September (in the U.S.) is PCOS Awareness Month, and we want to give you some basic information and a quick preview of what you can expect from our upcoming PCOS course debuting winter of 2022.
What is Polycystic Ovary Syndrome (PCOS)?
PCOS is the most common endocrine disorder among women — affecting 8-20% of people with ovaries. It’s the number one cause of anovulatory infertility in women.
PCOS is a disease of exclusion — first, rule out other causes; then confirm 2 out of 3 of the following: irregular or absent periods, excessive androgens, polycystic ovaries.
PCOS affects people differently; symptoms could include: menstrual cycle irregularity or lack of menses, excess hair growth on body, alopecia, acne, weight gain, subfertility, and insulin resistance.
Some indicators of this disorder could be a maternal history of PCOS, history of premature pubarche, and high BMI.
Our PCOS course will take a deeper look at:
Diet and Exercise
Long-term success does not necessarily require aiming for weight loss. Effective exercise strategies include high intensity interval training (HIIT) and weight training to reduce oxidative stress. The main goal is managing insulin.
Can specific diets and supplements help manage PCOS? We’ll tackle the gluten-free, dairy-free myths about PCOS nutrition; how a low carb, high protein diet can help; supplements such as inositol, vitamin D, and fish oil; and minimizing inflammation.
Mental Health Issues
Dealing with body image issues, weight management struggles, skin manifestations (acne, hair loss, body hair) take a toll physically and mentally. A PCOS diagnosis and potential symptoms can leave you feeling isolated and looking for ways to cope — finding long-term management solutions and support is essential. Cognitive behavioral therapy can be helpful.
We'll also dive into treatment of subfertility due to PCOS:
Overall, fertility treatments often work for about 70% of patients. Strategies to conceive with PCOS — First Line: Lifestyle intervention. Second Line: Oral medication to induce ovulation. Third Line: IUI or IVF.
Well-balanced diet is critical, weight reduction improves ovulation, exercise / muscle building improves insulin sensitivity. Quality, restful sleep is critical.
Oral Medication: Letrozole is better than Clomiphene; monitoring of follicles is critical to reducing risks of hyperstimulation and multiple gestation pregnancies.
Low doses of gonadotropins are recommended as part of an antagonist protocol with Lupron trigger; Metformin or Letrozole often used as an adjunct to reduce OHSS.
We can't wait to release the complete guide to PCOS this winter! Make sure you're on our email list to receive a notification once it's live.
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