Psychological aspects of polycystic ovary syndrome

This article provides an overview of the literature regarding psychological problems and psychiatric disorders associated with polycystic ovary syndrome (PCOS). PCOS is a common endocrine disorder affecting 10-15% of women of reproductive age. While its hallmark features – hyperandrogenism, menstrual irregularities, and polycystic ovarian morphology – are well documented, its psychological impact is often underrecognized. Research indicates that women with PCOS are more likely to experience depressive and anxiety symptoms. Women with PCOS exhibit a higher prevalence of eating disorders. Body image disturbances in PCOS include preoccupation with specific symptoms of the syndrome, such as hirsutism and acne, which may exacerbate self-consciousness and feelings of unattractiveness. Sexual functioning represents an important, relatively under-researched, aspect of life in women with PCOS. Studies indicate that women with this syndrome more frequently experience reduced sexual satisfaction and decreased libido. There is also evidence suggesting a higher risk of cognitive deficits in this group of patients. Increasing findings indicate that women with PCOS are at an elevated risk of experiencing psychotic symptoms and disorders. Despite the substantial psychological burden, mental health assessment and support are not routinely included in PCOS care. A growing body of research emphasizes the need for an integrated, multidisciplinary approach that addresses both physical and psychological aspects of the disorder. This review highlights the prevalence of psychological challenges in PCOS, underscoring the importance of holistic management strategies. Understanding and addressing the mental health needs of individuals with PCOS is essential for improving overall health outcomes and quality of life.