Polycystic Ovary Syndrome (PCOS) affects millions of women worldwide, yet many remain undiagnosed and struggle in silence. In this post, Aimee, a Menstrual Cycle Coach and Natural Fertility Educator, breaks down what PCOS is, common signs to look out for, and practical ways to support your body through lifestyle, nutrition, and holistic practices. From navigating diagnosis to creating sustainable habits that balance hormones and improve wellbeing, Aimee’s compassionate guidance empowers women to take control of their cycles and reclaim confidence in their bodies.

PCOS Symptoms, Diagnosis & Holistic Management: A Complete Guide for Women: Journal Feature with Aimee Monaco

Around 1 in 10 women struggle with PCOS, though some estimates suggest it could be closer to 1 in 5, due to the number of women who remain undiagnosed. This condition doesn’t just affect your menstrual cycle, it’s the leading cause of fertility challenges in women and can also increase the risk of developing other serious conditions, such as type 2 diabetes, metabolic syndrome and heart disease.

So what is PCOS and the signs I may have it?

PCOS - Polycystic Ovary Syndrome is a hormonal condition that affects how your ovaries function and how regularly you ovulate. Women with PCOS often experience irregular periods, which can make tracking ovulation or conceiving naturally difficult. Some may have cysts on the ovaries, which can make periods and ovulation painful. PCOS is also linked to higher levels of androgens (male hormones), which can lead to symptoms like acne, unwanted hair growth, oily skin, or hair thinning. Other common signs include weight fluctuations, blood sugar imbalances, and fatigue.

The thing about PCOS is that it doesn’t look the same for every woman. Some women experience many of these symptoms, while others may only notice one or two. PCOS is complex, but with the right support, lifestyle adjustments, and nutrition, it is absolutely possible to manage symptoms and feel better. If you’ve been struggling with irregular cycles or any of the symptoms listed above, know that while they may be common, they should never be normalised. Women are not designed to live in pain and discomfort for their menstruating years.

What do I do if I think I could have PCOS?

There is still a lack of understanding and awareness around women’s hormonal health in western medicine, which means it can take years from the first signs to receiving a diagnosis. My advice is to advocate for yourself. Find a GP or gynaecologist who truly listens, respects your concerns, and is willing to explore the appropriate testing if that’s the route you choose. Not every practitioner will take your symptoms seriously, but there are compassionate and knowledgeable providers out there who will.

How can I support my body as a woman with PCOS?

Receiving a diagnosis doesn’t need to feel like a life sentence of irregular or painful cycles. There are many ways to nourish and support your body to bring your hormones back into balance.

A holistic approach can make a real difference. Focus on small, consistent changes, such as:

• Eating a balanced, whole foods diet, aiming for at least 20 grams of protein per meal.
• Eating breakfast within the first 60 minutes of waking to support blood sugar balance.
• Prioritising quality sleep and creating a bedtime routine that includes dimming lights and avoiding screens.
• Incorporating resistance training 3 to 4 times a week, which can help lower insulin levels, a common issue in PCOS.

Remember, you don’t need to tackle PCOS alone. In the last few years, menstrual cycle education and specialised practitioners have risen to meet the gaps in mainstream medicine.

Holistic and women’s health-focused providers are helping women manage symptoms, regain confidence in their bodies, and feel supported. We no longer need to suffer in silence, there is guidance, understanding, and so much education emerging as the years go on. A really positive step for women and women’s health. With the right approach, PCOS can be managed, and you can feel empowered and in control of your body again.

With Love,

Aimee x