PCOS And Stress: Doctor Explains The Mind-Body Connection That Affects Fertility

Polycystic Ovary Syndrome (PCOS) is a common hormonal condition that often begins during adolescence. It affects about 6 to 13 per cent of women of reproductive age, though many remain undiagnosed. The condition is marked by hormonal imbalances, irregular or absent ovulation, high levels of male hormones (androgens), and sometimes small cysts in the ovaries. While PCOS is fundamentally viewed as an issue of the body, there are several studies that show the strong connection between emotional well-being and reproductive health; in fact, mitigating stress might be just as important as treating the physical symptoms.

It is important to be aware of how stress affects the symptoms and severity of PCOS. Stress not only triggers a hormonal response but can also result in the disruption of sensitive communication between the brain and ovaries, complicating a woman's ability to conceive. In conversation with The Daily Jagran, Dr. Kshitiz Murdia – CEO & Whole-Time Director of Indira IVF Hospital Limited, shares how it is important to understand the connection between PCOS and stress for more comprehensive treatment of the issue and to enhance one's chances of a successful pregnancy.

How PCOS Affects The Body

PCOS shows up in several ways that can be both visible and disruptive. Many women experience heavy, irregular, or missed periods, making fertility uncertain. Dr. Kshitiz Murdia states, “Common physical signs include acne, oily skin, excess facial or body hair, and hair thinning on the scalp. Weight gain, especially around the abdomen, is also frequent and can raise the risk of other health issues.” These hormonal changes and physical symptoms make it difficult to manage PCOS and can lead to fertility problems later in life.

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The Emotional Impact

PCOS doesn’t just affect the body - it deeply influences mental wellbeing too. Women with PCOS often report higher stress levels, anxiety, depression, mood swings, disordered eating, and low self-esteem. Dr. Kshitiz Murdia says, “The ongoing struggle with these symptoms can make daily life feel overwhelming. When stress piles up and personal coping limits are reached, it can lead to long-term emotional distress.”

Impact Of PCOS And Stress On Fertility (Image Credits: Canva)

How Stress And PCOS Are Linked

Research shows that stress hormones like cortisol and DHEA are usually higher in women with PCOS. This highlights how stress is tied to the condition, not only as a by-product but as something that can make it worse. Dr. Kshitiz Murdia explains, “Metabolic stress, in particular, has been linked to symptoms such as weight gain, acne, excessive hair growth, infertility, and even emotional strain.”

When women feel distressed about these symptoms, especially those related to appearance or fertility, they often adopt coping behaviours like poor eating, disturbed sleep, or social withdrawal. He adds, “This creates a cycle where stress worsens PCOS symptoms, and those symptoms in turn create more stress.”

ALSO READ: PCOS And Infertility In India: Doctor Explains Why The Hidden Threat Starts During Adolescence

Managing Stress To Manage PCOS

Addressing stress is a crucial part of living with PCOS. Counselling, mindfulness, support groups, and lifestyle improvements can help build emotional strength and ease the mental load. When stress management is combined with medical treatment, women tend to handle symptoms better and even see improvements in fertility outcomes.

PCOS affects women both physically and emotionally, and stress plays a major part in shaping how severe the condition becomes. Understanding this link helps women take a more balanced approach- caring for both body and mind. With the right support and lifestyle habits, it’s possible to reduce the burden of PCOS, improve well-being, and enhance fertility prospects.