how PMOS affects your body

Women's Health Myths vs. Reality: What Science Actually Says About PCOS, Endometriosis, Heart Attacks, and Period Migraines

By The Wholesome Story team10 min readEducational content, not medical advice

Women's Health Myths vs. Reality: What Science Actually Says About PCOS, Endometriosis, Heart Attacks, and Period Migraines

If you have ever searched your symptoms late at night or scrolled a Reddit thread titled "Is this normal?", you are not alone. Women's health myths spread fast online. Many start with good intentions. But some can keep women from getting answers for years.

In this guide, we take the questions women ask most often online and compare them with what health organizations and peer-reviewed research actually say. We cover PCOS, endometriosis, heart attack symptoms in women, migraines before your period, and heavy periods. The goal is simple: help you understand how your body works so you can have clearer conversations with your healthcare provider.

PCOS myths: "It's about cysts, and you can't get pregnant"

The reality: PCOS is not really about cysts. In May 2026, a global expert group published a consensus in The Lancet that renamed polycystic ovary syndrome to polyendocrine metabolic ovarian syndrome (PMOS). The old name caused confusion. The small spots seen on an ultrasound are follicles, and true ovarian cysts are not more common in people with the condition.

PCOS, now PMOS, is a hormonal and metabolic condition. It affects about 1 in 8 women, and an estimated 70% do not know they have it. Doctors look for at least two of three signs: irregular cycles, signs of higher androgens (hormones such as testosterone, which can show up as acne or extra facial hair), and certain ovary features on ultrasound or blood tests.

Two other PCOS myths come up often:

  • "Only women in larger bodies get PCOS." Not true. Insulin resistance, when the body's cells do not respond well to insulin, affects up to 85% of people with PMOS. That includes about 75% of those with a BMI of 25 or lower.
  • "You can't get pregnant with PCOS." PCOS can make ovulation less regular, so conceiving may take longer. Many women with PCOS still ovulate at times, and many have healthy pregnancies.

Endometriosis myths: "Bad cramps are just part of being a woman"

The reality: Some cramping is common. But pain that keeps you home from school or work is worth talking about. The World Health Organization (WHO) estimates that endometriosis affects about 10% of women and girls of reproductive age, or about 190 million people worldwide.

Endometriosis happens when tissue similar to the lining of the uterus grows outside the uterus. It can cause painful periods, pain during sex, pelvic pain, bloating, and bowel or bladder symptoms. Because these signs overlap with "normal" period pain or digestive issues, the average wait for a diagnosis is often 7 to 10 years.

Another myth we see often: "Getting pregnant will fix it." A 2023 study of more than 3,300 people with endometriosis, published in BMC Women's Health, found that more than half had been advised to get pregnant to manage or treat the condition. Major guidelines, including those from the European Society of Human Reproduction and Embryology, say pregnancy should not be recommended as a treatment. Symptoms can return, and some people feel pain during pregnancy.

Heart attack symptoms in women: "It always starts with crushing chest pain"

The reality: Heart disease is the leading cause of death for women in the United States, according to the American Heart Association (AHA). Chest pain or pressure is still the most common heart attack symptom for both women and men. But the AHA notes that women are more likely to also have shortness of breath, nausea or vomiting, and back or jaw pain.

A well-known study in the AHA journal Circulation asked 515 women about their heart attacks. Here is what they reported:

  • Before the event: 95% noticed new or different symptoms a month or more ahead. The most common was unusual fatigue (70.7%), followed by sleep problems and shortness of breath.
  • During the event: 43% had no chest pain at all. Shortness of breath, weakness, and fatigue were the most common acute symptoms.

How do you tell a heart attack from anxiety, heartburn, or a panic attack? This is one of the most common questions online. The honest answer is that you cannot reliably tell them apart at home. The symptoms overlap, and only medical tests can sort them out. Health organizations agree on one point: if you notice possible heart attack signs, call emergency services (911 in the U.S. and Mexico) right away rather than waiting to see if they pass.

