Lalla Hirayama, a name synonymous with South African entertainment, has long been a fixture in the media industry.
But beyond the glitz and glamour, she has been open about her battles, most recently, her health struggles. In 2024, she shared an emotional Instagram post detailing her diagnosis of Cervical Intraepithelial Neoplasia (CIN III), a precancerous condition affecting the cervix.
This revelation, alongside her ongoing Polycystic Ovary Syndrome (PCOS) journey, has sparked an important conversation about women’s health, routine screenings, and self-care.
Polycystic Ovary Syndrome (PCOS) is a term that has gained increased recognition in recent years, partly due to the openness of influential women like Hirayama, who have chosen to share their deeply personal experiences.
Research indicates that PCOS affects an estimated 8-13% of women globally, making it one of the most common hormonal disorders in women of childbearing age.
In South Africa, the condition is no stranger, with many women navigating its challenges in silence due to stigma or lack of awareness.
What is PCOS?
Mayo Clinic describes PCOS as a hormonal disorder that primarily affects women of reproductive age. Its exact cause remains unknown, but genetics, insulin resistance, and lifestyle factors are believed to play significant roles.
Women with PCOS often experience irregular menstrual cycles, elevated androgen (male hormone) levels, and multiple cysts on their ovaries, though not all women with PCOS have visible ovarian cysts.
Symptoms and manifestations
PCOS is not a one-size-fits-all condition; symptoms can vary widely from person to person. Here are some of the most common ways it manifests:
- Irregular periods: Missed, infrequent, or heavy periods are often a hallmark of PCOS.
- Excessive hair growth: Known as hirsutism, this can occur on the face, chest, and back.
- Weight gain: Many women with PCOS struggle with weight management, particularly around the abdomen.
- Acne and oily skin: Hormonal imbalances can lead to persistent skin issues.
- Hair thinning: Hair loss or thinning on the scalp is another common concern.
- Cysts on ovaries: Although not always present, multiple small cysts can form on the ovaries.
- Fatigue and mood changes: PCOS can cause anxiety, depression, or general low energy.
In her Instagram post, Hirayama reflects on many of these symptoms.
“My PCOS symptoms have significantly improved, while I've gained a bit of weight ... now happily sitting at 60kg from a previous 52-54kg, I believe this is a healthy shift for my body.
"About 4 months ago, I had my breast implants removed, which has greatly alleviated my fatigue issues & my anxiety. I find myself spending less time in the gym and more time enjoying walks with my horses and dogs, which has positively impacted my nervous system.
"I have also been good at taking my supplements.”
Day-to-day challenges of life with PCOS
Living with PCOS can be overwhelming. From dealing with fluctuating weight and low self-esteem to managing chronic fatigue or the emotional toll of infertility struggles, PCOS affects nearly every aspect of life.
For South African women, the added challenges of limited access to healthcare and the societal pressure to conform to beauty ideals can exacerbate the condition’s emotional impact.
Hirayama’s story highlights how PCOS often affects mental health. Her decision to embrace “me time” and let go of societal expectations is a reminder to all women that self-acceptance is a vital part of healing.
Diagnosing PCOS isn’t always straightforward. Many women go years without a formal diagnosis, dismissing their symptoms as stress or changes in lifestyle.
While there is no cure for PCOS, it is manageable. Treatment plans are often tailored to each individual’s unique symptoms and goals, whether it’s weight management, improving fertility, or reducing acne and hair growth.
1. Medical interventions
Hormonal birth control: Helps regulate menstrual cycles and reduce androgen levels. Fertility treatments.
2. Lifestyle changes
Healthy eating: A low-carb, anti-inflammatory diet can help stabilise blood sugar and reduce inflammation. Hirayama’s focus on a more organic and balanced lifestyle is an excellent example of how diet can play a role in managing PCOS.
Exercise: Low-impact activities like yoga, walking, or swimming can improve insulin sensitivity and reduce stress.
Weight management: Losing even a small percentage of body weight can significantly improve symptoms.
3. Mental health support
PCOS often impacts mental health, leading to anxiety or depression. Seeing a therapist or joining support groups can make a difference.
4. Supplements
Supplements like inositol, omega-3 fatty acids, and vitamin D are often helpful for symptom management. Hirayama credits Life Source PCOS Support supplements for improving her condition over the years.
PCOS is a complex condition, but with the right tools, treatment, and support, women can lead fulfilling lives.
If you suspect you have PCOS, don’t hesitate to consult a healthcare professional.
“Healing can be a slow journey, but every step forward is worth celebrating,” says Hirayama.