The PCOS Podcast

Ep 85: PCOS Types: How to Know Which One You Are & What Tests To Get

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Rather than a single disease, PCOS encompasses various underlying biological mechanisms, leading to a range of symptoms such as androgen excess and anovulatory cycles. Identifying the specific functional type of PCOS is crucial for effective treatment.

HIGHLIGHTS

Understanding PCOS:

  • PCOS is primarily defined by androgen excess, often characterized by elevated male hormones, after ruling out other causes.
  • Contrary to its name, PCOS does not necessarily involve cysts on the ovaries. The so-called "cysts" are typically normal follicles or eggs.

    • Insulin Resistance:

    • Insulin resistance, associated with high insulin levels, is a common feature of PCOS.
    • Symptoms of insulin resistance may include cravings, weight gain, and dark patches on the skin.

      • Post-Pill PCOS:

      • Coming off certain contraceptive pills can lead to a temporary surge in androgens, qualifying as post-pill PCOS under current diagnostic guidelines.

        • Chronic Inflammation (Inc Thyroid Issues):

        • Chronic inflammation plays a significant role in stimulating excess testosterone production in the ovaries, contributing to PCOS.
        • Identifying and addressing underlying sources of inflammation are crucial for managing inflammatory PCOS.

          • Adrenal PCOS:

          • Adrenal PCOS, accounting for 10 percent of cases, involves elevated DHEAS levels without insulin resistance or inflammation.
          • Treatments for adrenal PCOS include various supplements and herbs to modulate adrenal androgens.

            • LINKS

            • Are we instagram friends yet? @solainedouglas_nutrition
            • Want to work with me? Step 1 – PCOS GlowUp: Easy 3 week program to help you get on top of your PCOS symptoms: https://solainedouglas.com/pcos-glowup 

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              The PCOS PodcastBy Solaine Douglas
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