PCOD vs PCOS: what is the Difference Between PCOS & PCOD Problem

by | Jul 31, 2022 | PCOS

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When it comes to women’s health, hormonal imbalances can lead to various conditions that may seem confusing at first. Polycystic Ovary Syndrome (PCOS) and Polycystic Ovary Disease (PCOD) are two such conditions that often get mixed up. Let’s dive in and learn about the difference between PCOS and PCOD disorders, their symptoms, and how they differ from each other.

What is PCOS?

Polycystic Ovary Syndrome (PCOS)

Polycystic Ovary Syndrome (PCOS)

Polycystic Ovary Syndrome (PCOS) is a fatal hormonal disorder caused due to excessive male sex hormones in women of reproductive age. It is characterized by high levels of androgens (male hormones), insulin resistance, and the presence of multiple small cysts on the ovaries. These factors can lead to irregular menstrual cycles, excessive hair growth, acne, and infertility. While the exact cause of PCOS is still unknown, it’s believed that genetics, insulin resistance, and inflammation play significant roles in its development.

What is PCOD Problem?

Polycystic Ovary Disease (PCOD), on the other hand, is a condition where the ovaries develop multiple cysts due to an imbalance in hormones. It’s important to note that PCOD is an outdated term often used interchangeably with PCOS. However, there are subtle differences between the two. PCOD primarily affects the ovaries and is generally considered a milder form of PCOS. While both conditions share similar symptoms, PCOD is more focused on ovarian cysts and hormonal imbalances, whereas PCOS encompasses a broader range of metabolic and reproductive issues.

Symptoms of PCOS/PCOD Problem

Now that we understand the basics of these conditions, let’s delve into their symptoms.

1. Common symptoms shared by PCOD and PCOS

Both PCOS and PCOD share several overlapping symptoms, which can make distinguishing between them challenging. Some common symptoms include:

  • Irregular periods: Women with either condition may experience infrequent, irregular, or prolonged menstrual cycles.
  • Excessive hair growth: Known as hirsutism, the overproduction of androgens can lead to unwanted hair growth, particularly on the face, chest, and back.
  • Acne: Hormonal imbalances can cause acne breakouts, especially on the face, chest, and upper back.
  • Weight gain: Many women with PCOS or PCOD struggle with weight gain and find it challenging to lose weight.

2. Unique symptoms of PCOD

While there are fewer unique symptoms of PCOD, one key difference is the presence of multiple small cysts on the ovaries. These cysts are often detected through ultrasound examinations.

3. Unique symptoms of PCOS

PCOS has a broader range of symptoms that extend beyond the ovaries. Some unique symptoms of PCOS include:

  • Insulin resistance: A significant number of women with PCOS have insulin resistance, which can lead to type 2 diabetes, high cholesterol, and high blood pressure.
  • Male pattern baldness: Women with PCOS may experience thinning hair or hair loss at the crown of the head.
  • Skin tags and darkening: Women with PCOS may develop skin tags or dark patches on the neck, armpits, or groin due to insulin resistance.


PCOD vs PCOS: Unravelling the Difference Between PCOS and PCOD

It’s quite common for people to confuse Polycystic Ovary Syndrome (PCOS) with Polycystic Ovary Disease (PCOD). While they share some similarities, these two conditions have distinct differences. To help you better understand, let’s take a closer look at the key features of PCOS and PCOD and delve into what sets them apart.

A Quick Comparison: PCOS vs PCOD

Before diving into the details, let’s compare PCOS and PCOD side by side:

Features PCOS PCOD
Definition Hormonal disorder with metabolic complications The ovarian disorder primarily involves cysts
Hormones Elevated androgens, insulin resistance Hormonal imbalances, elevated estrogen
Ovarian Cysts Multiple small cysts on ovaries Multiple small cysts on ovaries
Symptoms Irregular periods, hirsutism, acne, weight gain, insulin resistance, male pattern baldness, skin tags Irregular periods, hirsutism, acne, weight gain
Causes Genetics, insulin resistance, inflammation Genetics, lifestyle, and environmental factors
Complications Infertility, type 2 diabetes, heart disease, endometrial cancer Infertility, ovarian cysts complications


Understanding the Differences Between PCOS and PCOD

1. Principal Difference in PCOS/PCOD Problem

PCOS is a hormonal disorder with metabolic complications, that affects various aspects of a woman’s health, including her reproductive, metabolic, and endocrine systems. On the other hand, PCOD is an ovarian disorder primarily involving cysts and hormonal imbalances, making it a milder condition with a more limited scope.

