If you are like me, then this is news...types of PCOS! Shoot can be a struggle to diagnose and now we have types!
I remember being in a PCOS group and someone asking about what type people were and so many replied that there are not types of PCOS. Well, 24 hours later, I realized that those of us that thought that were wrong.
PCOS is tricky, so it is okay if you or even your diagnosing physician did not know this information. However, knowledge is power. Now is the time to dive deeper and have a discussion about it.
I researched the subject. I found 4 main types and then one group that is the catch all for those who do not fit into the others. What is interesting is you may have signs and symptoms from the other groups, but fit best in another.
Here is what I am commonly seeing out out there on the subject. Let’s dig in:
Insulin-Resistant type: there is a 70 percent chance that most of us fit this profile. Women with this type of PCOS are insulin resistant, meaning you are creating too much insulin. Leading you to be overweight, develop heart disease, osteoporosis, and you are set up to develop diabetes. Also with increased insulin, you will more than likely create more androgens (which we will talk more about here in a bit). Irregular periods, elevated androgens, and insulin resistance are your indicators here.
Post Pill PCOS type: This is usually temporary but may take up to a couple of years to work through. If you had normal cycles before the pill and then developed irregular periods and high androgen levels after being on the pill, then chances are you may have post pill PCOS. Give your body at least 3 months (or 100 days) before being concerned. It will take your body that long to see if it can get itself back to cycling on its own. If you had PCOS symptoms before the pill and continue to have them after the pill, then this is not you.
Inflammatory PCOS type: While this can be an issue with the other types of PCOS, for this type, it is the primary piece. Inflammation can be from foods as well as environmental toxins. Look for signs like IBS, unexplained fatigue, regular headaches, joint pain, and various skin conditions to go along with your irregular cycles and elevated androgens.
Adrenal PCOS type: This type gets a bit tricky and really falls back on your lab results. Again, you will have irregular cycles but not all of your androgens will be elevated. Only your adrenal androgens. Androgens are the hormones that are higher in males (testosterone, androstenedione, and DHEAS). With Adrenal PCOS, only your DHEAS are elevated. If this is you, make sure you have had other medical issues ruled out. NCAH (nonclassic congenital adrenal hyperplasia) or high prolactin levels may be the actual issue. If those have been ruled out, then please look into how you handle stress as this is the primary issue with this type of PCOS.
Hidden Driver of PCOS: If you did not find a type that fits you, then you may need to check into some of the other underlying issues that may play a role in your PCOS.
Thyroid Disease: hypothyroid may be the thing that is affecting your insulin resistance and impairing your ovulation
Vitamin D, Zinc, and/or Iodine deficiency: all are necessary for ovary function
Elevated Prolactin Levels: as we discussed above, this will increase DHEAS
The best thing about this category is that once you correct it, your PCOS symptoms should improve quickly.
Which type sounds more like you? Try not to get caught up so much in what category. PCOS is such an individual journey.
I am so thankful for the natural steps that I have taken to get my PCOS under control. Are you curious as to what those starting steps may be? Be sure to check out my guide on Real Healing Starts with Lifestyle Changes.
Wishing you health with grace and ease,