How PCOS can affect your sex life
POLYCYSTIC ovarian syndrome (PCOS) is probably the most common cause of “hormonal imbalance” in women. It leads to irregular periods, excess hair, acne and difficulty getting pregnant.
But one of the lesser talked about issues is its effect on sexuality and relationships. Many women suffering with PCOS experience these effects not only from the disease itself, but also from the treatments given.
Obstetrician-gynaecologist (ObGyn) Dr Ryan Halsall said how PCOS affects each individual is a complex issue, and in fact each individual may be affected in different ways.
Below he points out some of the effects PCOS can have on your sex life.
1. Psychological
Dr Halsall said sexuality is affected by general mood, overall well-being and self-esteem. He said the excess weight, facial hair and acne associated with PCOS may all have a negative impact on how the woman looks and feels about herself. “This may lead to low self-esteem and self-worth, both of which interfere with her sexual function. As a matter of fact, just being diagnosed with a chronic condition alone is enough to turn anyone’s world upside down,” he said.
2. Physical
“The irregular bleeding, which is often heavy, interferes with having sex. While a few women don’t mind, most will avoid having sex during their period. PCOS patients have their period come unexpectedly most times, making it hard to plan romantic evenings and vacations without the help of medication,” Dr Halsall said. “Apart from the physical barrier, the constant stress of irregular bleeding leads right back into the psychological factors that affect sexuality.”
3. Medication
The ObGyn said commonly used medications include the contraceptive pill and Metformin. He explained that the contraceptive pill has been known to have negative effects on sex drive and also mood changes. However, he said that Metformin is associated with nausea and abdominal pain, which may physically prevent sex from even happening.
Dr Halsall said if you have PCOS and your sex life is being hampered as a result of the disease or its treatment, don’t suffer in silence.
“Sexual health shouldn’t have to be secondary. Speak to your gynaecologist and he or she will work with you to address these issues,” he said.
— Kimberley Hibbert
