What you might not know yet about PCOS

PCOS or Polycystic Ovary Syndrome, while a well-known condition, still has several aspects and topics that are not commonly discussed. According to the World Health Organisation, around 8-13% of reproductive-aged women are affected by PCOS, but 70% of them are undiagnosed. This might be due to lack of awareness of its scope and overlooking symptoms, which are primarily influenced by the lack of research specific to women’s health needs. In this article, we will explore other signs that might be helpful in identifying if your symptoms qualify as PCOS and what you can do to address them. 

First things, first. What is common knowledge about PCOS? The syndrome involves various symptoms such as irregular periods, hormonal imbalances, skin problems, and even infertility. Here are more details about each of these symptoms: 

Now, it is important to also address other factors that might help in assessing your reproductive health. PCOS is often misunderstood or misdiagnosed, even among healthcare professionals. Since the symptoms of PCOS overlap with other conditions, there is no definitive test for diagnosing it. Furthermore, some aspects of PCOS, such as menstrual irregularities, hirsutism, and weight gain, can also be stigmatised or considered taboo in certain societies. This and the complex nature of PCOS might lead to overlooking symptoms that make dealing with the syndrome much difficult. 

Below are less-common issues that may be impacted by PCOS:

PCOS  is diagnosed through a combination of medical history assessment, physical examination, and laboratory tests. Diagnostic criteria include the presence of irregular or absent menstrual cycles, elevated levels of androgens (male hormones), and the presence of multiple cysts on the ovaries. Other conditions that mimic PCOS, such as thyroid disorders or adrenal gland abnormalities, should be ruled out.

Treatment for PCOS aims to manage symptoms and address underlying hormonal imbalances. Lifestyle modifications, including regular exercise, weight management, and a healthy diet, are often recommended as the first line of treatment. Medications may be prescribed to regulate menstrual cycles, lower androgen levels, and assist with fertility if desired. Oral contraceptives, anti-androgen medications, and insulin-sensitizing drugs are commonly used. 

For individuals looking for a less invasive and more natural treatment approach, naturopath Claire Grullemans suggests that addressing the root cause of these problems is a better way to solve it. According to Claire, some of the major factors that contribute to developing PCOS are insulin resistance and excessive hormones, which can be addressed by having specific dietary plans that are rich in protein, complex carbohydrates, and less processed foods. Maintaining these diets will not only help in managing PCOS, but it will contribute to their overall well being. 

Many women suffering from PCOS also have concerns about fertility and the pregnancy journey. In  cases where fertility is a concern, it is important to learn the impact of stress to women’s reproductive health. Stress affects the chemical makeup of the body, and it is one of the most overlooked roadblock in women’s fertility. Claire emphasised the importance of managing it, especially since stress can affect the production of progesterone, which is one of the essential chemicals responsible for fertility. Reducing stress by engaging in activities that help decrease cortisol levels such as meditation or yoga, complemented with a healthy diet can positively affect reproductive health. Additionally, assisted reproductive technologies like in vitro fertilization (IVF) may be considered.

Regular monitoring and follow-up with healthcare professionals are necessary to assess treatment effectiveness, adjust medications if needed, and address any emerging concerns or complications. A multidisciplinary approach involving gynecologists, endocrinologists, nutritionists, and mental health professionals can provide comprehensive care for individuals with PCOS.

It is important to broaden the conversation around PCOS and include these less-discussed topics. Increased awareness and understanding of these aspects can definitely contribute to better existing support for women, improve their mental and reproductive health, and enhance the quality of life for individuals living with PCOS.

For more information on PCOS, a dialogue between Bodhi Holistic Hub founder Pauline Romao and naturopath Claire Grullemans is available to stream on YouTube where they cover everything from diagnosis to natural treatment options. You may also refer to this extensive booklet Understanding PCOS published by the Jean Hailes organisation, which advocates for the physical, emotional, and overall wellbeing for all women throughout their lives.