Social Media and Self-Diagnosis: The Psychological Impact of PCOS Content on GenZ Women

Authors

  • Zohaa Sarfraz Student, 4th Year MBBS, Central Park Medical College, Lahore, Pakistan. Author
  • Shanzay Mustafa Student, 4th Year MBBS, Central Park Medical College, Lahore, Pakistan. Author
  • Rania Shoukat Student, 4th Year MBBS, Central Park Medical College, Lahore, Pakistan. Author
  • Amtul Rafay Sami Student, 4th Year MBBS, Central Park Medical College, Lahore, Pakistan. Author
  • Meerub Shahid Student, 4th Year MBBS, Central Park Medical College, Lahore, Pakistan. Author
  • Abhar Gul Student, 4th Year MBBS, Central Park Medical College, Lahore, Pakistan. Author
  • Komal Asif Student, 3rd Year MBBS, Central Park Medical College, Lahore, Pakistan. Author
  • Farah Naz Tahir Associate Professor, Biochemistry, Central Park Medical College, Lahore, Pakistan Author

DOI:

https://doi.org/10.48047/HM.V12.I1.2026.233-246

Abstract

Background: Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting reproductive aged women, often linked with hormonal  imbalance and metabolic issues.

Objective: This study examines the psychological impact of PCOS related social media content on Generation Z women, with emphasis on self-diagnosis behaviors, emotional well-being, awareness and the comparative influence of influencers and medical professionals.

Methodology: Over three months (20th  January to 12th April), a structured questionnaire-based cross sectional was conducted among 100 female university students enrolled in undergraduate and postgraduate programs  in order to assess the level of awareness and to explore the influence of social media on their knowledge and perception about this disease. Data were analyzed using IBM SPSS Statistics version 24. Ethical approval was obtained from the Central Park Medical College Institutional Review Board (Approval No. CPMC/IRB-No/1529).

Results: Eighty-seven participants (M age = 21.54, SD = 2.22) were surveyed on their PCOS diagnosis status and self-rated knowledge after viewing online content. Most were undergraduates (85.1%), and 77.0% reported no PCOS diagnosis. Chi-square analyses revealed significant associations between self-rated knowledge and both PCOS diagnosis (χ² = 32.01, p < .001) and age (χ² = 47.66, p = .047). No significant associations were found between educational level and diagnosis or knowledge. Participants with a confirmed PCOS diagnosis were more likely to feel somewhat informed, while those unsure of their diagnosis tended to report uncertainty about PCOS. These results suggest that perceived knowledge is significantly influenced by diagnosis status and age, rather than educational level.

Conclusion: This study explored how social media impacts the mental health of individuals with PCOS, revealing both positive and negative effects. While many participants found emotional support, information and community through online platforms, others experienced increased anxiety, body dissatisfaction and harmful self-comparison due to idealized content and misinformation. The findings emphasize the importance of guiding digital engagement and integrating supportive, evidence-based online resources into PCOS care.

Downloads

Download data is not yet available.

References

Patel S. Polycystic ovary syndrome (PCOS), an inflammatory, systemic, lifestyle endocrinopathy. J Steroid Biochem Mol Biol. 2018;182:27–36. doi: 10.1016/j.jsbmb.2018.04.008

Yang J, Chen C. Hormonal changes in PCOS. J Endocrinol. 2024;261(1):e230342. doi: 10.1530/JOE-23-0342

Moorhead SA, Hazlett DE, Harrison L, Carroll JK, Irwin A, Hoving C. A new dimension of health care: systematic review of the uses, benefits, and limitations of social media for health communication. J Med Internet Res. 2013;15(4):e85. doi: 10.2196/jmir.1933

Chou WYS, Gaysynsky A, Vanderpool RC. The COVID-19 pandemic and health misinformation: a systematic review of social media-based health communication. J Health Commun. 2021;26(11):794–803. doi: 10.1080/10810730.2021.2023689

Lanzo E, Monge M, Trent M. Diagnosis and management of polycystic ovary syndrome in adolescent girls. ResearchGate [Internet]. 2015 [cited 2025 Jul 25]. Available from: https://www.researchgate.net/publication/354705395_Diagnosis_and_Treatment_of_Polycystic_Ovary_Syndrome_in_Primary_Care.

