The 4 Types of PCOS Explained: A Comprehensive Guide and Personalized Management Plans
If you've been diagnosed with Polycystic Ovary Syndrome (PCOS), you're not alone. PCOS is a common hormonal disorder affecting up to 10% of women of reproductive age. However, PCOS is not a one-size-fits-all condition. There are four distinct types of PCOS, each with its own underlying causes and recommended treatment approaches.
1. Insulin Resistant PCOS
This is the most common type of PCOS, affecting around 70% of cases. Insulin resistance is the driving force behind this type, where the body's cells become resistant to the effects of insulin, leading to higher levels of insulin and androgens (male hormones).
What to do for Insulin Resistant PCOS:
Focus on blood sugar stabilization through a low-glycemic diet and regular exercise.
Prioritize healthy movement and weight training to improve insulin sensitivity.
Aim for a protein intake of at least 100g per day to support hormone balance.
Consider supplementing with inositol, which can help regulate menstrual cycles and balance blood sugar levels.
2. Inflammatory PCOS
In this type of PCOS, chronic inflammation prevents ovulation, disrupts hormone balance, and increases androgen production. Potential causes include poor diet, environmental toxins, and inflammatory conditions like leaky gut or autoimmune disorders.
What to do for Inflammatory PCOS:
Identify and address the root cause of inflammation (e.g., parasites, histamine intolerance, mold exposure, thyroid issues).
Remove inflammatory triggers from your lifestyle and nourishment.
Support areas of the body that are inflamed (e.g., thyroid, gut health, liver/drainage pathways).
Focus on adequate mineral intake to reduce inflammation.
3. Post-Pill PCOS
Some women develop PCOS after stopping oral contraceptive pills, which can cause a temporary hormonal imbalance and androgen excess.
What to do for Post-Pill PCOS:
Support detoxification and drainage pathways to eliminate excess hormones.
Replenish micronutrients, especially folate and methylcobalamin (B12).
Prioritize gut health to restore proper hormone metabolism.
Consider armpit detox and castor oil packs to support lymphatic drainage.
4. Adrenal PCOS
In this type, chronic stress leads to an abnormal response from the adrenal glands, resulting in higher levels of the androgen DHEA-S.
What to do for Adrenal PCOS:
Focus on stress resiliency and management techniques (e.g., meditation, yoga, deep breathing).
Prioritize 8-10 hours of quality sleep and practice good sleep hygiene (e.g., no blue light before bed).
Support adrenal function with minerals (e.g., magnesium) and adaptogenic herbs.
Remember, identifying the specific type of PCOS you have is crucial for developing an effective treatment plan. Work closely with your healthcare provider to determine the underlying cause and tailor your approach accordingly. With the right strategies, you can manage your PCOS symptoms and improve your overall health and well-being.