
What Is PCOS?: Understanding The Symptoms And Diagnosis Of This Common Health Condition

The irregularity of a woman’s menstrual cycle can often be overlooked and even dismissed as an insignificant occurrence. However, when symptoms like absent or infrequent periods, excessive acne, abnormal facial hair growth, and infertility come into play, it may be a sign of an underlying health condition to pay attention to, such as PCOS.
What Is PCOS?
“PCOS stands for Polycystic Ovary Syndrome; however, the name is a little misleading,” Tianna Trinidad, a registered nurse, PCOS hormone coach, and founder of Love Served Warm tells xoNecole.
“The hallmark symptom of PCOS is not polycystic ovaries as the name suggests, but instead menstrual dysfunction.” Trinidad says, “PCOS is a hormonal disorder that affects women most commonly after the start of their menses until menopause,” where there is an increase in male androgens (or hormones) and, in some cases, cysts (fluid-filled sacs) on the ovaries, as well as fertility issues. According to studies, up to 80% of women with PCOS struggle with menstrual dysfunction or painful or irregular periods, with signs of the condition appearing as early as adolescence.
“PCOS is a hormonal disorder that affects women most commonly after the start of their menses until menopause.”
While the exact cause of PCOS is not fully understood, Trinidad says that it is commonly linked to “a combination of genetic and environmental factors” that can be passed down within one’s family line, but the source is still unknown.
What Are The Symptoms of PCOS?
Women with PCOS may experience trouble sleeping, mood swings, trouble getting and/or staying pregnant, and constant fatigue. And while the primary signs of PCOS show up differently for each woman, some of the most common symptoms include:
- Irregular Periods: “Some women may experience cycles that are prolonged, while others may not experience a cycle at all. Some women may experience extremely heavy and painful cycles accompanied by large clots, while others may just lightly spot,” Trinidad says.
- Hyperandrogenism: According to Trinidad, when a woman has an imbalance in her male and female hormones, this can result in an overproduction of her male hormones, leading to excess facial hair and body hair (hirsutism), acne, male-pattern baldness or thinning hair.
- Insulin Resistance: “This is when the body's hormone insulin is not working effectively, [which] leads to high blood sugar levels in the blood, which in turn dramatically increases a woman’s risk of developing type 2 diabetes,” she says. “This is why PCOS is also known as diabetes of the ovaries.”
- Weight Gain:“PCOS weight gain is known to affect women specifically around their stomach area, and this weight is extremely difficult to lose despite all efforts with diet and exercise due to the imbalance of insulin, aka the growth hormone.”
Managing PCOS Through Diet & Lifestyle Changes
For those looking to manage their PCOS while optimizing their overall health and well-being, Trinidad suggests finding support from women who know and understand life with the condition. ”Oftentimes, I see women give up because they are trying all of the fad diets and sketchy supplements from brands they find on TikTok,” she says. “By finding someone with experience, you can cut out much of the fluff and get straight to the results.”
This can be done by:
Committing To A Balanced Diet:
“Have a balanced diet that includes nutrient-rich foods. Learn about the two different types of carbs, such as complex carbs (whole grains, legumes) instead of refined carbohydrates (white bread, sugary snacks). Add lean protein, like chicken, fish, and tofu, into your diet and make this your macro goal for each meal. Lastly, add healthy fats, and don’t skip out on fruits and vegetables."
Moving Your Body:
“This doesn’t have to be an intense workout session. Moving your body to your favorite jams or walking for 20 minutes after dinner can help you lower your insulin levels and lose weight with PCOS. Working out too intensely can stress out your stress hormone, cortisol, and make your hormone imbalances even worse.”
Choosing Low-Glycemic Index Foods:
“Foods with a low glycemic index (GI) are digested more slowly, and they do not break down into high amounts of sugar. Low glycemic foods can also help reverse insulin resistance by helping to balance your blood sugar levels.”
Managing Stress:
“As much as I know we are tired of hearing it, you have to learn to manage your stress levels. Chronic stress can make hormonal imbalances worse by increasing your stress hormone cortisol which can have a domino effect on impacting your other hormones and causing imbalance.”
Black Women & PCOS
PCOS disproportionally affects women of color, and Trinidad says that while she isn’t opposed to mainstream medications that are commonly prescribed to women with PCOS, conventional medicine typically targets the symptoms and not the root cause. “I believe it’s dangerous for women to not be educated about the potential side effects of these medications or informed that they do not, in fact, fix the root cause,” she shares.
