Living with polycystic ovary syndrome (PCOS) may change your holidays, but you can still have enjoyable and meaningful celebrations. Although PCOS may make some holiday traditions challenging, it doesn't mean you can't enjoy connecting with friends and family during the holiday season. By communicating your limitations due to PCOS, being flexible, and adjusting your expectations, you can help make sure the holidays are happy and memorable.

Communicate Your Needs
Let your loved ones know that connecting with them over the holidays is as important as ever to you, but PCOS is making it hard to plan as usual due to severe pelvic pain and symptoms of associated conditions like type 2 diabetes. You may also be feeling self-conscious about symptoms like facial hair growth or worried about prying questions related to fertility. You need to put your mental and physical health first or risk worsening your condition.

• Don't be afraid to say no.
• It can help to use direct "I" statements. For instance, "I am not feeling well enough to host this year" is better than "Having everyone over is just too stressful." Communicating in this way makes your needs clear without making others feel accused or burdensome.
• Even if you usually maintain healthy boundaries, the holidays are a time when they may be tested. If a friend or family member tries to make you feel guilty for setting your boundaries, gently remind them that PCOS doesn't take the holidays off, as much as you wish it did.
• If you're facing infertility and you think your family is likely to ask questions about pregnancy, think ahead about how you'd like to respond. If you're comfortable, you may want to discuss what you're going through and how you'd like your family to support you. You may also want to establish that pregnancy is a topic you do not want to discuss. Resolve, the National Infertility Association, offers resources for discussing infertility with friends and family.

Be Flexible
Instead of saying "no," say "yes" to something else. If a family tradition no longer works for you since you developed PCOS, it may be time to suggest an update.

• If you can't travel as usual, consider offering to host. Ask others to bring potluck dishes and help clean up so you don't wind up overdoing it.
• If you usually host the gathering but can't do it this year, encourage someone else to host instead. They may be delighted to welcome everyone to their home for a change.
• If you always bring a beloved dish, pass the treasured recipe on to a loved one like you would a family heirloom, or shine the limelight on another chef in the family and invite them to bring their favorite dish.
• If high blood sugar is a concern and you know the traditional family meal doesn't include healthy options, offer to bring a few dishes that align with your new diet. There are lots of healthy holiday recipes online, including many options from the American Diabetes Association.
• If you can't bring yourself to give up the party, think of ways to save time and energy. Use paper plates, plastic flatware, and disposable tablecloths for easy cleanup. Make decorating (or de-decorating) part of the event and get everyone to help. Plan a low-impact meal such as a stew that simmers all day in the crock pot with little prep work or tending.

If it's just not possible to get together in one place this year, consider using a video chat service such as Skype, Zoom, or FaceTime to have a special holiday call on a smartphone or laptop. During a video chat, you can:

• Watch family open gifts
• Have them show you the decorations around the house
• Read a holiday story or poem to the children
• Sing favorite holiday songs together

Adjust Your Expectations
Even without a chronic illness like PCOS, holidays often come with high expectations that lead to disappointment and stress. Letting go of the illusion of a "perfect" holiday can help you keep expectations realistic and focus on what's most important about the holidays. For many people, that means connecting with loved ones, being thankful for what you have, and finding hope for the new year.

Here are some mindful tips from Johns Hopkins Medicine for adjusting holiday expectations:

• Accept that your holidays won't be perfect and will be different from celebrations in years past.
• Focus on what really counts. Find things to be grateful for and look for new ways to connect with loved ones.
• If you get into a conflict with someone over the holidays, take a few breaths before you react. Try to stay compassionate and react with kindness.
• As you reflect on last year, be kind to yourself and let go of any negativity. As you look forward to next year, make smaller, gradual resolutions rather than huge goals that will be difficult to achieve.

During the holidays and year-round, the members of myPCOSteam are here for each other. Joining myPCOSteam means gaining a support group of thousands of others with PCOS who understand exactly what you're going through.

Here are some conversations from myPCOSteam members about navigating the holiday season with PCOS:

• "Time for a nice bath before I have to start working on getting things ready for Thanksgiving."
• "Husband and I are going away for Christmas so that will be nice also to just be the two of us. Sticking with my plan and going to keep moving forward with a new, healthier me."
• "Stress sucks! I think it's a big issue of the many health problems. Why mine always seems to come on the holidays I'll never know..."

Have you found ways to celebrate the holidays despite PCOS?
Share in the comments below or post on myPCOSteam.