabetes, and cardiovascular disease.

As women transition into menopause, the risk of osteoporosis, type 2 diabetes, and cardiovascular disease naturally increases due to shifts in hormone levels. Estrogen plays a key role in bone health, so as it declines, bone density decreases—raising the risk of osteoporosis. At the same time, insulin resistance tends to worsen with age, making blood sugar management more challenging and increasing the risk of type 2 diabetes and heart disease.

For women with PCOS, these concerns are even greater. Many Cysters already struggle with high blood sugar and estrogen imbalances long before menopause, meaning these risks start earlier and can become more severe if left unaddressed. The good news? There are steps you can take now to support your long-term health, balance your hormones, and reduce your risk of complications down the road!

The symptoms of menopause can be challenging. 

Because hormone levels in women with PCOS are already imbalanced, fluctuations during perimenopause and menopause just fuel the fire. This can increase your risk factors for long-term complications and make the symptoms of PCOS and menopause more complicated. You’re probably familiar with the symptoms of PCOS, but here are some common menopausal symptoms:

• Vaginal Dryness
• Decreased Libido 
• Hot Flashes
• Night Sweats
• Irregular Periods
• Mood Changes 
• Sleep Disturbances
• Increased Urinary Frequency
• Memory Problems 
• Thinning Hair
• Acne and Skin Texture Changes 

The good news? Addressing your hormonal imbalances and the root causes of PCOS now can help ease both PCOS and menopause symptoms down the road. Making intentional lifestyle shifts—like following an anti-inflammatory gluten- and dairy-free diet, prioritizing slow-weighted workouts, improving sleep hygiene, and taking high-quality supplements for PCOS—can set you up for success. Taking these steps before menopause can help you feel your best, lower your risk of complications, and create a lifestyle where you can truly thrive with PCOS!

Learn more by reading my essential guide to naturally managing PCOS.

Supplements to Support PCOS Through Menopause

Your body needs all the support it can get when going through this big transition. Taking supplements is one of the best ways you can ensure all your systems have the fuel they need to function optimally. For the best results, choose a supplement brand like Ovafit that’s clean, third-party tested, highly bioavailable, and made specifically for women with PCOS. 

Here’s what I recommend:

• Inositol: This supports insulin sensitivity, helps maintain steadier energy, improves mood, and reduces cravings. These are all key benefits as estrogen declines and insulin resistance becomes harder to manage during menopause.
• Omega-3: This reduces inflammation, supports heart health, and may ease menopausal symptoms such as mood swings and joint stiffness.
• Multivitamin: This provides foundational nutrients that are often depleted during perimenopause and menopause. A good formula should include B vitamins to support energy and mood, vitamin D and K2 to maintain bone strength, vitamin E for antioxidant protection and hot-flash support, and minerals like zinc and selenium to help balance thyroid function and overall hormone health. For more, read my guide to PCOS multivitamins. 
• Berberine: This is a powerful insulin-sensitizing supplement that helps counter the natural rise in insulin resistance that occurs with age, supporting healthier blood sugar and metabolism.
• Curcumin: This offers potent anti-inflammatory benefits that help reduce joint pain, calm systemic inflammation, and support metabolic health during hormonal transitions.
• Probiotics: These help maintain a balanced gut microbiome, support digestion and immunity, and promote healthier blood sugar regulation as hormone shifts impact digestive and metabolic function. Here are the best probiotics for PCOS.

When Does Menopause Start With PCOS?

Perimenopause, the transition into menopause, starts in a woman’s late 30s or 40s. A Cyster will probably experience perimenopause later on that spectrum! Menopause itself will start at the earliest around 50, but many women with PCOS go through menopause a year or more after that. 

As I mentioned earlier, women with PCOS actually have a higher number of follicles (aka eggs) in their ovarian reserve, which can extend reproductive years. This might seem surprising since PCOS is often linked to fertility struggles, but having more eggs doesn’t necessarily mean they’re maturing properly. High androgen levels (male sex hormones) can prevent eggs from fully developing, leaving many small, immature follicles. So, while Cysters may have a larger ovarian reserve, overall egg quality tends to be lower. Because of this, PCOS can sometimes delay menopause, as the body continues producing hormones for a few extra years beyond the typical timeline.

