PCOS, Pleasure, and Reclaiming the Body Polycystic Ovary Syndrome affects far more than hormones, weight, or fertility. For many people, PCOS reaches into the most intimate areas of life, including desire, arousal, pain tolerance, body image, and how safe it feels to be embodied during sex. For individuals who identify as kinky, BDSM-curious, or sex-positive, PCOS can create a confusing tension. On one hand, kink can be a powerful space for agency, exploration, and pleasure.