What is PCOS?
PCOS is a hormonal imbalance where the ovaries produce multiple follicles but may not ovulate regularly. This can lead to irregular menstrual cycles, hormonal disruptions, and symptoms related to high androgen levels.
Key Indicators of PCOS:
- Elevated AMH (anti-Müllerian hormone)
- High LH:FSH ratio
- Increased androgens (testosterone or DHEA)
Understanding your specific type of PCOS is critical to receiving personalized treatment.
Signs & Diagnosis
PCOS can present differently in each individual. Some of the most common diagnostic signs include:
- Irregular menstrual cycles or absent periods
- Elevated testosterone or other androgens
- Polyfollicular ovaries visible on ultrasound
Lab markers like AMH, LH, FSH, and androgen levels help determine the severity and subtype of PCOS, enabling targeted and effective treatment strategies.
How to Manage PCOS
Managing PCOS requires a holistic approach that addresses lifestyle, diet, and metabolic health.
- Foundational Lifestyle Habits
- Diet: Focus on low sugar, complex carbohydrates, high fiber, and hydration.
- Stress management: Reduce cortisol through mindfulness, meditation, or therapy.
- Sleep: Prioritize consistent, restorative sleep.
- Exercise & weight management: Engage in regular physical activity and maintain a healthy weight.
- Consistent routines: Regular meal times, sleep schedules, and activity patterns support hormone balance.
- Supplements
- Myo-inositol: Supports insulin regulation and ovarian function
- Omega-3 fatty acids: Support hormone production and reduce inflammation
- Other targeted supplements based on individual hormone profiles
- Advanced Options
- Continuous glucose monitoring: Helps identify blood sugar spikes and metabolic issues
- Surgical intervention: Ovarian wedge resection may be an option in severe cases to restore ovarian function
Key Takeaways
- PCOS is diverse: Understanding your specific type allows for targeted treatment.
- Lifestyle and nutrition matter: Diet, exercise, sleep, and stress management are foundational.
- Supplements and interventions: Myo-inositol, Omega-3s, glucose monitoring, or surgery can support hormone balance.
- Healing PCOS restores wellness: Proper management can normalize cycles, improve ovulation, increase energy, and enhance overall wellbeing.
Next Steps
If you struggle with PCOS, Dr. Sarah and the Vera Health and Fertility team can provide a personalized, holistic plan to evaluate causes, balance hormones, and support reproductive health.