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Because of PCOS acne, weight and facial hair I avoid photos and functions. I feel ugly and low most days. Is this also part of PCOS?

An AskHer answer: what is known, what depends on you, and what only a clinician can decide.

Nobody asked this one. AskHer’s editorial team wrote the question to open the topic. It is not anyone’s submission, and nobody’s own words are in it.

Written with AI assistance — not yet reviewed by a person Version 1 · Not yet reviewed by a person · English

The short explanation

What you are feeling is very common among women with PCOS. Research shows that anxiety, low mood and poor body image are more frequent in PCOS. This may be partly due to hormonal and metabolic effects, and partly due to living with visible symptoms such as acne, weight changes and extra hair, along with comments from others. Your feelings are valid and they deserve care just as much as your physical symptoms. Talking to a doctor about your mood is part of PCOS care. Counselling or talking therapy can help with body image and low mood, and treating physical symptoms like acne and hair can also improve confidence.

What depends on your situation

The parts of this that change from woman to woman. Uncertainty is stated, not hidden.

  • If low mood is affecting your sleep, studies, appetite or interest in things you used to enjoy, that is a sign to get support soon.
  • Many colleges have counsellors. Government hospitals and some NGOs offer mental health services, and there are national helplines.
  • Support groups, online or offline, can help you feel less alone, but be cautious about groups that promote extreme diets or cures.

What this answer cannot determine

The boundary of online education. These need a clinician who can see you.

  • This answer cannot tell whether you have depression or anxiety. A doctor or counsellor can assess how you are feeling and suggest support.

Questions for your clinician

Take these with you. You can add any of them to an appointment card.

  1. Could my low mood be linked to PCOS?
  2. Can I be referred to a counsellor or psychologist?
  3. What can help with my acne and hair growth?
  4. Who can I talk to if I feel overwhelmed?

When to seek help

Clinician-approved guidance for this topic. When in doubt, being seen is never the wrong choice.

Emergency — call 112 now

  • Call 112 or go to the nearest emergency department if you have thoughts of harming yourself or ending your life.

Get help the same day

  • Get help the same day if you feel unable to cope or keep yourself safe.

Book an appointment soon

  • See a doctor or counsellor within a few days if low mood is affecting your daily life.

Sources

The evidence this explanation is built on.

  1. Polycystic ovary syndrome (PCOS) NHS
  2. Acne NHS

Who wrote and reviewed this

Every AskHer answer names its author. A clinically reviewed answer also names the clinician who signed it off — if no clinician is named below, it has not been clinically reviewed.

Author
AskHer Editorial (AI-assisted draft) AskHer's editorial team — not an individual clinician Works in English, தமிழ், हिन्दी
Clinical reviewer
Nobody yet No clinician has signed this answer off, and no person on the editorial team has read it yet. That is what the “Written with AI assistance” label means. It is queued for an editor to read, and then for a clinician who works in this area. The sources it was drafted against are listed above.
Review status
Written with AI assistance — not yet reviewed by a person
Last reviewed
Not yet reviewed by a person
Version
1

Correction history

Substantive changes are listed, not quietly edited away.

No corrections have been made since this answer was first published.

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