Does PCOS Go Away With Menopause?

Unfortunately, no—PCOS isn’t just a reproductive condition; it’s a metabolic one, too. So, menopause does not cure PCOS. While some symptoms, like high testosterone, may ease up after menopause (which can mean less acne, hair loss, or excess facial and body hair), other issues like insulin resistance and inflammation don’t just disappear on their own. In fact, they can get worse if left unmanaged, leading to symptoms like high body mass index, fatigue, poor sleep, mood swings, and immune issues.

But here’s the good news: even though PCOS doesn’t go away, you can take charge of your symptoms at any stage of life! By targeting the root causes—insulin resistance, inflammation, and hormonal imbalances—you can feel your best before, during, and after menopause. Inside The Cysterhood app, we guide you through lifestyle changes designed to support your body for the long haul!

PCOS does not cause early menopause. In fact, menopause starts late for many Cysters!

If you have PCOS, approaching menopause can feel overwhelming—but it doesn’t have to be! The best thing you can do is start supporting your body now so you can step into this next chapter feeling strong, confident, and in control of your health. We’re here to help every step of the way! Stay tuned to the PCOS Weight Loss blog and A Cyster and Her Mister podcast for all the resources, expert insights, and encouragement you need. Because yes, Cyster—you can thrive with PCOS, even after menopause!

Polycystic ovary syndrome (PCOS) is a common condition that affects a woman’s reproductive hormones. Of course, because of its impact on the reproductive system, women with polycystic ovary syndrome (PCOS) often experience symptoms like infertility, ovarian cysts, pelvic pain, bloating, heavy periods, and irregular menstrual cycles. 

These reproductive symptoms can be challenging for any Cyster, but especially those trying to conceive. (Here’s more on how PCOS affects pregnancy.) Imbalances of estrogen, testosterone, progesterone, and other hormones can reduce egg quality, stop ovulation, hinder implantation, disrupt sperm transport, increase miscarriage risk, and make it difficult to know when you’re pregnant at all. 

Not only does the irregularity of your periods make it difficult to know when to take a pregnancy test, but many first trimester pregnancy symptoms overlap with daily PCOS symptoms. And, with all the reproductive hormone imbalances, you may be wondering if pregnancy tests are reliable at all! 

So, today I’m going to discuss pregnancy tests! I’ll talk about whether or not pregnancy tests are dependable for us Cysters, when you should take one, how you should take one, and what type works best for PCOS. 

PCOS And False Positive Pregnancy Tests: Causes, Myths, and Solutions

Many women with PCOS experience crazy period irregularity! This is because of imbalances of hormones like testosterone. When you have elevated androgens (male sex hormones), your ovaries don’t get the proper signaling to produce and release eggs. 

Ovulation usually triggers the production of progesterone to thicken the uterine lining, which will eventually be shed during your period. But, with no ovulation, no progesterone is produced, so no period happens at all! As long as hormones remain dysregulated, periods can be super irregular or absent altogether. 

We all know people usually take pregnancy tests a few days after their missed period. It’s often the first sign for women that they may be pregnant! However, a missing period isn’t abnormal to most Cysters, making it difficult to determine a good time to take a pregnancy test. And, after all, without the proper hormone production, should a woman with PCOS even trust a pregnancy test?

Let’s get into it:

How Do Pregnancy Tests Work?

Home pregnancy tests detect pregnancy by measuring a hormone called human chorionic gonadotropin (hCG). It only enters the bloodstream and your urine when your body begins developing a placenta. The pregnancy test uses antibodies that are specifically designed to bind with hCG. That way, when you pee on a test strip (or dip it into urine) it picks up on even small amounts of hCG. 

