Why does PCOS cause bloating

Patient's question:

During the pre-pregnancy check-up, they told me that I have polycystic ovary syndrome (PCOS). My lower abdomen has always been particularly large. I'd like to ask, is this caused by PCOS? Why does PCOS cause abdominal bloating?

Doctor's answer:

Polycystic ovary syndrome (PCOS) is a gynecological disorder that primarily manifests as repeated symptoms of obesity, hirsutism, menstrual irregularities, and infertility in women. Women with PCOS have excessive androgen excretion, which makes them appear more obese, leading to bloating as well. I control my weight through dieting and take ovulation-stimulating medication to assist with conception.

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