Regaining Balance: A Root-Cause Approach to PCOS
Addressing Polycystic Ovarian Syndrome (PCOS) effectively requires a sophisticated medical approach that looks beyond surface symptoms. At SouthPark Functional Medicine, Dr. Mahtani conducts a deep investigation into the underlying drivers of PCOS, such as hormonal and metabolic imbalances, creating a strategic path toward restoring balance and long-term wellness.
What Is PCOS?
Women with PCOS have ovaries that make more male hormones than normal. These hormones can lead to many small fluid-filled sacs (cysts) in the ovaries. The name polycystic ovary syndrome comes from this. But some women who have PCOS do not have cysts, and some women who have cysts do not have PCOS.
At SouthPark Functional Medicine, we specialize in helping women in their battle against Polycystic Ovarian Syndrome and hormone imbalances. We employ a safe treatment plan to provide support for better health and wellness.
At SouthPark Functional Medicine, Dr. Mahtani addresses the key drivers of PCOS, including insulin resistance, inflammation, and specific hormonal imbalances. Her goal is not just to manage symptoms, but to create a personalized path to regulate your cycle, improve metabolic health, and restore vitality.
If you are ready to take control of your health, we invite you to take the next step with our holistic PCOS doctor.
What Are The Symptoms Of Polycystic Ovarian Syndrome?
Polycystic Ovarian Syndrome (PCOS) can be difficult to figure out. We can diagnose you with Polycystic Ovarian Syndrome when you have at least two of these three signs: irregular periods, an ultrasound showing polycystic ovaries, or blood tests indicating high levels of Androgens.
Abnormal Hair Growth
Unbalanced androgen levels can cause a variety of symptoms including the growth of darker, coarser, longer hair in unwanted areas, usually those atypical for women.
Ovarian Cysts
Most ovarian cysts are small and naturally occurring fluid-filled sacs that occasionally grow and diminish within a woman’s ovaries. With PCOS, there are many cysts. They can grow large or rupture, which can be painful and dangerous. They may also grow in such a way as to complicate conception.
Irregular Periods
Excess androgen levels can cause irregularly scheduled period cycles. In fact, it can disrupt it completely, leaving you with shorter or missed periods. This can lead to difficulty for any woman planning to become pregnant.
High Blood Pressure and Dyslipidemia
Studies have shown that women with PCOS are 40% more likely to experience hypertension or elevated blood pressure. High blood pressure can lead to several dangerous outcomes if left unchecked. Women with PCOS can also have elevated cholesterol.
Weight Gain and Insulin Resistance
Insulin is a substance that turns the sugars and starches from the food you eat into energy. With PCOS, your body is less responsive to insulin, leading to higher insulin levels. As a result, androgen levels are higher, making your body store fat in your belly.
Acne
An excess of androgens causes the production of extra oils in the skin. This leads to acne, which can be an embarrassing and frustrating side effect. But balancing out your estrogen and androgen levels can restore the look and feel of smooth, vibrant skin.
Depression
It has been discovered that there is a relationship between having PCOS and depression. Getting hormones balanced can have a profound effect on mood.
Sleep
Complications of having untreated PCOS can create sleep problems. Sleep apnea is common in PCOS, which is a disorder that causes interrupted breathing during sleep.
Polycystic Ovarian Syndrome Explained
Polycystic Ovarian Syndrome is a condition characterized by the presence of multiple fluid-filled cysts around the ovaries, resulting in various complications for women.
PCOS develops due to:
Excessive androgen production
Excessive androgen production, including DHEA and testosterone, which, when in proper balance, support libido, muscle mass and energy. However, an overabundance of testosterone can lead to PCOS and its associated symptoms.
Imbalance
Imbalance between LH and FSH (Luteinizing Hormone and Follicle Stimulating Hormone). This affects ovulation and menstrual cycles.
Excessive stress levels
Excessive stress levels lead to increased cortisol production. While cortisol is essential in moderation, excessive amounts can disrupt the regulation of prolactin which is necessary for maintaining hormonal equilibrium.
PCOS treatment is important. Not only do many women conquer their symptoms and feel better, treatment helps prevent chronic diseases that can be associated with PCOS.
The benefits include:
Weight Management
Despite diligent diet and exercise, PCOS often causes weight issues. Higher testosterone levels can hinder weight loss efforts. PCOS therapy balances testosterone, estrogen, and progesterone, which can assist in shedding excess weight, for a healthier you.
Reduced Insulin Resistance
Research indicates that individuals undergoing PCOS therapy experience a substantial decrease, ranging from 40% to 50%, in insulin resistance levels.This reduction in insulin resistance plays a pivotal role in promoting hormonal balance and improving the body’s responsiveness to insulin, ultimately fostering a more stable and healthier physiological state for individuals dealing with PCOS.