A pregnancy blood test that you’d receive at the doctor also measures hCG, but it measures exact amounts of hCG. They’re also significantly more sensitive. They can confirm pregnancy at as little as 6 days after ovulation, whereas an at-home pregnancy test won’t detect hCG until closer to 12 days after ovulation. 

Can PCOS Cause A False Positive Pregnancy Test?

Yes! There are rare circumstances where PCOS can cause a false positive pregnancy test. Many women with PCOS have elevated levels of luteinizing hormone (LH), which is a hormone involved with ovulation. LH is structurally similar to hCG, so low-quality tests can, in rare circumstances, struggle to distinguish between the two, offering a false positive pregnancy test. 

There’s one other way PCOS can cause a false positive pregnancy test. Certain types of ovarian cysts can produce small amounts of hCG. Corpus luteum cysts, theca-lutein cysts, and luteinized unruptured follicles (LUFs) can all produce hCG in rare cases. 

Is it Common with PCOS to Get a False Negative Pregnancy Test?

You may be thinking: what about false negatives? These are much more common in women in general! When women test too early (which is easy to do if you’re not sure when you last ovulated), the hCG amounts may be too low to be detected on an at-home pregnancy test. Old tests may also lose their effectiveness over time and fail to detect lower levels of hCG.

Other Reasons for False Positive Pregnancy Tests

Chemical Pregnancy

A chemical pregnancy is a very early miscarriage that occurs 6-12 days after ovulation (or before 5 weeks pregnant). Shortly after implantation, the pregnancy fails to progress due to hormone imbalances, chromosomal abnormalities, uterine issues, poor immune health, low egg quality, stress, or other factors. 

Sometimes when you test, you get a positive pregnancy test from the small amount of hCG that has been released, despite the fact the pregnancy has already ended. Usually, a day or two after the false positive, you’ll get negative tests due to the hCG rapidly dropping. 

Evaporation Lines

All pregnancy tests have a set time when you should read the results—most recommend somewhere between 3 and 10 minutes. If you attempt to read the test after that set reading time, it may show a false positive. This is because the urine has dried up on the test, leaving a faint, colorless streak that can be mistaken for that “second line.” 

Blue dye tests tend to be more prone to evaporation lines, so use pink dye tests and toss them after they’ve read negative by the recommended reading time. 

Fertility Treatments or Medications 

Some Cysters undergo fertility treatments to get pregnant with PCOS. When you participate in IUI or IVF, you’ll probably be given “trigger shots” to induce ovulation. The trigger shots contain hCG, and enough of it that it can show up on a pregnancy test even before fertilization or implantation occurs. 

Medical Conditions

There are a few medical conditions out there like Gestational Trophoblastic Disease (GTD), molar pregnancy, pituitary tumors, and certain types of cancers that can sometimes cause a false positive, because they all trigger the body to produce hCG at the wrong time. 

Expired or Faulty Tests

Old, damaged, or faulty tests may not function like they’re supposed to. They’re way more likely to deliver a false negative result, but in some cases, they can cause a false positive—especially when you consider how evaporation lines could be mistaken for a positive pregnancy test! 

Recent Pregnancy or Miscarriage 

If you’ve recently experienced a pregnancy loss or were pregnant, your hCG levels may still be elevated. This can result in a positive pregnancy test even after the pregnancy has ended. It typically takes a few weeks for hCG to leave your system completely, but the timeline is different for everyone. If you’re navigating this, please know you’re not alone—give yourself grace, and reach out for support if you need it.

Are False Positive Pregnancy Tests Common​?

No. Getting a positive result on a pregnancy test and not being pregnant is incredibly rare. These tests are designed to detect human chorionic gonadotropin (hCG). This hormone is only produced after a fertilized egg implants in the uterus.

The only time a pregnancy test would come back positive when you’re not pregnant is if you recently had a miscarriage (even if you don’t know you had one, like in the event of a chemical pregnancy). Or, if you read a pregnancy test after the recommended time window laid out in the instruction manual, it may appear positive. This happens because the urine has dried and an evaporation line has formed.

