Polycystic Ovary Syndrome (PCOS) is usually discussed in terms of irregular cycles, fertility struggles, or hormone imbalance. But there’s another side of PCOS that many women experience and few talk about: chronic fatigue and pelvic tension.

Both symptoms can silently affect daily life, intimacy, and emotional well-being. Understanding them is the first step toward relief.

Why PCOS Causes Fatigue

Women with PCOS often report feeling “drained” or exhausted, even after rest. Research points to several causes:

Hormonal imbalance (insulin resistance, androgen excess) affecting energy regulation
Low-grade inflammation that increases tiredness
Poor sleep quality: PCOS is linked with a higher risk of sleep apnea
Mental load of living with a chronic condition, which can also contribute to fatigue

PCOS and Pelvic Tension

Less often discussed is how PCOS affects the pelvic floor:

Irregular cycles, cramps, and bloating can lead to protective muscle tension
Chronic pelvic pain is more frequent in women with PCOS, sometimes due to inflammation or coexisting conditions like endometriosis
Over time, the pelvic floor may become overactive, leading to pain with sex, pelvic heaviness, or urinary issues

👉 Many women don’t realise their fatigue and pelvic discomfort are linked to PCOS.

How Physiotherapy Can Help

1. Pelvic Floor Release

Physiotherapists teach how to relax and rebalance pelvic muscles, reducing pain and tension.

2. Breathing & Relaxation Techniques

Slow, diaphragmatic breathing helps regulate the nervous system, improve oxygenation, and release pelvic tension.

3. Gentle Exercise for Energy

Evidence shows regular, moderate activity improves insulin sensitivity, mood, and fatigue in PCOS. A physiotherapist can guide safe, realistic exercise plans.

4. Pain Education

Learning about the pain-muscle tension cycle empowers women to break the loop and regain control.

Beyond Physiotherapy

Nutrition support can help regulate insulin and energy levels.
Psychological support addresses the emotional toll and improves coping.
Medical care is essential for hormonal and metabolic management.

PCOS is not just about periods and fertility. Fatigue and pelvic tension are real, under-recognised symptoms that deserve attention. With physiotherapy, lifestyle strategies, and multidisciplinary care, women can manage these challenges and feel more in control of their bodies.

✨ Living with PCOS and struggling with fatigue or pelvic discomfort? Book a consultation at Renard Clinic with our women’s health physiotherapists for compassionate, evidence-based support.