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


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Mar 03 2024 29 mins   1

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.



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