PCOS Treatment

Treating Polycystic Ovarian Syndrome (PCOS) with Naturopathic Medicine

PCOS is a hormonal disorder that impacts 6 to 10% of women, with symptoms typically emerging at the onset of menstruation or later in a womans 20s or 30s. Dr. Smith frequently addresses this common endocrine imbalance and offers evidence-based treatment options to effectively manage the complex condition.

U N D E R S T A N D I N G    P C O S

What is PCOS?

The name of this condition is a little misleading as you may orThe term PCOS can be misleading because not all women with this condition have multiple cysts on their ovaries. PCOS is actually a combination of symptoms that form a syndrome. While many online portrayals show severely obese women with excessive hair growth, the reality is that some women may only experience symptoms like irregular periods or no menstrual cycle at all. PCOS causes the ovaries to produce higher levels of androgens, which can disrupt egg production and lead to the formation of cysts. These cysts, filled with liquid from old follicles, can accumulate and enlarge the ovaries as ovulations are missed. Additionally, PCOS involves insulin resistance similar to diabetes, which can impact various bodily systems and have long-term health effects due to the complex interaction between sex hormones and blood sugar imbalances.have many cysts in your ovaries. PCOS is really a collection of symptoms that collectively make up a syndrome. Online you will see morbidly obese women with lots of unwanted hair growth, but the truth of it is that there are many women with none of these “text book” presentations with the only presenting symptoms being things like an irregular period or that they aren’t cycling at all.

PCOS causes the ovaries to produce higher than normal amounts of androgens such as testosterones, which interfere with egg production. The eggs that the ovaries normally produce monthly to ovulate can then develop into cysts (instead of getting expressed by the ovary). A cyst is a little sacs filled with liquid – in this case an old follicle. As many ovulations are missed and more follicles grow and become cysts, they can build up and enlarge the ovaries.

PCOS is also a condition in which there is insulin resistance (like diabetes) which can affect many systems in the body and have long-term health consequences. The complex interplay between the sex hormones and blood sugar imbalances make up the variety of symptoms women may experience.

Symptoms of PCOS

If ovarian cysts exist, very often they are painless and only discovered by ultrasound. Other PCOS symptoms include weight gain, infrequent or absent menstrual periods and signs of increased androgens, male hormones that are normally found in women such as acne and increased hair growth (hirsutism) on the face, around nipples, upper thighs and pubic area.

Although many women with PCOS have no trouble getting pregnant, the condition can cause fertility challenges. Increased anxiety and depression are also  common in PCOS patients.

The other challenge as mentioned previously with PCOS is insulin resistance, which means that the cells resist the hormone’s instruction to allow glucose to enter cells, causing blood sugar levels to rise which can lead to weight gain. Insulin resistance may indicate the early stages of type 2 diabetes, another reason to treat PCOS.

The most common symptoms of PCOS are:
Infrequent or irregular periods (oligomenorrhea)
No periods at all (amenorrhea)
Excessive bleeding during your period (polymenorrhea)
Enlarged ovaries with multiple small painless cysts or follicles that form in the ovary
Darkening and thickening of the skin on the neck, groin, underarms or skin folds (acanthosis nigricans)
Thinning hair or balding
Excess hair all over the body, including the face (hirsutism)
Acne, in particular along the jaw-line
Weight gain / obesity
Anxiety or depression
Increased blood sugar
Infertility (note that many women diagnosed with PCOS will NOT experience infertility so appropriate measures should still be taken regarding preventing unplanned pregnancy)

E X P L O R I N G   T H E   C A U S E S

What Causes PCOS

No one knows at this point what causes PCOS. Some researchers think that it may be caused by high insulin production. Insulin is a hormone that controls blood sugar levels and when too much insulin is produced this can stimulate the release of testosterone (which ultimately causes acne and hirsutism). Additionally, while the exact genes have not yet been identified, PCOS seems to run in families (as do other blood sugar disorders such as diabetes, interestingly).

What are the Treatments?

The goal of treatment is to balance hormones which results in resolving or greatly reducing some of the symptoms, such as acne, weight gain and irregular cycles.

Ultimately, every woman is treated based on her individual case as there are tremendous differences in what women experience with this condition which has a few subtypes. For some women it is only hairloss (LINK), for some women it is more about weight management, for some women their thyroid (LINK) is also involved, for some the only symptom is irregular periods. Dr. Smith creates a treatment plan based on comprehensive blood work and the specific symptoms/ sub type each woman has.

A typical treatment plan may include some of the following:

Dietary changes (blood sugar balancing), weight loss
An exercise plan (improve insulin sensitivity/ weight loss
Botanical medicines that can reduce androgen conversion and improve insulin sensitivity
Sometimes bioidentical hormones like progesterone are helpful for re-establishing a normal cycle

THE PROCESS

How to get started

Your journey towards a balanced, vibrant life begins with a choice—a choice to prioritize your health and well-being. Let's explore together how natural hormone treatment can unlock your fullest potential.

01

BOOK A CONSULTATION

If you're on the fence about jumping into your naturopathic health journey, feel free to book a free 10-minute consultation call with me. 

02

PERSONAL ASSESSMENT

Your initial health assessment is your first appointment which is one hour. We will discuss your medical history, family medical history, lifestyle, discuss your goals, review any lab work you may have sent ahead of time, do a deep dive on your concerns and order lab work if necessary. Then I provide a comprehensive strategic plan which may include nutrition and exercise changes, herbs or supplements, and hormone replacement therapy or other prescriptions as indicated and referrals if indicated.

03

FOLLOW UP APPOINTMENTS

In your follow-up appointments, we will go over any changes you have noticed and make adjustments accordingly to your plan, and do refills as required.  These visits vary in length and this depends on what is requried.