Johns Hopkins Medicine. Polycystic ovary syndrome (PCOS) [Internet]. Baltimore: Johns Hopkins University; [cited 2025 Jun 13]. Available from: https://www.hopkinsmedicine.org/health/conditions-and-diseases/polycystic-ovary-syndrome-pcos.

Azhar A, Abid F, Rehman R. Polycystic ovary syndrome, subfertility and vitamin D deficiency. J Coll Physicians Surg Pak. 2020;30(5):545–6. doi: 10.29271/jcpsp.2020.05.545

Alshdaifat E, Sindiani A, Amarin Z, Absy N, AlOsta N, Abuhayyeh HA, Alwani M. Awareness of polycystic ovary syndrome: a university students’ perspective. Ann Med Surg. 2021;72:103123. doi: 10.1016/j.amsu.2021.103123

Posavac HD, Posavac SS, Posavac EJ. Exposure to media images of female attractiveness and concern with body weight among young women. Sex Roles. 1998;38:187–201. doi:10.1023/A:1018729015490

Davitadze M, Malhotra K, Khalil H, Hebbar M, Tay CT, Mousa A, et al. Body image concerns in women with polycystic ovary syndrome: A systematic review and meta-analysis. Eur J Endocrinol. 2023;189(2):R1–R9. doi:10.1093/ejendo/lvad110

Alkheyr Z, Murad M, Das P, Aljenaee K, Kamel C, Hajji SA, et al. Self-esteem and body image satisfaction in women with PCOS in the Middle East: Cross-sectional social media study. PLoS One. 2024;19(4):e0301707. doi:10.1371/journal.pone.0301707

Hofmann K, Decrinis C, Bitterlich N, Köhler C, Klapp C, Böhme K, et al. Body image and mental health in women with polycystic ovary syndrome – A cross-sectional study. Arch Gynecol Obstet. 2025. doi:10.1007/s00404-024-07913-4

Mental health and body image concerns in women with polycystic ovarian syndrome: A profile of anxiety, depression, and self-esteem. Health Inform J. 2024 [cited 2025 Jul 24]. Available from: https://healthinformaticsjournal.com/index.php/IJMI/article/view/550/537.

Naroji S, John J, Gomez-Lobo V. Understanding PCOS-related content across social media platforms: A cross-sectional analysis. J Pediatr Adolesc Gynecol. 2024;37(2):142–8. doi:10.1016/j.jpag.2023.10.007

Horvath A, Chaffin K, Ahmad S, Goel VS, Netski DM, Ahad R, et al. The discourse surrounding polycystic ovary syndrome on TikTok: A social media analysis. Healthcare (Basel). 2024;12(22):2253. doi:10.3390/healthcare12222253

Wang G, Liu X, Lei J. Association between body-image satisfaction and anxiety, depressive symptoms among women with PCOS: The mediating role of emotion regulation strategies. J Psychol. 2024;158(3):200–14. doi:10.1080/00223980.2023.2283472

Geller S, Levy S, Avitsur R. Body image, illness perception, and psychological distress in women coping with polycystic ovary syndrome (PCOS). Health Psychol Open. 2025;12:20551029251327441. doi:10.1177/20551029251327441

Sun M, Yi Q. Mediating role of anxiety between body image distress and quality of life among women with polycystic ovary syndrome: A multicentre cross-sectional study. BMC Womens Health. 2024;24(1):658. doi:10.1186/s12905-024-03490-5

Downloads

Published

2026-05-23

How to Cite

Sarfraz, Z., Mustafa, S., Shoukat, R., Sami, A. R., Shahid, M., Gul, A., Asif, K., & Tahir, F. N. (2026). Social Media and Self-Diagnosis: The Psychological Impact of PCOS Content on GenZ Women. History of Medicine, 12(1), 233-246. https://doi.org/10.48047/HM.V12.I1.2026.233-246