PCOS unfiltered: Breaking the silence, taking control and thriving

Mathusa Jeevarajah is a first-year 2nd Entry Nursing student on a mission to make a real difference in people’s lives. Fueled by empathy and purpose, she’s carving her path toward a future in critical care or across communities through travel nursing.

Polycystic Ovary Syndrome (PCOS) is a condition that affects millions of people with ovaries, yet it’s often misunderstood. It’s more than just irregular menstrual periods, it’s an ongoing battle with fatigue, weight changes, hormonal imbalances and emotional highs and lows. If left unchecked, it can lead to serious health risks in some cases, like type 2 diabetes, cardiovascular disease, infertility and endometrial cancer.

Juggling PCOS while balancing school, work and life can feel exhausting. But here’s the good news—you’re not alone. Understanding your body, finding support and advocating for your health can help you take control and thrive.

Growing up in a South Asian household, reproductive health wasn’t just overlooked, it was taboo. Periods were something to whisper about, and any talk of irregular cycles or hormonal struggles was quickly brushed aside. If you’re anything like me, you’ve probably heard, “It’s just part of being a woman,” with no real explanation. That silence made PCOS even lonelier, leaving me to wonder if something was wrong with me when, in truth, countless others were silently navigating the same challenges.

In my early 20s, I felt trapped in a body that refused to play by the rules. My periods had a mind of their own, my weight seemed to climb no matter what I did and acne was an unwelcomed guest. Every mirror became a reminder that I didn’t fit the South Asian beauty ideals of clear skin, thick hair (but only in the right places) and a slim frame.

Here are some common symptoms to look out for:

• Irregular periods: menstrual cycles that are missed, prolonged or completely unpredictable.
• Hormonal acne: this type of acne causes persistent breakouts, usually along the jawline or back.
• Excess facial and body hair (hirsutism): coarse hair growth on the chin, upper lip or chest.
• Thinning hair: high levels of androgens (hormones like testosterone) can cause a widening part or hair loss.
• Unexplained weight gain: difficulty managing weight despite diet and exercise.
• Fatigue and brain fog: feeling drained or having trouble focusing, even after a full night’s sleep.
• Mood changes: increased anxiety, depression or sudden mood swings.

As a registered practical nurse (RPN), I’m used to advocating for others, but speaking up for myself wasn’t easy. Prioritizing patients over my own health felt natural, so when I finally sought help, I expected to be heard. Instead, I faced the usual dismissals, “Just lose weight” or “Are you sure you're not pregnant?” I was given a prescription for birth control, but I wanted a more in-depth conversation about my condition. While it’s an effective option for many, I was looking to explore all possible approaches and better understand what worked best for my body.

Determined to take control, I dove into research and made some lifestyle changes. Juggling PCOS with the demands of being a full-time RN student and part-time RPN is exhausting; fatigue drags me down, stress intensifies symptoms and my body never seems to cooperate when I need it most. But through trial and error, I've found strategies that help me manage my PCOS:

• Prioritizing sleep: Consistent, quality sleep helps your body function smoothly and stay energized.  
• Stress management: Techniques like mindfulness and music therapy reduce stress levels and can improve mental health.
• Physical activity: Regular movement, like walking or strength training, improves insulin sensitivity and helps with weight management.
• Balanced nutrition: A diet rich in whole foods, fiber and healthy fats can stabilize blood sugar and reduce inflammation.
• Hydration: Staying hydrated helps with overall bodily functions.
• Community support: Engaging with peer groups, healthcare professionals and online communities can provide emotional and informational support.

These changes don’t eliminate PCOS entirely, but they help me feel more in control.

Navigating PCOS alone can feel overwhelming, but support is out there! Learn more about resources available to you on the Student Health Website and check out these other options:

• Talk to your healthcare practitioner (HCP): If you don’t have a HCP, you can visit Ask a Nurse for guidance on accessing the nearest available primary care options around campus.
• PCOS Together – An initiative by the University of Alberta to enhance understanding of women’s health outcomes in Canada.
• LOVE YOU by Shoppers Drug Mart Women’s Clinic: A clinic through Ontario Shores Centre for Menal Health Sciences offering short-term consultation and treatment for perinatal mood disorders and reproductive-related mental health concerns.

PCOS is a long-term health condition that can affect many aspects of daily life. However, with individualized care, reliable information and support, it can be effectively managed!