In a country that remains deeply entrenched in its conservative values, carving out a space for this discussion can be difficult. Women are often believed to be ‘overreacting’, exaggerating the severity of their symptoms to escape their responsibilities at home, school or work. Discussions about one’s first menstruation are often held behind closed doors, as bleeding is seen as ‘dirty.’ 

At one point, Hechanova was even placed in a large, black basin to manage extensive bleeding from her period, causing further shame and confusion around the experience. “I searched for years to understand my body and find an effective treatment,” she recalls. “Now, I work to ensure that women don’t have to go through what I did.” 

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There is no universal method to manage PCOS symptoms. According to Dr Matibag-Quiaoit, it can take some trial and error. “When it comes to lifestyle changes, these have to be individualised. Generally, I advise patients on what food to eat, such as decreasing intake of red meat, food high in transfats, preservatives, oily food or fried food. Studies have shown that a weight loss of 5 to 10 per cent in six months may also help regulate menses for those who are overweight or obese. I also advise physical activity, such as moderate exercise 30 minutes per day or 150 minutes per week.”

Aside from integrating these lifestyle changes, it can be helpful to build a skincare routine that addresses PCOS-related skincare concerns. Leading up to her diagnosis, Martina Gozun struggled with severe hormonal acne breakouts that impacted her confidence. When she learned that she had PCOS, she began her research on how a better skincare routine could help alleviate her symptoms. “Beyond living a balanced lifestyle, I've also become more mindful of harmful ingredients like parabens and phthalates in skincare products and their potential effects on my PCOS symptoms,” she says. 

After years of trying different skincare products and treatments, she realised the value of simple skincare. Gozun decided to create a product line called Balansè Skincare. “There are no quick fixes for skin issues,” she said. “So we focus on creating gentle yet effective products that support skin health without disrupting hormones and irritating sensitive skin.”  

For Gozun, it’s important to understand the impact of PCOS on one’s skincare barrier and biome. “Because of PCOS, our skin becomes more sensitive and reactive. Strengthening the skin barrier is like giving it a shield from external factors, reducing irritation and locking in moisture. Choosing products with nourishing, strengthening, and high-quality ingredients demonstrates care for our skin, a commitment that Balansè upholds: to maintain balance.” 

It’s also important to find a community of women who understand the struggles of living with PCOS. “Women with PCOS need to speak up—whether it’s during doctor’s appointments or through joining campaigns that push for better reproductive health services,” says Hechanova. “By telling their stories and raising awareness, they help change the narrative for the next generation.”

This story is part of Front & Female’s series She Speaks, through which we aim to drive open, inclusive and unfiltered conversations tackling the sensitive topics that impact women.

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