A naturopathic perspective on PCOS: What is it and how do I manage it?
Polycystic Ovarian Syndrome (PCOS) is one of the most common endocrine disorders in those who are menstruating. According to the World Health Organization, the condition affects an estimated 8–13% of women of reproductive age. Despite its prevalence, there are still many individuals unaware of this condition, and up to 70% of cases go undiagnosed. Education is the first step towards getting the condition diagnosed and treated. This blog will dive into what exactly PCOS is and how a naturopathic doctor can help manage it.
What is PCOS?
PCOS is a hormonal and metabolic disorder that presents in myriad ways. It is the most frequent cause of anovulatory (lack of ovulation) infertility and a complex hormonal disorder that affects millions worldwide. Hormonal imbalances of PCOS can lead to a range of symptoms affecting various aspects of health, including fertility, metabolism, and physical appearance. To be diagnosed with PCOS, you need to have 2 out of the following 3 symptoms (known as the Rotterdam criteria):
Irregular Menstrual Cycles: Individuals with PCOS often experience irregular or absent periods due to ovulatory dysfunction (cycle length greater than 35 days)
Excess Androgen Levels: Elevated levels of androgen (male sex hormone) can lead to symptoms such as acne, hirsutism (excess hair growth on face, chest, lower abdomen, inner thigh and back), and male-pattern alopecia
Polycystic Ovaries: Due to lack of ovulation, multiple fluid-filled sacs (cysts) may develop on the ovaries and will be observed on ultrasound.
Symptoms of PCOS:
Not everyone experiences PCOS in the same way, but there are other common symptoms that can arise. One such symptom is insulin resistance. When left unchecked, this can contribute to weight gain, difficulty losing weight, and an increased risk of type 2 diabetes. Obesity is another symptom that is common and directly correlated to insulin resistance. Contrary to popular belief, it is only present in approximately 50% of individuals with PCOS. Excess acne, oily skin, and hair growth on the chin and face can also often occur in individuals with PCOS. But again, not everyone will have the same symptoms. Finally, a very common and unfortunate symptom of PCOS can be infertility. Irregular ovulation, or lack thereof, makes it difficult for some individuals with PCOS to become pregnant.
Causes of PCOS:
There is an overall hormonal imbalance in individuals with PCOS, but the exact root cause is not fully understood. It is believed to involve a combination of genetic and environmental factors. Insulin resistance and hormonal imbalances play significant roles in the development of PCOS. Additionally, excess insulin production can stimulate the ovaries to produce more androgens, further exacerbating the condition.
Diagnosis:
Diagnosing PCOS can be challenging as it often involves ruling out other potential causes of similar symptoms. Diagnostic criteria typically include a combination of medical history, physical examination, blood tests to measure hormone levels, and ultrasound imaging to visualize the ovaries. Your naturopathic doctor can be part of your collaborative healthcare team in helping to diagnose as well as manage PCOS.
Treatment Goals:
Every individual with PCOS should be assessed and treated according to their individual presentation. The physical symptoms, blood hormone levels, and desire for fertility are important aspects to consider when a naturopath creates a personalized treatment plan. However, there are broad treatment options that will likely be incorporated to help manage symptoms and improve overall health:
Diet and Lifestyle modifications: Adopting a healthy diet and lifestyle can help manage weight, improve insulin sensitivity, and regulate menstrual cycles. Studies have shown that a 5-10% weight loss can normalize the menstrual cycle and improve reproductive outcomes. A combination of diet and exercise modifications has shown to be the most effective method for achieving weight loss in individuals with PCOS.
Supplementation: There are many supplements to help with the variety of symptoms in PCOS, but a commonly used supplement is myo-inositol. It helps to improve egg quality and restore ovulation. Individuals that experience a combination of insulin resistance and PCOS will benefit from this supplement.
Reduce exposure to environmental toxins: Vigilance about minimizing exposure to BPA, phthalates, and other environmental plastics is important. BPA levels are often significantly higher in individuals with PCOS, and BPA can magnify the hormonal imbalances that are common with PCOS.
Polycystic Ovarian Syndrome is a complex condition that requires a multidisciplinary approach to diagnosis and management, and naturopathic medicine can play a significant role. By understanding the symptoms, causes, and available treatment options, individuals with PCOS can take proactive steps to manage their health effectively. Additionally, raising awareness and dispelling myths surrounding PCOS is crucial in providing support and resources for those affected by this condition. If you suspect you may have PCOS or are experiencing any of the above noted symptoms, consider booking an initial consultation with Bright Health’s naturopathic doctor for personalized treatment recommendations. Remember, you’re not alone, and there is support available to help you navigate this journey.
WRITTEN BY: DR.TAYLOR BLIXT, ND
Disclaimer
The advice provided in this article is for information purposes only. It is meant to augment and not replace consultation with a licensed healthcare provider. Consultation with a Naturopathic Doctor or other primary care provider is recommended for anyone suffering from a health problem.