Hair growth in the correct places
Dealing with the distressing symptoms of scalp hair loss or too much hair growth in undesired areas (hirsuitism) is a common challenge for women grappling with Polycystic Ovarian Syndrome. While a certain level of testosterone is vital for women, imbalanced levels can lead to the conversion of testosterone into dihydrotestosterone, causing hair thinning or overgrowth. PCOS therapy aids in correcting this.
Enhancing Emotional Well-being
Polycystic Ovarian Syndrome can lead to heightened feelings of depression, anger, or anxiety. This is a result of the elevated testosterone and reduced estrogen or progesterone. PCOS therapy can alleviate the burden of these emotional challenges, promoting emotional well-being.
Enhanced Fertility
Polycystic Ovarian Syndrome disrupts regular periods and ovulation in women. PCOS therapy promotes consistent menstrual cycles and ovulation, creating an optimal environment for fertilization. This enhances the prospects of conception and a healthy, natural pregnancy.
Better Skin Clarity
Polycystic Ovarian Syndrome can trigger heightened sebaceous gland oil production that leads to acne in women. PCOS therapy is key, as testosterone fosters oiliness while estrogen contributes to smoother, radiant skin, aiding in acne reduction.
Why Choose SouthPark Functional Medicine?
Because a complex condition like PCOS requires a sophisticated expert. Dr. Sarita Mahtani’s unique dual expertise as a board-certified MD and an IFM Certified Practitioner allows her to move beyond symptom management. She utilizes a precise, evidence-based methodology to identify the complex root causes of the hormonal and metabolic imbalances associated with PCOS and creates a personalized plan for lasting results.
Choose expertise. Choose a true partner. Choose a new standard of care with a holistic PCOS doctor who understands the depth and uniqueness of your condition.
PCOS – Frequently Asked Questions
Polycystic Ovary Syndrome awareness remains limited, though it affects at least one in five women. When fertility issues arise, our Charlotte clinic frequently diagnoses them, especially in milder situations.
Early recognition and treatment are vital, emphasizing the importance of educating women about this condition.
What Are Polycystic Ovaries?
Polycystic ovaries manifest as enlarged structures beneath the surface, filled with fluid, and containing underdeveloped eggs. Most individuals with polycystic ovaries encounter irregular periods as their primary concern. To receive a diagnosis, one must exhibit polycystic ovaries and several symptoms.
What is Polycystic Ovarian Syndrome?
Polycystic ovarian syndrome represents a cluster of issues. For diagnoses, one should exhibit two of the following three conditions:
- Polycystic ovaries
- Irregular menstrual cycles
- An excess of testosterone
There are many symptoms that can vary among women along with the aforementioned symptoms, such as:
- Irregular menstrual cycles
- Unwanted facial or body hair (hirsutism)
- Oily skin and acne
- Thinning hair or hair loss
- Weight gain
- Reduced fertility
What are the known causes of Polycystic Ovarian Syndrome?
Polycystic Ovarian Syndrome is linked to imbalances in the body, though its exact origin remains elusive. Genetics are likely a factor, as it can run in families, though not universally. Patients often have elevated levels of insulin, which regulates blood sugar. These individuals may develop insulin resistance, prompting increased insulin production, which, in turn, triggers other disruptions, including elevated LH and testosterone. While testosterone is typically considered a male hormone, women tend to produce higher levels, affecting menstruation and ovulation.
Who can suffer from Polycystic Ovarian Syndrome?
Approximately one in five young women may exhibit polycystic ovaries in ultrasounds, but not all of them experience associated issues. Symptoms typically arise during adolescence but can manifest in one’s early or mid-twenties. Given the familial connection, it’s wise to be vigilant about family history in case you develop symptoms.
How can I detect Polycystic Ovarian Syndrome?
If you are grappling with Polycystic Ovarian Syndrome symptoms, the initial step is to consult a healthcare professional to rule out alternative causes. Your doctor will evaluate your symptoms, conduct blood tests, and possibly order an ultrasound to confirm the diagnosis.
What are the treatments available?
- Treatments to lose weight, as excessive weight exacerbates insulin production, worsening its symptoms
- Herbs to regulate irregular periods
- Supplements and medications to reduce insulin resistance
- Natural remedies to decrease androgens
- Optimization of diet and other lifestyle factors
- Acupuncture
Can Polycystic Ovarian Syndrome affect fertility?
Many PCOS-affected women grapple with fertility issues, primarily due to irregular or absent ovulation. Diagnosis can be tricky, as ovulation tests may yield false positives. The good news is that with treatment, most women can achieve healthy pregnancies, with various treatment options to address individual needs by meeting Dr. Mahtani in her Charlotte clinic.