“Instead, they put a temporary bandaid on the symptoms until you stop taking the medication, and your symptoms can come back worse than before.”
The Benefits Of Balancing Our Hormones
In order to reach a place of balance with one’s hormones as it relates to PCOS, Trinidad says that certain dietary and lifestyle changes must be put in place in order to reverse your symptoms. “Our hormones are tiny messengers that tell our body what to do and when to do it,” Trinidad explains. “The benefits of having balanced hormones range from having improved mental health, healthy pregnancy, absence of mental fog, and appropriate sleep cycles so that you can wake up refreshed.”
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Featured image by LaylaBird/Getty Images
- Black-Owned Supplement Brands To Add To Your Wellness Routine ›
- These Foods Can Help To Regulate Your Period (Better) ›
- Why You're Growing Hair On Your Chin & What You Can Do About It ›
- Living With PCOS As A Black Woman ›
- How PCOS Strengthened This Couple's 4-Year Marriage ›
- How I Reversed My PCOS Symptoms Naturally ›
Aley Arion is a writer and digital storyteller from the South, currently living in sunny Los Angeles. Her site, yagirlaley.com, serves as a digital diary to document personal essays, cultural commentary, and her insights into the Black Millennial experience. Follow her at @yagirlaley on all platforms!
'He Said, She Said': Love Stories Put To The Test At A Weekend For Love
At the A Weekend For Love retreat, we sat down with four couples to explore their love stories in a playful but revealing way with #HeSaidSheSaid. From first encounters to life-changing moments, we tested their memories to see if their versions of events aligned—because, as they say, every story has three sides: his, hers, and the truth.
Do these couples remember their love stories the same way? Press play to find out.
Episode 1: Indira & Desmond – Love Across the Miles
They say distance makes the heart grow fonder, but for Indira & Desmond, love made it stronger. Every mile apart deepened their bond, reinforcing the unshakable foundation of their relationship. From their first "I love you" to the moment they knew they had found home in each other, their journey is a beautiful testament to the endurance of true love.
Episode 2: Jay & Tia – A Love Story Straight Out of a Rom-Com
If Hollywood is looking for its next Black love story, they need to take notes from Jay & Tia. Their journey—from an awkward first date to navigating careers, parenthood, and personal growth—proves that love is not just about romance but also resilience. Their story is full of laughter, challenges, and, most importantly, a love that stands the test of time.
Episode 3: Larencia & Mykel – Through the Highs and Lows
A date night with police helicopters overhead? Now that’s a story! Larencia & Mykel have faced unexpected surprises, major life changes, and 14 years of choosing each other every single day. But after all this time, do they actually remember things the same way? Their episode is sure to bring some eye-opening revelations and a lot of laughs.
Episode 4: Soy & Osei – A Love Aligned in Purpose
From a chance meeting at the front door to 15 years of unwavering love, faith, and growth, Soy & Osei prove that when two souls are aligned in love and purpose, nothing can shake their foundation. Their journey is a powerful reminder that true love is built on mutual support, shared values, and a deep connection that only strengthens with time.
Each of these couples has a unique and inspiring story to tell, but do their memories match up? Watch #HeSaidSheSaid to find out!
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Love Is The Muse: How Skylar And Temi Built A Creative Life Together
When Temitope Ibisanmi DM’d the word “muse” to Skylar Marshai, he knew he was shooting his romantic shot. He didn’t realize, however, that he was connecting with his future business and creative partner, too.
“I was the boyfriend,” Temi says. “Everybody out there knows, you’re the cameraman at that point.”
Skylar sees things differently. At the time, she was shooting content on her iPhone. Temi came into the picture with a new perspective, an understanding of tech, and, eventually, a camera. “He doesn't give himself enough credit,” Skylar says. “He wasn't just my tripod. He wasn't just standing behind the camera and going ‘click.’ He was giving advice. He was giving me insight to how I could look at things from a different perspective. And I was like, 'Oh, he’s an artist.' I think it was maybe a heartbeat of that kind of energy of like, ‘Baby, can you take this picture?’ And it turned so quickly into, we're partners. We can work together in a way where we're advancing each other's creative thinking.”