2. Hormonal Imbalances of PCOS/PCOD Problem

Hormonal imbalances play a significant role in both conditions, but the nature of these imbalances varies. Women with PCOS typically have elevated levels of androgens (male hormones) and insulin resistance, leading to various metabolic complications. In contrast, PCOD is characterized by hormonal imbalances involving elevated estrogen levels, which primarily affect the ovaries.

3. Causes of PCOS/PCOD Problem

While the exact causes of both conditions are still being researched, some distinct factors contribute to each disorder. PCOS is believed to be caused by a combination of genetic factors, insulin resistance, and inflammation. On the other hand, PCOD is often linked to genetic factors, lifestyle choices, and environmental factors, such as exposure to toxins or endocrine disruptors.

4. Complications of PCOS/PCOD Problem

Both PCOS and PCOD can lead to complications if left untreated, but the risks associated with each condition differ. PCOS is associated with a higher risk of infertility, type 2 diabetes, heart disease, and endometrial cancer. In contrast, PCOD complications primarily involve ovarian cysts and their associated risks, such as ovarian torsion or cyst rupture. Infertility is also a concern for women with PCOD, but the risk is generally lower compared to PCOS.

Also Read: PCO vs PCOS

Causes of PCOS/PCOD Problem

Causes of PCOD

  • Genetic Factors: Like many health conditions, PCOD has a hereditary component. If a close female relative, such as a mother or sister, has PCOD, the chances of developing the condition increase. However, it’s important to note that genetic predisposition doesn’t guarantee the development of PCOD; other factors also contribute.
  • Lifestyle and Environmental Factors: Lifestyle choices and environmental factors can play a role in the development of PCOD. Poor diet, lack of exercise, stress, and exposure to endocrine-disrupting chemicals can all contribute to hormonal imbalances, increasing the risk of PCOD.

Causes of PCOS

  • Insulin Resistance: Insulin resistance is a major contributor to the cause of PCOS. Insulin is a hormone that regulates blood sugar levels, and when the body becomes resistant to its effects, the pancreas produces more insulin to compensate. High insulin levels can stimulate the ovaries to produce excessive amounts of androgens, leading to PCOS symptoms.
  • Inflammation: Chronic inflammation is another factor linked to PCOS. Inflammation can cause the body to produce more androgens, contributing to the development of PCOS. Obesity and poor diet are common causes of inflammation, so maintaining a healthy weight and eating a balanced diet can help reduce the risk.
  • Hormonal Imbalances: PCOS is characterized by hormonal imbalances, primarily involving elevated androgen levels. These imbalances can result from various factors, including insulin resistance, inflammation, and genetics. Additionally, disruptions in the hypothalamic-pituitary-ovarian (HPO) axis, which regulates the menstrual cycle, can contribute to PCOS.


Complications of PCOS/PCOD Problem

Short-term and Long-term Consequences

Both PCOS and PCOD can lead to short-term and long-term health consequences if left untreated. In the short term, women with either condition may experience irregular periods, infertility, and emotional distress. In the long term, untreated PCOS and PCOD can increase the risk of developing chronic health conditions, such as type 2 diabetes, heart disease, and endometrial cancer.

Risks for Overall Health

  1. Infertility: Infertility is a common complication of both PCOS and PCOD, with hormonal imbalances and irregular ovulation making it difficult to conceive. However, with proper treatment and lifestyle changes, many women with these conditions can successfully become pregnant.
  2. Metabolic Syndrome: Women with PCOS are at an increased risk of developing metabolic syndrome, a cluster of conditions that includes high blood pressure, high blood sugar, excess body fat around the waist also called PCOS belly, and abnormal cholesterol levels. Metabolic syndrome raises the risk of heart disease, stroke, and type 2 diabetes.
  3. Mental Health: PCOS and PCOD can take a toll on mental health, with women experiencing symptoms such as mood swings, depression, and anxiety. Managing these conditions involves addressing both physical and emotional well-being.
  4. Endometrial Cancer: Untreated PCOS can increase the risk of endometrial cancer, as irregular periods and a lack of ovulation can lead to a buildup of the uterine lining (endometrium). This thickening can eventually result in the development of endometrial cancer. It’s essential for women with PCOS to work with their healthcare providers to manage their symptoms and reduce this risk.


