Polycystic Ovarian Disease, or PCOD, is often linked to irregular periods, weight gain, acne, and fertility problems. However, health experts are now warning that PCOD may also significantly increase the risk of heart disease in women, especially among young adults in their 20s and 30s. According to Dr. Ranita Saha, the connection between PCOD and cardiovascular disease is still widely overlooked, despite growing evidence showing that the hormonal and metabolic effects of PCOD can negatively impact heart health over time. PCOD is not just a reproductive disorder. It is also a metabolic condition closely associated with insulin resistance, inflammation, and lifestyle-related cardiovascular risk factors,” she told Times Now Health. One of the biggest
concerns is insulin resistance, a condition in which the body struggles to use insulin effectively. This can lead to elevated blood sugar levels, abdominal obesity, high cholesterol, and eventually Type 2 diabetes. All of these are major risk factors for heart disease and stroke.Also read: NEET Burnout Crisis? Doctors Warn Sleep Loss and Stress Headaches Are Hitting Students Hard
How does PCOD raise the risk of heart disease?
Dr. Saha explains that women with PCOD are more likely to develop high blood pressure, unhealthy cholesterol levels, and chronic inflammation at an earlier age compared to women without the condition. Together, these factors may accelerate atherosclerosis. “Chronic low-grade inflammation is now recognised as a key driver of atherosclerosis- the buildup of plaque in the arteries that can eventually lead to heart attacks and strokes,” she said.
Hormonal imbalance and inflammation
Hormonal imbalance also plays a major role. Women with PCOD often have higher androgen levels, commonly known as male hormones. Elevated androgen levels are associated with low-grade chronic inflammation, which experts now recognize as a silent contributor to cardiovascular disease. Lifestyle habits can further worsen the problem. Sedentary routines, poor sleep, chronic stress, unhealthy eating patterns, and lack of physical activity are becoming increasingly common among urban women, making PCOD symptoms and heart risks more severe.
Why do women often miss the warning signs?
Doctors say many women fail to recognize the early warning signs of cardiovascular stress because symptoms can appear subtle. Fatigue, mild breathlessness, headaches, fluctuating blood pressure, jaw pain, or discomfort in the back are often ignored or mistaken for hormonal changes and stress. Unlike men, women frequently experience atypical symptoms of heart disease, which can delay diagnosis and treatment. For women with PCOD, this delayed recognition may increase the risk of developing cardiovascular disease at a younger age.
Lifestyle changes can lower the risk
The encouraging news, experts say, is that much of this risk is preventable with early intervention and lifestyle management. Regular exercise, maintaining a healthy body weight, reducing processed foods, and following a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can improve insulin sensitivity and reduce inflammation. Healthcare professionals also recommend regular monitoring of blood sugar, cholesterol levels, blood pressure, and body weight as part of long-term PCOD management. Stress management techniques such as yoga, mindfulness, meditation, and proper sleep hygiene can also help balance hormones and support heart health. “The majority of today's urban women are either sedentary, under excessive stress, sleep very little, and eat unhealthily, all of which only serve to make the symptoms of PCOS worse, in addition to their overall risk for heart disease,” said Dr. Saha.
Early awareness is the key
Doctors emphasize that PCOD should no longer be viewed only as a gynecological condition. Instead, it should be treated as an important warning sign for future metabolic and cardiovascular problems. Recognizing the link between PCOD and heart disease early can help women make healthier lifestyle choices, seek timely medical care, and significantly lower their long-term risk of serious cardiac complications.