Evidence-informed guide Glossary

Non-alcoholic fatty liver disease

NAFLD: excess fat build-up in the liver not caused by alcohol, more common when insulin resistance is present, as in PCOS.

by Pasukan Editorial Panduan PCOS Last reviewed: 5 May 2026

Only a doctor can diagnose PCOS. This article is for education, not a substitute for medical advice.

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Why it matters for PCOS
FAQ
Sources

NAFLD is excess fat build-up in the liver that is not caused by alcohol.

Why it matters for PCOS

NAFLD, now also called MASLD, happens when fat accumulates in liver cells in people who do not drink much alcohol. It is closely linked to insulin resistance and excess weight. Because insulin resistance is common in PCOS, some women with PCOS carry a higher fatty-liver risk, so doctors sometimes check liver enzymes as part of a metabolic assessment.

In its early stages NAFLD often causes no symptoms and is picked up through liver-enzyme blood tests or an ultrasound. Results should be read by a doctor in the context of your overall health, not from a single number.

This glossary is education, not diagnosis. For your own situation, ask a doctor or pharmacist.

FAQ

Frequently Asked Questions

What is NAFLD?

NAFLD is non-alcoholic fatty liver disease, meaning excess fat builds up in liver cells in people who do not drink much alcohol. It is now also called MASLD.

How does NAFLD relate to PCOS?

The insulin resistance common in PCOS can raise fatty liver risk, so doctors sometimes monitor liver enzymes and metabolic health in some women with PCOS.

How is NAFLD detected?

It is often picked up through liver-enzyme blood tests or a liver ultrasound. Results are interpreted by a doctor in the context of your overall health, not from one number alone.

Sources

Teede HJ et al.. International evidence-based guideline for the assessment and management of polycystic ovary syndrome 2023. Fertility and Sterility / Endocrine Society. 2023.PubMed