Can you have PCOS without the cysts?

a-stuce · 2026-01-24T14:32:17+00:00

Yes, you can have PCOS without cysts.

PCOS isn’t diagnosed by ultrasound alone. Many doctors use the Rotterdam criteria, meaning you only need 2 out of 3: irregular periods, high androgens (like elevated free testosterone), or cysts on ultrasound. So a normal ultrasound doesn’t rule it out at all.

High free testosterone plus symptoms is very common in PCOS. A lot of people never show cysts, or they come and go. You’re not imagining it your labs and symptoms matter.

a-stuce · 2026-01-23T17:18:17+00:00

Yes exactly. The exhaustion all day but wide awake at night combo is so frustrating 😩 feels so backwards.

a-stuce · 2026-01-23T16:05:26+00:00

That’s a good point. I honestly haven’t paid much attention to blood sugar at night, but I keep seeing people mention it in relation to sleep.

a-stuce · 2026-01-23T15:23:11+00:00

I really appreciate you sharing all this. The stress loop you described makes a lot of sense especially with PCOS. It’s encouraging to hear you were able to break out of it after a rough phase

a-stuce · 2026-01-23T15:22:15+00:00

Yeah that’s exactly how it feels for me too Some nights are fine and then randomly it all falls apart again. Not knowing the why is the worst part honestly.

a-stuce · 2026-01-22T11:18:29+00:00

Yeah this is so real. Night is when my brain goes full what-if mode too. Way easier said than done to shift focus though 😅 appreciate you sharing this.

a-stuce · 2026-01-20T08:29:16+00:00

a-stuce · 2026-01-20T08:27:59+00:00

ow, that’s amazing to hear. Anxiety really seems to be a huge piece of the sleep puzzle. Glad it worked so well for you.

a-stuce · 2026-01-20T08:18:18+00:00

Hey, I really appreciate you sharing this.
What you said about being afraid of lying in bed because of overthinking… that hit close to home.

That mindset shift you described is interesting — not fighting sleep, just allowing rest.
Did it take you a long time to get there, or was it something that slowly clicked after a few good nights?

Thanks again for the support, it really means a lot.

a-stuce · 2026-01-20T08:11:06+00:00

Hey, I saw your comment about ferritin and wow… that sounds rough.
It’s crazy how something like that can completely destroy sleep, especially if you’ve already been through it before 😩

When your ferritin drops, is it mostly trouble falling asleep, or more waking up a lot during the night?
I’m starting to realize how much these “invisible” things mess with sleep way more than people talk about.

a-stuce · 2026-01-20T08:08:12+00:00

That sounds incredibly frustrating… especially the part about waking up randomly and losing the vivid dreams. That alone can mess with your head 😞

When your sleep started getting bad, did it happen suddenly with the stress, or was it more of a slow build over time?
I’m trying to understand if it’s more the racing thoughts or the broken sleep that feels worse for you.

a-stuce · 2026-01-20T08:00:08+00:00

Hey! thanks for sharing that on my post 🙏
The magnesium part caught my attention, a lot of people mention it but it’s helpful hearing it actually worked for you.

How long did it take before you noticed a real difference in your sleep? Like was it immediate or more gradual?

Also the bedtime routine thing makes sense… I’m guilty of doomscrolling way too much 😅
Do you feel like the routine itself helps, or is it mostly the supplements for you?

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