Can a UTI Cause a False Positive Pregnancy Test?

No. There’s no reason a urinary tract infection (UTI) would cause a false positive pregnancy test. 

What Medications Can Cause a False Positive Pregnancy Test?

The only medications that would potentially cause a false positive pregnancy test are certain fertility medications. Before IVF or IUI, women often receive an hCG trigger shot, which can make a pregnancy test appear positive. Because of this, fertility doctors will tell you the exact date you should test for pregnancy after your injection to ensure you’re getting an accurate result.

When To Take A Pregnancy Test With PCOS

The general rule is to take a pregnancy test a few days after your missed period to get accurate results but with irregular periods, you may have no idea when you’ve ovulated or “missed” your period! This is especially true if you don’t track your menstrual cycles by taking ovulation tests. (Here’s more on how to track ovulation with PCOS!) 

If you don’t know where you are in your cycle, pay attention to your body and identify irregular symptoms. Some PCOS symptoms and first trimester pregnancy symptoms overlap, but here are distinct pregnancy symptoms you can watch out for: 

• Nausea and vomiting 
• Breast tenderness
• Frequent urination
• New food cravings and aversions
• Dizziness or lightheadedness
• Spotting
• Heightened sense of smell and smell aversions
• Increased basal body temperature 
• Changes in cervical mucus
• Leg cramps 
• Vivid dreams

What Is The Best Pregnancy Test For PCOS?

Most pregnancy tests on the market are going to give you accurate, reliable results despite PCOS! However, I recommend you get something that’s sensitive to lower levels of hCG and uses pink dyes or a digital readout to avoid evaporation lines. Here are some good options:

• Early Detection: First Response Early Result (pink dye and detects hCG as low as 6.3 mIU/mL) 
• Digital Option: Clearblue Digital (clear readout and detects hCG at around 25 mIU/mL)
• Frequent Testing: Easy@Home Pregnancy Test Strips (pink dye, detects hCG around 25 mIU/mL, and bulk quantity for trying to conceive) 

How To Take a Pregnancy Test With PCOS

Step 1: Determine if it’s time to test. 

Consider your symptoms, when you had sex, and where you may be in your cycle. With that information, determine the best time to test, which is going to be 12-14 days post-ovulation. 

Step 2: Choose the right type of pregnancy test. 

Choose a pregnancy test that uses pink dye or a digital readout. And, for the most accurate results, get an early response test. 

Step 3: Take the test first thing in the morning. 

Your first pee of the morning will have the highest concentration of hCG, so it’s the best time to get a reliable result! 

Step 4: Wait 3-10 minutes to read the results. 

Follow the directions on the box for reading times! Usually they’re between 3-10 minutes. Wait for the full duration to pass before interpreting the results.

Step 5: Read the results and make a plan for next steps. 

Time to read the results! If the result is negative, discard the test before a potential evaporation line appears. You can make plans to test again in a few days or see your doctor for whatever unusual symptoms you’re experiencing. 

If the result is positive, congratulations! It’s probably not a false positive—remember, they’re rare! However, you can continue to test over the next few days. If the lines continue to get darker, your hCG levels are rising, showing you’re definitely pregnant! 

Step 6: If positive, follow-up with your doctor right away. 

Once you get a positive test, follow-up with your doctor right away, even if you have fears it may be a false positive. Either way, something is going on that’s producing hCG, and that needs medical attention. As I said, false positives are rare, so chances are you’re pregnant! 

Prenatal care is always important, but it’s especially important with PCOS, when certain hormonal imbalances could increase the risk of miscarriage. See your doctor as soon as possible to make plans for the healthiest pregnancy possible. 

Here’s my post on how to have a healthy pregnancy with PCOS. 

Step 7: Confirm with a blood test if needed. 

If there are any doubts you’re pregnant, your doctor will order a blood test to measure the exact levels of hCG. They may even run multiple tests over a few weeks to ensure your hCG levels are increasing as expected. 

