So most of you will be aware that the diagnosis for Polycystic Ovaries can be confusing and depends on a lot of symptoms (which may not all be present) and factors (such as which Doctor you see) etc. For example, I was diagnosed over a year ago because my blood tests showed that my testosterone levels were too high and my periods were very irregular (and I suffer with acne which was my biggest/main concern) however when I had my ultrasound there was only one small cyst which they deemed 'not clinically significant'. Apparantly many women have cysts present on thier ovaries from time to time but these come and go. I don't have a problem with my weight or hirtuism. I know a lot of you out there suspect you may have PCOS but Doctors may not diagnose you with it, or maybe you are in the same situation as me where you have been diagnosed but do not display all of the classic PCOS symptoms. Anyway, I've been doing a lot of research and I recently came across this site:
Which discusses that there are actually two type of PCOS.
Type 1 was mainly focused on insulin resistance, which is believed to be the main underlying cause of PCOS. However the one which interested me the most was 'Type 2' PCOS which is described as non-insulin reistant PCOS and is thought to be caused by the following:
- Elevated LH from Post-pill syndrome (see above)
- (I am going to do more research on this and also try and find out how long this can last for because I am convinced that going on the contraceptive pill made all my hormonal issues worse)
- Vitamin D deficiency
- Iodine deficiency
- Hormone-disruping toxins such as BPA
- Adrenal stress which disrupts ovulation (see Stress article, Low Blood Pressure article, and Sleep article)
- Thyroid disease
- Insufficient of dietary fat.
- Leptin deficiency. (Leptin is a hormone secreted by fat, and can be deficient, especially if there is a history of an eating disorder.)
The suggested treatments for these are as follows:
- Do not take the birth control pill
- Iodine and vitamin D to promote normal ovulation.
- Detoxify to remove hormone disrupting chemicals.
- Avoid cow's milkto reduce inflammation and clear acne
- Magnesium and zinc to block testosterone.
- Peony & Licorice herbal formula to lower testosterone, bring on the periods, and alleviate acne and facial hair.
- The herbal medine Vitex (Chaste tree) should NOT be used, especially if LH is elevated. It will worsen symptoms.
Although vitex is described on many sites as 'hormone balancing', this could explain why some people's acne worses on Vitex. I am also going to do more research on this as my blood tests stated that my LH was elevated, yet chaste tree seems to work well for me.
- Tribulus herbal medicine.
- Indole-3-carbinol to assist with oestrogen metabolism and clearance
Which explains why a lot of people have success with DIM
- Natural Progesterone to suppress LH secretion (from the pituitary) and allow ovulation to occur.
PCOS is as complicated to treat as it is to diagnose. A lot of medications that doctors prescribe only deal with type one PCOS which is mainly concerned with insulin resistance - or they just prescribe a birth control pill hoping that that will mask all symptoms. However, it is clear that these medications do not always work as the complexity of PCOS is not taken into consideration, or they are not a long-term option. I hope this helps! Still doing a lot of research on the topic myself but I thought I would share x