Blog

Polycystic ovary syndrome (PCOS) is a hormonal disorder that affects up to 10% of women of reproductive age, and it comes in many forms. Each form of PCOS has unique causes and symptoms, which means that treatment plans must be tailored to address the root driver of the condition. Understanding these main drivers can help you identify which type of PCOS you may be dealing with, and how best to manage it.

At Mothers & Daughters Women’s Center, we believe that knowledge is power. Here’s a breakdown of the four primary drivers of PCOS: insulin-resistant PCOS, inflammatory PCOS, post-pill PCOS, and adrenal PCOS. By understanding the type of PCOS you have, you can take the right steps toward managing your symptoms and improving your quality of life.

‍

1. Insulin-Resistant PCOS

One of the most common types of PCOS is insulin-resistant PCOS, which affects up to 70% of women with the condition. Insulin is a hormone that helps your body process sugar (glucose) for energy. In insulin-resistant PCOS, the body’s cells become less responsive to insulin, which forces the pancreas to produce more insulin to compensate.

This excess insulin in the bloodstream can lead to a rise in androgens (male hormones like testosterone), which disrupts the menstrual cycle, causes excessive hair growth (hirsutism), and may contribute to acne and thinning hair. Insulin resistance also promotes fat storage, making weight management a common challenge for women with this type of PCOS.

How to Manage Insulin-Resistant PCOS:

• Dietary Changes: A low-glycemic, whole-food diet rich in fiber, lean proteins, and healthy fats can help regulate insulin levels.
• Exercise: Regular physical activity, particularly strength training, can improve insulin sensitivity.
• Medications: Some women benefit from medications like metformin, which improves insulin sensitivity and can help restore normal ovulation.

‍

2. Inflammatory PCOS

Inflammation is another significant driver of PCOS, and it plays a role in both the development of the condition and its symptoms. Women with inflammatory PCOS tend to have higher levels of systemic inflammation, which can contribute to insulin resistance, disrupt hormonal balance, and exacerbate symptoms like acne and hair loss.

This low-grade inflammation is often due to lifestyle factors like poor diet, stress, and obesity, but it may also be linked to other underlying conditions. Inflammatory PCOS can worsen fertility issues and make symptoms more challenging to manage.

How to Manage Inflammatory PCOS:

• Anti-Inflammatory Diet: Incorporate foods rich in omega-3 fatty acids, antioxidants, and vitamins to reduce inflammation. Fatty fish, leafy greens, berries, and nuts are all great choices.
• Stress Reduction: Practices like yoga, meditation, and deep breathing exercises can help lower cortisol levels, which are closely tied to inflammation.
• Supplements: Certain supplements like omega-3 fish oil, turmeric (curcumin), and vitamin D have anti-inflammatory effects and can help manage systemic inflammation.

‍

3. Post-Pill PCOS

Post-pill PCOS is a form of PCOS that develops after a woman stops taking birth control pills. The pill often helps regulate periods and balance hormones, so when you discontinue it, your body may experience a temporary surge in androgens (male hormones), leading to symptoms of PCOS.

In women with post-pill PCOS, the ovaries may not resume regular ovulation immediately after stopping birth control, leading to irregular periods, increased acne, and possible weight gain. This type of PCOS is usually temporary, and symptoms tend to improve over time as hormone levels normalize. However, it can take several months for the body to fully adjust and resume regular cycles.

How to Manage Post-Pill PCOS:

• Patience: For most women, post-pill PCOS resolves naturally within a few months after discontinuing birth control. However, during this transition, it’s important to manage symptoms.
• Natural Supplements: Certain supplements like inositol or vitex may help support hormone regulation and improve ovulation.
• Hormonal Support: In some cases, your doctor may recommend using other forms of hormonal birth control temporarily to help balance hormones until your body resumes regular cycles.

‍

4. Adrenal PCOS

In adrenal PCOS, the adrenal glands (which sit above the kidneys) produce excess androgens, leading to many of the classic symptoms of PCOS, including hair growth, acne, and irregular periods. Unlike insulin-resistant PCOS, adrenal PCOS is driven by an imbalance in adrenal hormones, not insulin.

Stress can exacerbate adrenal PCOS, as the adrenal glands produce cortisol (the stress hormone). Chronic stress can overstimulate the adrenal glands, leading to an overproduction of androgens. This form of PCOS is less common than insulin-resistant PCOS but can be just as challenging to manage.

How to Manage Adrenal PCOS:

• Stress Management: Reducing chronic stress through mindfulness, yoga, and relaxation techniques is critical in managing adrenal PCOS.
• Balanced Diet: Focus on nutrient-dense, whole foods, and reduce sugar and refined carbs, which can further imbalance adrenal hormones.
• Herbal Support: Adaptogens like ashwagandha and rhodiola can help balance adrenal function and support stress management.
• Medications: In some cases, medications like spironolactone may be prescribed to help block excess androgen production.

‍

Understanding Your PCOS in Mountainside, NJ

Understanding the specific driver of your PCOS is crucial for effective management. Whether your symptoms are related to insulin resistance, inflammation, post-pill changes, or adrenal imbalance, identifying the root cause allows for more targeted treatment options. At Mothers & Daughters Women’s Center, we work closely with each patient to develop a personalized plan based on their unique type of PCOS. From dietary changes and supplements to medications and lifestyle adjustments, there are many ways to manage and improve your symptoms.

If you're struggling with PCOS or are unsure about the type of PCOS you have, we’re here to help. Our experienced team of experts can guide you through diagnosis and treatment options, empowering you to take control of your health and feel your best. Contact us if you need assistance today.