False positive pregnancy test results are rare, but are possible with PCOS!

When you have PCOS, knowing what’s happening in your body can be really difficult. There’s so much chaos, it can be easy to miss changes that are signalling you’re pregnant. That’s why it’s so important to start naturally healing your PCOS and reversing your symptoms. 

Your body doesn’t have to be in a state of chaos you can bring back harmony using a gluten- and dairy-free anti-inflammatory diet, slow-weighted exercises, better sleep hygiene, the right supplements, and other intentional lifestyle changes. For preconception supplements specific for women with PCOS, be sure to check out Purely Prenatal. You can find out more on the PCOS Weight Loss blog and on The Cysterhood app. It’s time to take back control of your fertility and overall health! 

Polycystic ovary syndrome (PCOS) is a condition that throws off hormonal balance—especially key reproductive hormones like estrogen, testosterone, and progesterone. And guess what? There’s another major life event that impacts these same hormones in a big way: pregnancy!

Because both pregnancy and PCOS can throw hormones out of balance, they share a lot of the same symptoms—making it tricky to tell the difference! This can lead some Cysters to miss the early signs of pregnancy, which may delay prenatal care, increase the risk of complications, or postpone important lifestyle changes to support a healthy pregnancy.

So, today I want to walk you through the distinct and overlapping symptoms of PCOS and pregnancy. Hopefully, this will help you better understand what’s happening in your body. That way, you’ll know when it’s time to do some PCOS symptom management and when it’s time to take a pregnancy test. 

PCOS And First Trimester Pregnancy Symptoms

When most women miss a period or experience some unusual pelvic pain, pregnancy is one of the first things they consider to be the cause! However, if you’ve been diagnosed with PCOS, irregular menstrual cycles and random cramping can just be a normal Tuesday. Because of this, it’s challenging for Cysters to recognize pregnancy in the first trimester! 

Here’s more on why:

Can PCOS Mimic Pregnancy Symptoms?

Yes! Many of the common symptoms of PCOS mimic first-trimester pregnancy symptoms. PCOS hormonal imbalances of estrogen, testosterone, progesterone, luteinizing hormone (LH), follicle-stimulating hormone (FSH), and insulin lead to symptoms like missed or irregular periods, fatigue, mood swings, bloating, constipation, headaches, pelvic pain, cramping, lower back pain, and weight gain. Of course, all these are also first-trimester pregnancy symptoms! 

Because these symptoms are common for women with PCOS, they often don’t find out they’re pregnant until several weeks later than the average woman. Though it can be difficult, it’s a good idea to track your cycle, journal your symptoms, and be mindful of any symptom changes (even if they’re subtle). I also recommend keeping some pregnancy tests on hand to take a few days after your missed periods! That way, you can have extra confidence whether you’re dealing with PCOS or pregnancy. 

Of course, if you ever experience changes in your symptoms, but your pregnancy test is negative, you can get a blood test for insight into what might be happening in your body! Here’s more on how PCOS affects pregnancy even beyond the first trimester. 

What Are The Early Pregnancy Symptoms That Don’t Overlap with PCOS?

If you can’t rely on the standard tell-tale signs of pregnancy like missed periods, fatigue, mood swings, and weight gain, then how do you know when it’s time to take a pregnancy test? Luckily, not every symptom of pregnancy crossover to PCOS. So, below I’m going to break down other potential first-trimester symptoms to look out for! 

Nausea and Vomiting 

Here’s a common pregnancy symptom: morning sickness! This comes from the rapid increase of human chorionic gonadotropin (hCG), a hormone produced by the placenta that only happens during pregnancy. Other things that may contribute to nausea and vomiting are increased sensitivity to smells, changes in estrogen and progesterone, and blood sugar fluctuations. 

Breast Tenderness

Pregnant women often experience breast tenderness as changes in estrogen, prolactin, and progesterone levels prompt the growth of milk ducts and glands! Plus, the increased blood flow to the breasts and fluid retention that comes with pregnancy can cause swollen and tender breasts. 