The pair often says they’re two sides of the same coin. Skylar is an Aquarius. She attended art school, paints, and loves poetry. She’s more than happy to let the couple’s management firm and agency, Kensington Grey, handle their admin work. And, she loves to sleep in. Temi, on the other hand, wakes up early. He’s a Virgo. He loves a to-do list and regularly checks in on the couple’s brand partnerships spreadsheet to make sure everything is on track.
Because his storytelling was steeped in his love of technology, he didn’t always think of himself as a creative person. “Where I [am] the dreamer who wants to pluck things out of the sky and spend all day with my head in the clouds, Temi [is] so good at grounding me and helping me figure out how to make things make sense on paper. We just work together in such a complimentary way,” Skylar says.
It’s been more than six years since Brooklyn-based couple Temi and Skylar started dating, and nearly four since they cemented their working relationship. On TikTok and Instagram, the couple’s travel, fashion, and home content regularly rack up hundreds of thousands of views. They’ve worked with brands such as Coach, Aesop, Away, and Liquid IV, bringing their vibrant perspectives to every campaign they execute. Still, nearly two years since both Temi and Skylar committed to full-time content creation and creative directing, the couple says their romantic connection remains their priority.
“We told each other we would much rather go back to full-time jobs and preserve our relationship than to be full-time freelancers, barely getting a night's rest [and] barely kissing each other because we're so busy shooting,” Skylar says.
Working from home can make it hard to separate work from personal life for any entrepreneur. It can be even more challenging when your business partner is also your lover. Temi and Skylar had already used couples therapy as a tool to help them effectively communicate with one another. When they ran into challenges while working together, their therapist helped them set physical boundaries to help combat the issues.
"We told each other we would much rather go back to full-time jobs and preserve our relationship than to be full-time freelancers, barely getting a night's rest [and] barely kissing each other because we're so busy shooting."
“It actually took us doing very specific physical things to create boundaries between work and play in our relationship,” Skylar says. “So, for instance, we will only have conversations about work when we're out of bed or we're at the table or in the office. Initially, when we started, we had to light a candle to say that, 'Okay, this is a space where we're connecting, we’re not talking about work.' We needed really hard boundaries at the top. And then it became a little bit more organic.”
The boundaries have been crucial to implement, especially because the couple began working together so naturally. When the pair first met, Skylar was NY-based a social strategist for BuzzFeed and was using content creation to drive business to her lingerie company. She was shooting her own content. Temi was working for Microsoft in D.C. He’d recently traded in his DJing equipment for a camera. “I've always loved taking pictures,” he says. “Even when I was a kid, my African mother would wake me up at 3:00 a.m. [during a] party, and be like, 'Come take the family picture.'”
Growing up, Temi says he watched his parents support each other and be the true definition of partners. He knew he wanted the same for his own relationship. But, the couple also wanted to make sure they were being financially responsible. The pair didn’t quit their traditional jobs until they’d saved up two years' worth of their cost of living. And, Temi received his Master of Business Administration from New York University with the knowledge that it could either help him advance in his corporate career or be applicable to his business with Skylar.
Today, they say their working relationship is more of a “quiet dance.” They still implement some of the boundaries they learned in therapy, but they also lean into their natural strengths and deep love for one another. When we speak, Temi has planned a date for the couple to see Princess Mononoke in 4K IMAX and added it to their Notion so they can factor it into their busy schedules. “I fully plan to date for the rest of my life,” he says.
Skylar says the couple doesn’t just wait for date nights to check in with one another, though. This often happens in the mornings, after Temi has made her peppermint tea and poured himself a cup of coffee. When they ask each other how they slept, she says, it’s not just a “nicety.” It’s a genuine question meant to foster connection.
“A lot of it happens during the day in the midst of work. We'll stop and we'll hug. Or we’ll slow dance in the kitchen,” she says. “Sometimes it's hard to set a whole date night when you have 7,000 things going on. So, we must grasp these moments and check in when we can. And I think it's become so organic to us that I actually didn't even realize how often we do it. But all day long, we're like, 'Are you good? I felt like your energy shifted,' because we're best friends, we just know. We just feel it happen.”
What’s better than being in love? Building wealth while doing it. Watch Making Cents here for real stories of couples who make money moves together.
Featured image by Cj Hart @hartbreak