Dr. Kate Dudek • March 11, 2025 • 5 min read
Polycystic ovary syndrome (PCOS) is a common hormonal disorder that affects women of reproductive age. It is caused by a hormonal imbalance in the body and can lead to a number of symptoms, including irregular menstrual periods, excess hair growth, acne, and weight gain. While urinary and bowel issues are not typically considered common symptoms of PCOS, they can occur in some individuals with the condition.
The most common urinary symptom associated with PCOS is urinary tract infections (UTIs), which can cause symptoms such as frequent or urgent urination, pain or burning during urination, and cloudy or bloody urine. These symptoms can be treated with antibiotics.
Despite its name, polycystic ovary syndrome does not require the presence of polycystic ovaries. In fact, when present together, excess of male hormones (hyperandrogenism) and lack of ovulation (anovulation) comprise the classic form of PCOS, which is more common and generally associated with more severe side effects than the non-classic form.
Women who have non-classic PCOS can have polycystic ovaries with regular menstrual cycles and hyperandrogenism (non-classic ovulatory PCOS). Or they can have normal androgens but experience chronic anovulation (non-classic mild/normoandrogenic PCOS).
Although non-classic PCOS is typically milder, those women who have extensive ovarian cysts may experience pain in the pelvic region where the cysts press against the bladder and rectum. Associated symptoms include nausea, urinary conditions, and constipation.
Depending on the severity of the symptoms, treatment options range from over-the-counter pain relief medication to cyst removal under general anaesthetic. Ultrasound investigation will be used to establish how invasive the cysts are.
In addition to the pain and pressure caused by the presence of cysts in the abdominal region, many women with PCOS experience symptoms that are usually associated with diabetes. This is probably because a large proportion of women with the condition are insulin resistant.
Symptoms such as sugar cravings, frequent urination, blurred vision, delayed healing, and a tingling sensation have all been reported.
To date, the most effective way of relieving the symptoms of PCOS is through the implementation of lifestyle changes, such as weight loss.
To read more about factors that are associated with PCOS click here and consider Nabta’s PCOS Test to understand more.
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Yes, Polycystic Ovary Syndrome (PCOS) can indirectly cause blood in urine due to associated conditions like urinary tract infections (UTIs) or kidney issues. It’s important to consult a healthcare provider for an accurate diagnosis and appropriate treatment.
PCOS does not usually change urine color directly. However, related conditions such as UTIs or dehydration can cause urine to appear darker, cloudy, or bloody. Consult a healthcare provider if you notice unusual changes in urine color.
Yes, PCOS can cause you to pee a lot due to related conditions like insulin resistance or diabetes, which can increase thirst and urination. It’s essential to consult a healthcare provider for proper diagnosis and management.
Yes, PCOS can increase the risk of urinary tract infections (UTIs) due to hormonal imbalances and insulin resistance. It’s important to consult a healthcare provider for proper diagnosis and treatment.
Yes, PCOS can cause frequent urination due to associated conditions like insulin resistance or diabetes, which can lead to increased thirst and urination. Consult a healthcare provider for proper diagnosis and management.
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Patel, S. “Polycystic Ovary Syndrome (PCOS), an Inflammatory, Systemic, Lifestyle Endocrinopathy.” The Journal of Steroid Biochemistry and Molecular Biology, vol. 182, Sept. 2018, pp. 27–36., doi:10.1016/j.jsbmb.2018.04.008.