Frequent Urination

Even though the fetus is very small in the first trimester, your uterus starts expanding right away. That means there’s less room for your bladder, and you’ll be making more trips to the bathroom! That spike in hCG will also increase blood flow to the pelvic area, stimulating the kidneys to produce more urine. Fluid retention plays a role, too!  

New Food Cravings and Aversions 

Intense cravings are super common with PCOS, especially for carbs and sweets, thanks to insulin resistance. But pregnancy cravings? They’re a whole different experience! While PCOS cravings are often tied to blood sugar imbalances, pregnancy cravings (and aversions) are triggered by hormonal shifts, increased nutritional needs, and heightened senses.

This means you might suddenly crave foods you never liked before, weird food combinations (pickles & ice cream, anyone?), or even non-food items like chalk or ice (a condition called pica, often linked to nutrient deficiencies). If you notice new and intense cravings that feel totally out of the ordinary, it could be a sign of pregnancy rather than just PCOS!

Dizziness or Lightheadedness

Increased blood volume, low blood sugar levels, chances in circulation, iron deficiencies, hormonal fluctuations, and even morning sickness during the first trimester of pregnancy can lead to feelings of dizziness or lightheadedness.

Spotting

A lot of changes are happening to the uterus during pregnancy, so even though you’re not experiencing periods, spotting isn’t uncommon. This can happen when the egg attaches to the uterine lining or due to increased sensitivity of your cervix.

Heightened Sense of Smell and Smell Aversions 

No one knows exactly why pregnancy heightens your sense of smell, but many experts believe it’s an evolutionary defense mechanism—helping pregnant women instinctively avoid harmful foods and substances. Others suggest it’s linked to rising hCG levels in early pregnancy. Whatever the cause, heightened smell sensitivity is a super common first-trimester symptom and can even contribute to food aversions and nausea!

Increased Basal Body Temperature 

Tracking changes in basal body temperature (BBT) is one of the most reliable ways to monitor your menstrual cycle with PCOS. Normally, BBT rises by about 0.5°F to 1.0°F (0.3°C to 0.6°C) after ovulation due to progesterone. If you notice a consistent rise in temperature lasting more than 18 days, it could be an early sign of pregnancy!

Changes in Cervical Mucus 

The hormonal fluctuations that come with pregnancy can change cervical mucus. The mucus usually increases, becomes thick and stretchy, and has a milky white color. Seeing this change in cervical mucus could mean you’re pregnant. 

Leg Cramps

Increased blood volume can slow circulation and increase swelling in the legs, causing cramps. Pregnant women often experience these at night! Additionally, pregnant women require more fluids and daily nutrients. If a woman with PCOS doesn’t realize she’s pregnant and fails to meet these needs, leg cramps could be even more likely. 

Vivid Dreams 

Here’s a strange one, but it’s super common with pregnancy! Changes in progesterone and estrogen can alter brain activity and influence the way dreams are processed and remembered, which could contribute to vivid, crazy dreams. Pregnant women also experience more Rapid Eye Movement (REM) sleep than non-pregnant women, and this is where dreams happen. This can contribute to those wild dreams, too! 

Know your pregnancy as soon as possible by differentiating between PCOS and pregnancy symptoms!

When you have PCOS, your body can feel totally out of control. Knowing what’s going on inside your own skin can feel impossible, but it’s so important for your personal well-being to be aware of changes happening in your body. There are a lot of overlapping symptoms of PCOS and pregnancy, but understanding the distinct side effects of pregnancy can help you identify the early signs, so you know when it’s time to test! 

Interested in how you can increase your chances of getting pregnant with PCOS and have a healthy PCOS pregnancy? Check out these other blog posts and podcast episodes:

• How to Have a Healthy Pregnancy with PCOS
• How to Increase Ovulation with PCOS 
• What’s the Best Age to Get Pregnant with PCOS?
• PCOS & Pregnancy: Fertility, Gestation, Postpartum
• How to Improve Fertility with PCOS