Do you know which type of PCOS you have?
Polycystic ovary syndrome (PCOS) is a common hormonal disorder affecting women of reproductive age characterised by elevated androgens (male hormones). Now, you can have polycystic ovaries and not have the syndrome… and the ‘cysts’ which are actually better known as ‘follicles’ have nothing to do with the condition as the name might suggest. PCOS can have a significant impact on a woman's physical and emotional well-being, but with proper understanding, it is possible to manage and reduce symptoms.
Different types of PCOS are driven by different factors, and it is important to identify what YOUR drivers are to effectively treat symptoms and maintain long term results.
INSULIN RESISTANT
This type of PCOS is characterised by high levels of insulin, a hormone responsible for regulating blood sugar levels. Insulin resistance occurs when cells become less responsive to insulin, leading to elevated levels in our blood stream. This imbalance can disrupt the normal functioning of the ovaries resulting in an excess production of androgens causing symptoms of PCOS.
INFLAMMATORY
Chronic inflammation can also stimulate the ovaries to produce excess androgens, which is usually a factor in every type of PCOS. However, if this is the primary factor contributing to symptoms and you do not have insulin resistance or have not recently come off the OCP, correcting the underlying cause of the inflammation, is essential to treating this type of PCOS.
ADRENAL PCOS
Adrenal PCOS accounts for about 10% of PCOS cases and is not driven by either insulin resistance or inflammation. Instead, it’s driven by an up-regulation of DHEA (Dehydroepiandrosterone) a hormone produced by the adrenal glands. While most women with PCOS have elevated androgens produced from the ovaries, if your DHEA levels are high and your androgen levels (testosterone and androstenedione) are normal, you may have adrenal PCOS.
PILL INDUCED
When coming off the OCP, it is common for women to experience a temporary surge in androgens that can lead to symptoms of PCOS. If you do not have insulin resistance, and did not have problems prior to taking the OCP, this is the type of PCOS you most likely have. This is part of a drug withdrawal process which is usually temporary while your body re-adjusts.
PCOS is associated with a range of symptoms that can vary in severity from woman to woman.
Some common symptoms to look out for are:
Irregular menstrual cycles or absence of periods
Excessive hair growth on the face, chest, or abdomen (hirsutism)
Acne and oily skin
Weight gain or difficulty losing weight (especially around the abdominal area)
Thinning hair or hair loss
Insulin resistance and pre diabetes
Mood swings and depression
Difficulty getting pregnant (infertility) due to irregular ovulation
While medical intervention is sometimes necessary, many women with PCOS find that incorporating natural diet and lifestyle changes can help manage their symptoms effectively.
HEALTHY DIET
A balanced diet that focuses on whole foods, such as fruits, vegetables, good quality proteins fats, and whole grains, can help regulate insulin and blood sugar levels, and support overall hormonal balance.
REGULAR EXERCISE
Engaging in regular physical activity can improve insulin sensitivity, aid in weight management, and promote hormonal balance. Aim for at least 2 hours of moderate-intensity exercise per week.
STRESS MANAGEMENT
Chronic stress can really exacerbate PCOS symptoms. Incorporating stress management techniques such as meditation, yoga, or deep breathing exercises can help reduce stress levels and promote balanced hormones.
HERBAL REMEDIES
Some herbs, such as cinnamon, licorice, peony and spearmint, have shown potential in managing PCOS symptoms. However, it is essential to consult with a Naturopath or other healthcare professional before incorporating herbs into your routine.
NUTRIENTS
Specific nutrients such as inositol, zinc, magnesium and chromium can help with insulin resistance and elevated androgens. However, like herbs, it is important to consult with a Naturopath or healthcare professional before supplementing with any nutrients.
SLEEP
Prioritising quality sleep is very underestimated but can really help regulate hormones and promote overall well-being. Aim for 7-8 hours of uninterrupted sleep each night.
While PCOS can be a challenging condition to manage, with the right knowledge and guidance it is possible to minimise symptoms. If you would finally like to take control of your own health and get to the root cause of your PCOS for long term results, book a consultation with our Naturopath.
