Polycystic ovary syndrome (PCOS) is not one disease, but a collection of symptoms driven by several underlying factors.
PCOS is a condition seen in females that impacts the endocrine and cardiovascular systems. The cause is thought to be a combination of genetics and environmental causes. PCOS is commonly associated with increased levels of insulin and androgen (male type) hormones. The increased amounts of these hormones are what cause the signs and symptoms.
PCOS is believed to affect up to 20% of women of reproductive age.
Women with PCOS are 50% more likely to have an immediate female relative – mother, aunt, sister or daughter – with the condition.
Are you looking for a natural treatment to manage your PCOS? This is where a specialised PCOS Naturopath, like Lindsay, comes in to play.
There are four different sub-types of PCOS. To understand what type of PCOS you have we review your blood work and tests you have in combination with a thorough case history. Knowing your subtype helps us shape a bespoke PCOS treatment plan to bring about positive change and balance your hormones and free you of your symptoms.
To really help women, we need to get to the root cause and understand what is driving PCOS. As no two women are the same, often neither are the drivers. Knowing what drives your PCOS, helps us shape an effective treatment plan.
Women often suspect something isn’t right when their periods are irregular, they are noting acne/hair growth, hair loss, increased anxiety or depression, difficulty shifting weight or fertility issues. Aside from the obvious PCOS symptoms, the Rotterdam Diagnosis is the most widely accepted test across Europe, Asia and Australia, and can help identify if you have PCOS.
The Rotterdam Criteria was developed in 2006 and is used to diagnosis PCOS in women.
Having two of the following three criteria is required to be diagnosed PCOS:
– Oligo/anovulation
– Hyperandrogenism: clinical (hirsutism or less commonly male pattern baldness) or biochemical (raised FAI or free testosterone)
– Polycystic ovaries on ultrasound (21 or more – with PCOS I see up to 30-40+ follicles)i
The below conditions can look similar to PCOS with the same signs and symptoms, however, aren’t PCOS and they do need to be excluded.
What does A Naturopathy PCOS treatment look like?
While it was always assumed women were overweight, struggling with body hair acne and irregular menses we know this isn’t always the case. Also, symptoms can change over time.
Knowing this we work together to create a bespoke PCOS treatment plan. This includes bespoke diet and lifestyle changes. Understanding the impact food can have on hormones, digestion and the stress response. What foods can improve your overall health and what foods can aggravate or trigger your symptoms?
It’s about your overall health, we look at all your body systems for lasting change. We take into account how well you are sleeping, how well your digestion is working, and your stress levels and focus.
We utilise the most appropriate herbal medicine and nutritional supplements alongside diet and lifestyle changes, to bring about fast lasting change.
There is a whole body of research into some helpful and effective nutrients. Alongside indicated supplements, we also look at your diet. Addressing insulin resistance is best done via the diet, we look at whole foods, foods that improve symptoms and overall health while identifying any ‘trigger’ foods and looking to limit those. We create a food plan that fits into your life, that feels easy and not restrictive.
Polycystic Ovary Syndrome or polycystic ovarian syndrome (PCOS) is believed to affect up to 22% of women of reproductive age. It is thought as many as 70% of women are undiagnosed.
It is not surprising, that PCOS is a complex condition, being a syndrome and not a disease, commonly no two client experiences the same signs or symptoms.
Women with PCOS can experience increased androgens, commonly testosterone production. Androgens and important for health and naturally occur within males and females. In PCOS the amount and potency of androgens are what causes the issues such as hair loss, hair growth acne and in some cases deepening of the voice. The increase in androgens is a result of insulin as well as elevated production of luteinizing hormone (LH). In PCOS we see an imbalance. between LH and FSH (Follicle Stimulating Hormone). An increase in LH to FSH is what causes anovulation (no periods) and cysts to be formed on the ovaries.
We also see with the increased androgens, these can convert to oestrogens in the body. Many women with PCOS will have increased testosterone and increased oestrogen. High oestrogen can cause acne, PMS, swollen sore breasts, mood swings and irregular periods.