Diagnosis of PCOS/PCOD Problem

Diagnostic Criteria for PCOD

Diagnosing PCOD involves a combination of physical exams, medical history, and laboratory tests. A healthcare provider may perform a pelvic exam to check for ovarian enlargement or cysts. Blood tests can help assess hormone levels, such as estrogen, progesterone, and androgens, to identify any imbalances. Lastly, an ultrasound may be used to visualize the ovaries and assess the presence of cysts.

Diagnostic Criteria for PCOS

The diagnosis of PCOS is typically based on the Rotterdam criteria, which require the presence of at least two of the following three features:

  1. Irregular or absent periods, indicating infrequent ovulation
  2. Clinical or biochemical signs of hyperandrogenism (elevated male hormones)
  3. Polycystic ovaries on ultrasound

Additionally, healthcare providers will rule out other potential causes of these symptoms, such as thyroid or adrenal disorders, before making a PCOS diagnosis.


PCOS/PCOD Problem Treatment

Treatment Options for PCOD

  1. Lifestyle Changes: Lifestyle modifications are often the first line of treatment for PCOD. Eating a balanced diet, exercising regularly, and managing stress can help improve hormonal imbalances and alleviate symptoms.
  2. Medications: Various medications may be prescribed to manage PCOD symptoms. These can include hormonal contraceptives to regulate periods and reduce androgen levels, insulin-sensitizing drugs to improve insulin resistance, and ovulation-inducing medications to enhance fertility.
  3. Surgical Interventions: In some cases, surgical interventions may be considered for PCOD, such as ovarian drilling or cyst removal. These procedures are typically reserved for cases where conservative treatments have been unsuccessful.


Treatment Options for PCOS

  1. Hormone Therapy: Hormone therapy is commonly used to treat PCOS. Hormonal contraceptives can help regulate periods, reduce androgen levels, and alleviate symptoms like acne and hirsutism. Additionally, anti-androgen medications may be prescribed to counteract the effects of elevated male hormones.
  2. Lifestyle Modifications: Lifestyle changes are essential in managing PCOS. A healthy diet, regular exercise, and stress management can help improve insulin resistance, reduce inflammation, and balance hormone levels. Weight loss, if needed, can also significantly improve symptoms and fertility outcomes.
  3. Assisted Reproductive Techniques: For women with PCOS who are struggling with infertility, assisted reproductive techniques (ART) may be an option. Treatments such as in vitro fertilization (IVF) or intrauterine insemination (IUI) can increase the chances of conception for those who have not achieved pregnancy with lifestyle changes and medications alone.


Home Remedies for PCOS/PCOD Problem

Adopting a holistic approach can complement medical treatments for PCOS and PCOD. Here are some home remedies to consider:

  1. Cinnamon: Cinnamon may help improve insulin sensitivity and regulate periods. Add it to your daily diet, or try cinnamon supplements after consulting your healthcare provider.
  2. Apple cider vinegar: This natural remedy may aid in balancing blood sugar levels and managing weight. Mix one to two tablespoons of apple cider vinegar with water and consume before meals.
  3. Yoga and meditation: Regular practice of PCOS/PCOD yoga and meditation can help reduce stress, improve hormonal balance, and boost overall well-being.

Remember, always consult your healthcare provider before starting any home remedies.


PCOD/PCOS 7-Day Diet Chart

A well-balanced PCOD diet chart is crucial for managing PCOD. Below is a sample 7-day PCOS and PCOD diet chart to lose weight:

Day Breakfast Lunch Dinner Snack
Day 1 Overnight oats with berries Grilled chicken salad Lentil soup with whole-grain bread A handful of almonds
Day 2 Vegetable omelet with avocado Quinoa and vegetable stir-fry Baked salmon with roasted vegetables Greek yogurt with honey
Day 3 Smoothie with spinach, berries, and almond milk Brown rice and vegetable curry Chickpea salad with whole-grain crackers Sliced cucumber with hummus
Day 4 Greek yogurt with nuts and seeds Grilled tofu and vegetable skewers Turkey chili with a side salad Apple slices with almond butter
Day 5 Whole-grain to