Understanding the Risks and Long-Term Consequences of Untreated PCOS

Polycystic Ovarian Syndrome (PCOS) is one of the most common endocrine disorders affecting women. However, the consequences of untreated PCOS extend far beyond irregular periods and fertility struggles. In this blog, we’ll explore the significant PCOS risks, long-term consequences, and the importance of timely PCOS treatment.

Table of Contents

What are the Risks of Untreated PCOS?

Irregular Periods and Uterine Cancer Risk

You might be thinking “No period, no problem”…right? Wrong.

Missing or irregular periods might seem like a minor inconvenience, but they come with a hidden danger. Women with untreated PCOS have a significantly increased risk of uterine cancer, rising from 3% to 15%. This highlights the importance of managing irregular menstrual cycles through proper PCOS treatment.

Obesity, Insulin Resistance, and Diabetes

PCOS often results in elevated testosterone levels, leading to insulin resistance over time. This not only increases fat deposition but also raises the likelihood of developing diabetes. Medications like GLP-1 receptor agonists and insulin sensitizers are effective PCOS treatment options to combat these risks. For more information check out the Weight Loss Struggles for PCOS Patients blog.

Hypertension and Cardiovascular Health

Hypertension is a common problem in women with PCOS, even among those with a thin phenotype. According to the American Heart Association (AHA), PCOS significantly raises the risk of high blood pressure, emphasizing the importance of regular health monitoring for PCOS risks. (Sources: 2,3)

Sleep Apnea and Insomnia

Women with PCOS face a 5–10x higher risk of sleep apnea and insomnia compared to the general population. Interestingly, this risk is present even in those without obesity. Insomnia in PCOS is often linked to low progesterone levels, which is why hormone regulation is a critical component of PCOS treatment. (Sources: 4, 5)

Stroke and Heart Attack Risks

Studies from Johns Hopkins University reveal that women with PCOS are twice as likely to experience strokes or heart attacks. This alarming statistic underscores the critical need to address cardiovascular PCOS risks early on. (Source: 6)

High Cholesterol and PCOS

PCOS can contribute to higher cholesterol levels, increasing the risk of heart disease. A proactive approach to lipid management is a vital part of any comprehensive PCOS treatment plan. (Source: 7)

Mental Health Challenges: Anxiety and Depression

Mental health struggles are common among women with PCOS, with anxiety and depression rates ranging from 28–39%. There’s also an increased likelihood of being diagnosed with conditions like bipolar disorder or obsessive-compulsive disorder. Addressing both the physical and mental PCOS risks is essential for long-term well-being. (Source: 8,9)

Infertility and Hormonal Imbalances

PCOS is the leading cause of infertility, affecting 70–80% of women with the condition. Balanced levels of progesterone, testosterone, and estrogen are necessary for achieving and maintaining pregnancy. Untreated hormonal imbalances can delay family planning goals, making PCOS treatment crucial for reproductive health. (Source: 10)

PCOS Treatment by PCOS Specialists

For more information on treating PCOS, contact PCOS Sisters to schedule your visit today!

Remember we treat the entire body as a PCOS focused primary care practice. Any of the long term consequences listed above can be diagnosed and treated by our practice. We are proud to serve as a medical home for PCOS women. We currently accept patients in FL, TX, GA, AZ & NY, soon to be nationwide!

Untreated PCOS Risks FAQs

What are the biggest risks of untreated PCOS?

Untreated PCOS increases the risk of uterine cancer, diabetes, hypertension, cardiovascular events, mental health disorders, and infertility.

Can women with thin PCOS have the same risks as those with obesity?

Yes, women with thin PCOS can experience significant risks like hypertension, sleep apnea, and cardiovascular issues, proving that PCOS risks are not exclusive to weight.

How does PCOS affect mental health?

PCOS is linked to higher rates of anxiety, depression, and other mental health conditions, emphasizing the need for comprehensive treatment.

Is PCOS treatable, or will I have it for life?

While PCOS is a lifelong condition, its symptoms and associated risks can be effectively managed with a combination of medication, lifestyle changes, and hormonal therapies.

What is the best way to start treating PCOS?

Consulting a PCOS-focused healthcare provider like PCOS Sisters is the first step. They can create a personalized treatment plan addressing your unique symptoms and risks.

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