PCOD and PCOS Difference

Medically reviewed by: Dr. Rukkayal Fathima

pcod and pcos difference
Table of Contents

When couples dream about a baby and try to find out about PCOS and PCOD, things tend to get confusing and somewhat scary. These are indicators of a hormonal disorder which disturbs fertility in quite a few women. While they sound similar, their end effects on the body differ, more so when it comes to their implications for parenthood. 

Things might be changing for you with your cycle, skin, or mood, and you may be wondering what these words mean for you. In this blog, we have tried to explain what PCOS and PCOD are gently, the key differences between PCOD and PCOS, with hope and guidance for couples trying to conceive.

What Is PCOD (Polycystic Ovarian Disease)?

PCOD is a state in which the ovaries discharge numerous immature eggs or partially formed eggs, which eventually become cysts. It causes a disturbance in hormone levels and thereby almost always irregularize menstrual cycles, oily skin, and acne, or induces weight gain. 

The hormonal imbalances further inhibit ovulation, and thereby women become less fertile. Women with PCOD, however, ovulate only irregularly. This means that spontaneous conception can take place, though over a longer period. Such a common condition and yet treatable; whatever women do to neglect it can make for complications, diabetes or infertility.

What Is PCOS (Polycystic Ovary Syndrome)?

Commonly known as polycystic ovarian syndrome, this disorder is a fairly prevalent hormonal disorder in women in their reproductive years. This is one disorder that disturbs the normal working of the ovaries and most often arises with signs of irregular menses, excessive body hair, weight gain, or dual problems in conceiving. 

Most couples anxious to become parents are shocked and devastated to hear the term for the first time. Thus, they want to know what it really means for their future when they are also being confronted with the notion of PCOD. This blog will introduce you to the complete description of PCOS, its differences from PCOD, and how both conditions affect the ability to have children.

Key Differences Between PCOD and PCOS

PCOD and PCOS
Aspect PCOD PCOS
What it is
A condition where the ovaries release immature or half-grown eggs, which turn into small cysts.
A hormone and metabolism disorder where many cysts grow in the ovaries and stop normal ovulation.
How common
Affects about 1 out of 10 women.
Affects about 0.2% to 2.5% of women.
When it starts
Usually starts in teenage years or early adulthood.
It can begin in teenage years, but symptoms may show more in the 20s or 30s.
Hormone changes
Causes a small change in hormones like estrogen and progesterone.
Causes big changes in hormones, especially a rise in male hormones.
Cyst details
Ovaries have fewer, smaller cysts that may go away with a better lifestyle.
Ovaries have many large cysts that don’t go away without treatment.
Periods
Periods can come late or be irregular sometimes.
Periods often come rarely or not at all.
Pregnancy chances
Most women can get pregnant with little help if needed.
It may be harder to get pregnant, and there’s a higher chance of miscarriage.
Weight changes
Weight gain is common but easy to manage with diet and exercise.
Weight gain is often more difficult to lose because of insulin problems.
Body health
Does not affect overall health much.
Linked to health issues like diabetes, high cholesterol, and high blood pressure.
Skin and hair
May cause oily skin, mild acne, or a bit of hair thinning.
It can cause heavy acne, more body and facial hair, and even bald patches.
Emotions
May cause mild mood swings or stress due to late periods.
It can cause anxiety, depression, and low confidence due to hormone changes.
Treatment
A healthy diet, exercise, and less stress usually help a lot.
Needs both lifestyle changes and medicines like hormone therapy or insulin control.
Can it go away?
Yes, with lifestyle changes, symptoms often go away.
Can be managed, but may need long-term treatment.
Future health risk
Low if managed well.
It may cause serious issues like heart disease, diabetes, and some cancers.
How serious
Not too serious and easier to manage.
More serious and needs medical attention and regular care.

How PCOD and PCOS Affect Fertility Differently

PCOD and PCOS

PCOD – Affecting Fertility

  • Eggs are released, albeit not quite on time.
  • This means there’s still a possibility of conception—it just needs some patience.
  • Most women with a PCOD situation can get pregnant naturally or with minimal assistance.
  • Usually, the womb lining may grow well to support pregnancy.
  • The hormonal imbalance is so it may cause mild fertility issues.
  • With minor lifestyle modifications, a lot of women with PCOD are able to overcome fertility challenges. 