Migraines before your period: "It's just a bad headache"

The reality: A migraine is more than a headache. It can bring throbbing pain, nausea, and sensitivity to light and sound. Migraine is about three times more common in women than in men, affecting roughly 18% of women compared with 6% of men.

Why do so many women notice migraines right before or during their period? The most widely accepted explanation is the estrogen withdrawal hypothesis. Estrogen levels naturally drop just before a period starts, and that drop may act as a trigger. A 2016 study in the journal Neurology found that in women with a history of migraine, estrogen fell about 40% in the days before menstruation, compared with about 30% in women without migraine.

Researchers also note that migraines tied to the menstrual cycle tend to last longer and feel more severe than migraines at other times. One more interesting finding: a 2023 review in The Journal of Headache and Pain reported that people's memory of when their migraines happen is often less accurate than a written headache diary. Keeping a simple log of headaches and cycle days can give you and your healthcare provider clearer information.

Heavy periods and low iron: "Feeling wiped out every month is normal"

The reality: Heavy menstrual bleeding is common, but common is not the same as normal. The Centers for Disease Control and Prevention (CDC) says it affects about 1 in 5 women. Signs the CDC lists include periods lasting more than 7 days, changing a pad or tampon in less than 2 hours, and passing clots the size of a quarter or larger.

Heavy bleeding is one of the main ways women lose iron, a mineral the body uses to make red blood cells that carry oxygen. A 2023 study in JAMA looked at national data on more than 3,400 U.S. females aged 12 to 21. Nearly 40% had iron deficiency, but only about 6% had iron-deficiency anemia. That gap matters, because standard anemia checks may not catch low iron stores. A blood test called ferritin measures those stores directly.

Birth control and fertility: "Years on the pill will make it hard to get pregnant"

The reality: This is one of the most common worries in online forums, often from women who have used the pill for 10 years or more. Research does not support it. A 2018 review in Contraception and Reproductive Medicine pooled 22 studies of nearly 15,000 women. About 83% became pregnant within 12 months of stopping contraception. How long women had used the pill did not make a meaningful difference.

There is one known exception. The World Health Organization notes that fertility can take longer to return after the birth control shot (DMPA). It is also normal for cycles to be irregular for a few months after stopping hormonal birth control. Age plays a bigger role in fertility than past birth control use.

Perimenopause: "You're too young for that"

The reality: Perimenopause is the transition before menopause, when estrogen and progesterone levels start to rise and fall unpredictably. Many women in their late 30s and early 40s say online that they were told they were "too young" when they asked about it.

A 2025 study in npj Women's Health surveyed 4,432 U.S. women aged 30 and older. Among women aged 30 to 35, 55.4% reported symptoms that reached "moderate" or "severe" on a standard menopause symptom scale. Yet only about 4% of that group had talked with a healthcare professional about it. The study also found that mood symptoms like anxiety and irritability peaked earlier, around ages 41 to 45. Hot flashes peaked later, around ages 51 to 55.

The researchers note an important limit: symptoms were self-reported, and some may have other causes. Still, the findings suggest that symptoms like poor sleep, mood changes, and cycle shifts in your late 30s or 40s are worth mentioning to your provider.

Vaginal odor and douching: "You need to wash inside to stay clean"

The reality: Questions about vaginal smell are some of the most common "Am I normal?" posts online. Many women feel pressure to wash inside the vagina or use scented products. But the vagina cleans itself. It is home to helpful bacteria that keep its natural acidity in balance, and a mild scent that shifts across your cycle is normal.

The U.S. Office on Women's Health (OWH) says almost 1 in 5 women aged 15 to 44 in the United States douche, and most doctors recommend against it. Studies have found no health benefit. Douching can disrupt the vagina's normal bacteria. According to OWH, women who douche about once a week are five times more likely to develop bacterial vaginosis, a common vaginal infection, than women who do not.

