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What is bilateral PCOS/PCOD: Early signs and how to treat it

February 19, 2024

Hey there! If you're reading this, chances are you, or someone you know may have been diagnosed with Bilateral Polycystic Ovary Syndrome (PCOS). In this blog post, we'll discuss the causes, symptoms, and treatment options for Bilateral PCOS, so let's dive in!

What is Bilateral PCOS?

Bilateral PCOS is a common disorder affecting up to 20% of women of reproductive age. It's a hormonal disorder that's characterized by the presence of multiple small cysts on both ovaries, as well as elevated levels of androgens (male hormones) in the bloodstream. These cysts, which are small fluid-filled sacs called follicles, do not mature properly or release eggs regularly, leading to menstrual irregularities and potential infertility.

What are the Causes of Bilateral PCOS?

The exact cause of bilateral PCOS is unknown. It is thought to be due to genetic, hormonal imbalance and other related factors. Let's discuss them.

Hormonal Imbalance: Women with PCOS often have higher levels of male hormones (androgens) than normal. This hormonal imbalance can lead to various symptoms, such as irregular periods, acne, and hair growth. 

Genetics: There is strong evidence that genetics play a role in developing PCOS. Studies have shown that women with a family history of PCOS are more likely to develop the condition themselves. 

Insulin Resistance: Insulin is a hormone that helps the body use glucose for energy. When the body becomes resistant to insulin, it takes more insulin to lower blood sugar levels. This can lead to higher levels of insulin in the blood, which can cause the ovaries to produce more androgens.

Inflammation: Chronic low-grade inflammation has also been linked to the development of PCOS. This inflammation can disrupt hormone levels and insulin sensitivity, contributing to the development of PCOS.

Environmental factors: Environmental factors, such as exposure to Endocrine-Disrupting Chemicals (EDCs) like Bisphenol A (BPA) and Polychlorinated biphenyls (PCBs), can disrupt hormone levels in the body.

It is important to note that some women may only have a few mild symptoms. In contrast, others may have more severe symptoms that significantly impact their quality of life. 

Common Symptoms of Bilateral PCOS

The symptoms of bilateral PCOS are similar to those of other types of PCOS. Some of the common symptoms include:

  1. Irregular menstrual cycles or no periods at all
  2. Difficulty getting pregnant
  3. Excessive hair growth on the face, chest, and abdomen
  4. Acne and oily skin
  5. Weight gain or difficulty losing weight
  6. Fatigue
  7. Sleep apnea
  8. Mood swings and depression

How to Treat Bilateral PCOS?

There is no cure for PCOS, but there are ways that can help to manage the symptoms, including lifestyle changes, like:

Weight Loss: Losing weight can help to improve insulin sensitivity and regulate menstrual cycles. Even a modest weight loss of 5-10% can make a significant difference in the symptoms of PCOS.

Dietary Changes: A healthy diet for women with PCOS should be low in processed foods, sugary drinks, and unhealthy fats. It should be high in fruits, vegetables, and whole grains.

Regular Exercise: Regular exercise can help to improve insulin sensitivity, regulate menstrual cycles, and lose weight. Aim for at least 30 minutes of moderate-intensity exercise most days of the week.

Quality Sleep: Getting enough sleep is important for overall health and well-being. It can also help to regulate menstrual cycles and improve insulin sensitivity. Aim for 7-8 hours of sleep each night.

Stress Management: Stress can worsen the symptoms of PCOS. Finding healthy ways to manage stress, such as yoga, meditation, or time in nature, can help improve symptoms.

Medications that can help to manage the symptoms of PCOS include:

Birth control pills: Birth control pills can help to regulate menstrual cycles and reduce androgen levels. They can also help to prevent pregnancy.

Insulin sensitizers: Insulin sensitizers, such as metformin, can help to improve insulin sensitivity and regulate menstrual cycles. They can also help to lose weight.

Antiandrogens: Antiandrogens, such as spironolactone, can help to reduce androgen levels. They can treat symptoms such as acne and excessive hair growth.

Fertility treatments: Women with bilateral PCOS who have difficulty getting pregnant can benefit from fertility treatments such as ovulation induction, in vitro fertilization (IVF), or intrauterine insemination (IUI).

The best treatment for PCOS will vary depending on the individual woman's symptoms and goals. Working with a doctor to develop a treatment plan that is right for you is important.


Bilateral PCOS can significantly impact a woman's quality of life. With the right treatment plan, it can be managed effectively. If you suspect you have PCOS or are experiencing symptoms, it's important to talk to your doctor. Together, you can develop a treatment plan that addresses your specific symptoms and goals.


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