16/02/2021
๐ TYPES OF PCOS ๐
Have you been diagnosed with PCOS? Your GP may have spoken to you about your period, done some blood tests and an ultrasound to diagnose your PCOS, great! You may then fall into one of 4 categories (Type A, B, C or D) based on these on whether or not you have 1. high androgens (โmaleโ steroid hormones), 2. irregular cycles and/or 3. cysts present on an ultrasound (more on this not being an accurate PCOS picture, later). ๐ฉธ
As a nutritionist, I believe itโs important to understand the root cause of your symptoms. Thereโs a number of other PCOS categories you may fall into, which can help you understand your driving factors and lead to better symptoms management
โ Insulin resistant PCOS: sometimes called โtrueโ PCOS, as up to 70% of people with PCOS fall into this category. This is when youโll have high insulin levels on a blood test, which may be increasing your androgen levels.
โ Inflammatory PCOS: If chronic inflammation if your primary cause of PCOS, this can cause the ovaries to produce excess testosterone, which can contribute to symptoms like acne and other skin conditions, headaches, gut issues like IBS/SIBO, weight gain, joint pain and fatigue.
โ Post-pill PCOS: this generally only happens as youโre transitioning off the oral contraceptive pill (OCP), when itโs common to see a rise in androgens, leading to common PCOS symptoms. It may be considered post-pill PCOS if insulin levels are normal and periods were normal before being on the pill.
โ Adrenal PCOS: when DHEAS (another steroid hormone which is made mainly by adrenal glands) is the only elevated androgen on your blood tests, and insulin resistance has been ruled out. This is often considered maladaptation to long-term stress. ๐ง
Donโt get too bogged down with trying to fit neatly into one category though โ you may find you have a combination of these factors. The most important thing to do is work with a qualified practitioner who can help you work out what your primary driver of PCOS โ that is, the main underlying cause of your symptoms.
What PCOS type do you have? Let me know below ๐