High oestrogen can cause acne, PMS, swollen sore breasts, mood swings and irregular periods.
Let’s start with some background, insulin is a hormone produced by the pancreas, it is released into the blood after you consume food. Insulins’ job is to move the glucose (sugar) from your food into the muscles and cells to be used as energy, with energy extra sent to the liver and converted to fat – some food for later. Insulin resistance occurs when the body produces insulin, but it is not working effectively as it uses to, so the body tries to fix this by producing even more insulin, the body becomes ‘resistant’ to the effect of insulin, and it struggles to do its job of moving that glucose. The issue with PCOS is that insulin resistance increases the risk of metabolic syndrome (cardiovascular disease, high cholesterol, and type II diabetes), and weight gain, and stimulates the ovaries to make more testosterone, leading to hormonal irregularities.
Alongside the sex hormones and insulin resistance, there is an increase in our stress hormone, cortisol. Cortisol is produced by our adrenal glands in response to stress. Women with PCOS have a higher level of cortisol than women without PCOS. Excess cortisol will exacerbate most conditions, balancing this is crucial in treatment.
With treatment, while we focus on hormonal balancing we also need to pay attention to hormonal metabolism, detoxification and excretion. We support the removal of excess oestrogen by the liver to the bowels and to stop the body, from ‘upregulating’ androgens and making them into a more potent version.
Herbs can address every driver and symptom, yes they may taste gross, but what they lack in taste they make up for in their action. With a broad range of actions, they can assist to balance hormones, mood support, and PMS reduction to name a few.
As a PCOS Naturopath, it is also about your entire health, what are your stress levels like, how is your digestion, how are you excreting your hormones, and how are you sleeping and resetting after your day. While we will improve your PCOS we will also improve your overall health.
Naturopaths work to improve your overall health. From supporting sleep, mood, energy, and digestion to hormones. Naturopaths do this via diet and lifestyle modifications and at times herbal and nutritional medicine. A PCOS Naturopath like Lindsay is someone who works predominantly with women with PCOS. Lindsay completes a further study and keeps up to date on PCOS research. This ensures Lindsay can give her clients the best PCOS support and care.
When it comes to PCOS it is so easy to get caught up in the market of supplements, but it’s great to remember the biggest positive impact on your symptoms will be from diet and lifestyle changes. However, there is some great research on supplements that can be helpful, inositol hands down is my favourite to support insul1n resistance. Anti-androgen support like nettle, saw palmetto, peony and licorice are amazing. For stress support B vitamins and magnesium with lemon balm. However, each case is unique so rather than an ‘off-the-shelf supplement’ working with a PCOS Naturopath will ensure you take exactly what you need.
It depends. Some forms of PCOS, such as Post-Pill PCOS, are temporary and we see 1-2 years after cessation, the high androgens, insul1n resistance and ovarian cysts return to normal as the body finally regulates after the pill. We also know women diagnosed >21, at 25 no longer have signs or symptoms of PCOS. It appears some symptoms are a normal part of the maturation of women’s cycles. Insul1n resistance is the most common form of PCOS and we know diet and nutrients can help regulate this, therefore reducing or reversing symptoms. Inflammatory PCOS and D-HEA elevated PCOS – also see an improvement in symptoms once we address the root cause. PCOS Naturopath Lindsay will talk to you about your subtype and what type of improvement you can expect.
When it comes to PCOS it is so easy to get caught up in the market of supplements, but it’s great to remember the biggest positive impact on your symptoms will be from diet and lifestyle changes. However, there is some great research on supplements that can be helpful, inositol hands down is my favourite to support insul1n resistance. Anti-androgen support like nettle, saw palmetto, peony and licorice are amazing. For stress support B vitamins and magnesium with lemon balm. However, each case is unique so rather than an ‘off-the-shelf supplement’ working with a PCOS Naturopath will ensure you take exactly what you need.
Happy Hormones,
& Clear Skin
I am here to help you clear your acne. To help you feel confident in your skin. Let’s dig deeper and work together to bring about lasting change.