Four types of PCOS

Polycystic ovarian syndrome (PCOS) is a hormonal condition that is defined by an excess in androgens (male hormones). You must have high androgens to have PCOS even if you have polycystic ovaries. PCOS is associated with irregular or no period, excess hair growth, acne, infertility, hair thinning and weight gain. PCOS is differentiated into four different:

1. Insulin resistance PCOS:

   - Insulin resistance is the most common type of PCOS. Insulin is a hormone produced by the pancreas which maintains normal blood glucose levels. In PCOS, the body’s cells become resistant to the effects of insulin, leading to higher levels of insulin in the blood. This results in:

   • Increased androgen production: Insulin resistance can stimulate the ovaries to produce more androgens (male hormones) such as testosterone.

   • Weight gain: Insulin resistance can cause weight gain and make it harder to lose the weight.

   • Ovulation dysfunction: Insulin resistance can interfere with normal ovulation leading to irregular or absent menstrual cycle.

2. Post pill PCOS: As the oral contraceptive pill (OCP) suppresses a normal ovulation cycle it can be difficult to regulate the menstrual cycle post pill use. It can be common to have an increase in androgens when coming off the pill.

3. Inflammatory PCOS: Inflammatory PCOS can be common in most PCOS cases. Symptoms of inflammatory PCOS are:

   • Digestive complaints like IBS or SIBO

   • Eczema, psoriasis

   • Autoimmune diseases celiac or hashimotos

   • Body pain such as joint pain

   • Unexplained fatigue

4. Adrenal PCOS (less common): Adrenal PCOS is caused by high levels of DHEA-S and normal testosterone and insulin resistance markers.

It is important to understand if you have PCOS (excess androgens) or hypothalamic amenorrhea/undereating (No period).

Always work with a qualified health practitioner to get to the root cause of your health concerns.