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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