Exploring the Different Types of PCOS: A Comprehensive Guide
Polycystic Ovary Syndrome, or PCOS, is a hormonal disorder that women of reproductive age may face.
This can cause irregular periods and unwanted physical symptoms.
As per the Centers for Disease Control and Prevention, PCOS affects 6% to 12% of US women of reproductive age.
There are different types of PCOS, and knowing about them is crucial for proper treatment.
In this article, we will discuss various types of PCOS, treatment options, and what causes them.
Types of PCOS
It is essential to understand what type of PCOS you are dealing with to manage PCOS.
The four types of PCOS are as follows:
Insulin resistant PCOS
It is one of the most common PCOS types, affecting around 65% of women worldwide.
Insulin resistance, also called hyperinsulinemia, is a condition with elevated insulin levels in the body compared to what is considered normal.
The resistance of insulin occurs when your cells develop a reduced sensitivity to insulin.
This prompts the pancreas to secrete increasing amounts of insulin until the cells respond to its signal.
In insulin-resistant PCOS, you may have increased weight around your stomach or abdomen.
You may also face symptoms like fatigue, sugar cravings, and brain fog.
High insulin levels increase the androgen levels that cause excess hair, male pattern baldness, and acne.
The first step in treating insulin-resistant PCOS is to improve your insulin sensitivity.
You can improve your insulin sensitivity by doing the following lifestyle changes:
- Avoiding high-sugar foods: Do not eat sugary foods and have a low-carb diet full of protein and fat to handle blood sugar levels
- Exercise: Regular exercise can help burn excess sugar, build muscle, and may improve insulin sensitivity
- Proper sleep: Taking adequate sleep can reduce stress and can manage sugar and insulin levels
- Supplements: Taking magnesium, chromium, niacin, and vitamin E can help you get better blood sugar levels
Post-pill PCOS
This may occur when you stop taking oral contraceptive pills.
In this kind, there were no acne, irregular periods, or excess hair growth symptoms before taking the pill.
But after taking the pills and stopping them, you may face these symptoms.
Oral contraceptive pills often contribute to this form of PCOS as they contain a synthetic progestin.
After discontinuing the pill, your ovaries will experience a surge in androgens which can result in common PCOS symptoms.
Post-pill PCOS can get treated itself but can take time.
You can fast the treatment process by taking some supplements and lifestyle changes.
Some of the treatment options involve the following:
- Supplements: Nutrients such as zinc, iron, magnesium, and vitamin B can help in supporting ovulation and lower androgens
- Stress management: It is vital to have a proper sleep and reduce stress levels to promote hormonal equilibrium
- Be patient: Post-pill PCOS can take some time to reverse but keep in mind that it is a temporary condition
Adrenal PCOS
PCOS of this form generally results from an atypical stress response.
Elevated levels of DHEA-S, a type of androgen produced by the adrenal glands, are typically the only abnormality observed.
While high levels of Testosterone and Androstenedione are not present in this type.
This androgen type is frequently undiagnosed unless one consults an endocrinologist or specialist.
For treating adrenal PCOS, you may try the following:
- Managing stress: You can reduce stress by doing activities like yoga, meditation, and mindfulness. This can help to support your hormones and nervous system
- Sleep enough: Get 8 hours of sleep each night to help with your stress and recovery
- Avoid high-intensity exercise: Reduce intense and excessive exercise, which can add stress to your adrenals
- Avoid caffeine and other fizzy drinks
Inflammatory PCOS
Chronic inflammation causes the ovaries to release excessive amounts of Testosterone.
This results in physical symptoms like headaches, joint pain, and issues with ovulation.
Inflammation can also cause skin issues like Eczema and bowel issues.
During diagnosis, you will see increased inflammatory markers in blood tests.
For the treatment of inflammatory PCOS, you can do the following:
- Fix gut health: To lower inflammation, it’s essential to enhance digestive enzymes and get rid of harmful bacteria
- Avoid food triggers: It is important to consider food sensitivities and remove foods that may cause inflammation. Identifying these foods can be tricky, so it’s recommended to talk with a nutritionist for proper guidance
- Natural anti-inflammatories: Turmeric, omega-3 fatty acids, and antioxidants like niacin can support inflammatory PCOS. Consulting your doctor is vital to know if these supplements suit your body
Seeking professional advice
When it comes to managing PCOS, seeking professional guidance is paramount.
Healthcare professionals provide accurate diagnoses, personalized treatment plans, and support for hormonal balance and fertility concerns.
Regular check-ups help monitor symptoms and address any changes or complications.
Their expertise and care are essential in navigating the complexities of PCOS and achieving better health outcomes.
Conclusion
PCOS encompasses various types, each with its characteristics and implications.
Insulin-resistant PCOS, post-pill PCOS, inflammatory PCOS, and adrenal PCOS represent different aspects of this condition.
Understanding these distinctions is critical to accurate diagnosis and effective management.
Remember, seeking professional medical advice is essential for proper evaluation and personalized treatment.
By educating yourself about the types of PCOS, you take an essential step towards taking control of your health and well-being.
Frequently Asked Questions
What are the four types of PCOS?
The four types of PCOS are Insulin-resistant PCOS, Inflammatory PCOS, Adrenal PCOS, and Post pill PCOS. Insulin-resistant PCOS is the most common type of PCOS.
Is post-pill PCOS temporary?
Yes, post-pill PCOS is generally temporary. After stopping birth control pills, it may take time for the body to readjust its hormonal balance. PCOS-like symptoms resolve on their own over time. If symptoms persist, it’s crucial to consult with your doctor for evaluation.
Which type of PCOS causes infertility?
PCOS can contribute to infertility due to hormonal imbalances, irregular menstrual cycles, and difficulties with ovulation. However, not all women with PCOS will experience infertility.
What is the permanent treatment for PCOS?
There is no known permanent cure for PCOS. Various treatment options focus on managing symptoms and improving quality of life. Changes in lifestyle, such as good diet and exercise, can help manage PCOS effectively.
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