PCOS – Affecting Fertility

  • Ovulation probably doesn’t occur, making it more difficult to conceive without treatment.
  • The growth of the womb lining is insufficient to allow easy implantation of an embryo. 
  • Hormonal imbalance is more pronounced: elevated male hormones throw the whole cycle out of whack.
  • AMH levels, which are markers of egg reserve, could be diminished, thereby impeding fertility ultimately.
  • Women with PCOS might require some sort of medical intervention, hormone treatments or fertility therapies to become pregnant.
  • Early treatment improves the outcome and also vines to better symptom management.

Lifestyle and Diet Tips to Manage PCOD and PCOS

  • Eat Healthy Foods in the Right Proportion: Have a healthy combination of fruits, veggies, whole grains, and lean protein in your main meals.
  • Move Your Body: Just keep moving! Go for a walk or practice yoga, or even swim- whatever makes you happy. It keeps the weight down and benefits hormone balance. 
  • Cut Down on White Sugar: Avoid eating too many sweets and sugary drinks. Instead, go for fresh and minimally processed foods.
  • Stay Consistent: Small lifestyle changes can bring about great results, more so in PCOD diet. With PCOS, it may take a little longer, but every step is a move forward.
  • Manage Your Work and Mind Stress: Deep breathing, journaling, meditation, or a good conversation with a therapist; all work well for a calm mind and a well-functioning cycle.
  • Start Small: You don’t have to do it all at once; take small steps and create healthy habits with time.

When to Consult a Fertility Specialist

Trying to conceive but missing periods, growing facial hair, and having acne constantly? Don’t wait any longer- even with those signs, get it checked right away. Fertility doctors may test your hormone and egg health. The earlier the care, the less time and stress involved. Going to a good fertility hospital provides you with answers, support, and a way forward.

Effective Fertility Treatments for PCOD and PCOS

PCOD options for treatment

  • Lifestyle modifications take root: Eat healthy, keep exercising, and stay hydrated. This helps the period to come.
  • Take ovulation medicines: Some ladies are unable to release eggs.
  • Regular check-ups: They check your hormones and change their treatment accordingly. 

PCOS treatment options

  • Use hormone medicine: Balance hormones and induce ovulation.
  • Take stronger ovulation pills: They incite your body to release eggs.
  • IVF when necessary: If everything else fails, IVF is an option.
  • An individually tailored treatment protocol: Fertility doctor or IVF Specialist will recommend the best plan for you based on your test results.

Conclusion

Whereas PCOD and PCOS somewhat differ, knowledge of these disorders permits the individual to make a better choice regarding her pregnancy. Both disorders can be cured, and a majority of women can bear quality children. The secret is to go for early diagnosis and treatment. Should you start getting missed periods, acne, or sudden weight gain, you must rush to a doctor for consultation. A top fertility hospital renders professional intervention, emotional comfort, and hope for parenthood.

FAQs

Yes, PCOD is less severe and often responds to mild dietary and lifestyle changes.

Yes, untreated, it can set women up for diabetes, cardiovascular problems, and emotional problems.

They investigate hormones through blood work, carry out ultrasounds for the ovaries, and follow your symptoms for the cycle.

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Author Bio

Picture of Dr. Rukkayal Fathima
Dr. Rukkayal Fathima

Dr Rukkayal Fathima, India's Leading Gynaecologist and the best fertility doctor in Chennai. She has 11+ years of experience and treated 1000+ patients. She finished her M. S., Obstetrics and Gynaecology from the Institute of Obstetrics & Gynaecology (Madras Medical College), Chennai. She is a visiting consultant at St. Isabelle Hospital, Motherhood Hospital, Rainbow Hospital & Mehta Hospital. Dr Rukkayal Fathima specialises in Obstetrics care, Early Pregnancy Scan, IVF, ICSI, TESA/Micro TESE, Menopause advice, Gynaecological surgeries and endoscopy. She is a Co-Founder of Hive Fertility, the Best Fertility Center in Chennai.

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