I know that breakouts before menstruation are common for women with acne, and I know my acne is related to hormones, but the relationship between my worsening skin and my PCOS have never been as clear to me as today. So I'm reading online and trying to figure out what that relationship might be, and finding some really interesting stuff. From what I can tell, PCOS, hyperandrogenism (which causes hormonal acne in women and I'm 99% sure is the cause of mine) and insulin resistance/high blood sugar are all extremely intertwined. It seems doctors aren't really sure which ones are symptoms and which ones are causes of the others. I will hopefully have health insurance soon, though I'll likely be paying for it out of pocket so going to a doctor for something like Spiro is still not ideal. I know Spiro has worked really well for so many people, and since it's an anti-androgen it would probably help both my skin and my PCOS, and I definitely haven't ruled it out. But I would prefer finding a more natural, long-term, non-prescription solution if one exists.
So my questions to those of you who either have experience with PCOS and acne, or who know a lot about nutrition and insulin and hormones and things like that:
Does it seem possible to interrupt this vicious cycle of PCOS, hyperandrogenism and insulin resistance with things like diet, exercise, vitamins, supplements, herbs, and anything I'm forgetting that is not a topical acne treatment or a prescription from a doctor? If so, what would you recommend? I'm trying to stick to a low-GI diet right now, which is only difficult for me because I'm broke. But I really don't know a lot about nutrition and every time I try to learn I end up more confused than when I started, so I would love specific recommendations in terms of foods to eat or avoid and supplements to take. I read fish oil is supposed to be good for insulin resistance but I tried to figure out the Omega 3/Omega 6 balance thing and could not. Is it okay to just take fish oil anyway, without really understanding that whole equation? I'd really like to find a long-term solution to what's happening in my body so that I don't have to worry about when/if I lose health insurance again, or Rx mixups which have happened to me regularly. I've also been looking at a supplement called AcnEase. Does anyone have experience with it?
What have been your experiences with PCOS and acne? Have diet or exercise helped you?
If I do go back to a doctor for a solution, has anyone dealt with this through an endocrinologist? It's frustrating to go to a dermatologist for my skin and an OBGYN for my PCOS when I think it's really all one big problem and neither of those doctors are really getting at the root cause. But I don't really have much of a sense of what endocrinologists do and if this is something they would deal with.
I think that's all... sorry for such a rambling post. I'm trying to process all of this while I'm researching and learning. I'm really hoping some of you have experience or insight.
Edited by mammasay, 14 September 2012 - 11:31 AM.