OWH also notes that researchers are still studying whether douching directly causes these problems or whether other factors are involved. A new, strong, or fishy odor, along with itching or unusual discharge, is something to bring up with a healthcare provider.

Breast cancer: "No one in my family had it, so I'm not at risk"

The reality: On breast cancer forums, a common theme repeats: "I was shocked. No one in my family ever had it." That surprise is understandable, but it reflects a widespread myth.

According to the American Cancer Society (ACS), about 8 out of 10 women who get breast cancer do not have a family history of the disease. Fewer than 15% of women with breast cancer have a family member who had it. Only about 5% to 10% of breast cancer cases are thought to be hereditary, meaning they come directly from gene changes passed down from a parent, such as BRCA1 or BRCA2.

Family history still matters. Women with close blood relatives who had breast cancer do have a higher risk. But the ACS notes that getting older and simply being a woman are among the biggest risk factors. That is why knowing your family history and talking with your provider about screening are both important, whatever your family's story.

The bottom line on women's health myths

The common thread in all of these myths is simple: women's symptoms are often brushed off as "normal." Research shows that many of these experiences have real explanations rooted in hormones, metabolism, and how the body works. Knowing the facts helps you notice changes, track patterns, and ask better questions. Your body's signals are worth listening to, and your healthcare provider is your best partner in understanding them.

Sources

  1. White L. PCOS Gets a New Name: Polyendocrine Metabolic Ovarian Syndrome (PMOS). American Academy of Family Physicians, AFP Community Blog. June 1, 2026. (Summarizes the 2026 global consensus published in The Lancet.)
  2. Penn Medicine. 5 Myths About Polycystic Ovary Syndrome (PCOS). Penn Fertility Care Blog. July 2018.
  3. World Health Organization. Endometriosis fact sheet. March 24, 2023.
  4. Sirohi D, Freedman S, Freedman L, et al. Patient experiences of being advised by a healthcare professional to get pregnant to manage or treat endometriosis: a cross-sectional study. BMC Women's Health. 2023;23:638.
  5. Hudson Institute of Medical Research. Endometriosis fact sheet. 2023.
  6. Massachusetts Department of Public Health, citing the American Heart Association. What is a Heart Attack?
  7. McSweeney JC, et al. Women's Early Warning Symptoms of Acute Myocardial Infarction. Circulation. 2003;108:2619–2623.
  8. Pavlović J, et al. Are Drops in Estrogen Levels More Rapid in Women with Migraine? American Academy of Neurology, on research published in Neurology. June 1, 2016.
  9. Critical review. Menstrual migraine is caused by estrogen withdrawal: revisiting the evidence. The Journal of Headache and Pain. 2023.
  10. Systematic review. Review of 19 studies on estrogen's role in migraine. Systematic Reviews. 2021.
  11. Centers for Disease Control and Prevention. About Heavy Menstrual Bleeding.
  12. Weyand AC, Chaitoff A, Freed GL, et al. Prevalence of Iron Deficiency and Iron-Deficiency Anemia in US Females Aged 12–21 Years, 2003–2020. JAMA. 2023;329(24):2191–2193.
  13. Girum T, Wasie A. Return of fertility after discontinuation of contraception: a systematic review and meta-analysis. Contraception and Reproductive Medicine. 2018;3:9.
  14. Barden-O'Fallon J, et al. Return to pregnancy after contraceptive discontinuation to become pregnant: a pooled analysis of West and East African populations. Reproductive Health. 2021;18:141. (Cites WHO guidance on return to fertility after DMPA.)
  15. Cunningham AC, Hewings-Martin Y, Wickham AP, et al. Perimenopause symptoms, severity, and healthcare seeking in women in the US. npj Women's Health. 2025;3:12. Summarized by Patient Care. February 28, 2025.
  16. U.S. Department of Health and Human Services, Office on Women's Health. Douching and Douching fact sheet.
  17. American Cancer Society. Breast Cancer Risk Factors You Cannot Change.
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