Polycystic ovary syndrome

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Polycystic ovary syndrome — Holistic Approaches & Practitioners | Gyfts

Frequently Asked Questions

What is polycystic ovary syndrome?

PCOS is a hormonal condition affecting 1 in 10 women of reproductive age, characterised by a combination of irregular or absent ovulation, elevated androgens (causing acne, excess hair growth, or hair thinning), and polycystic-appearing ovaries on ultrasound. The underlying driver in most cases is insulin resistance, which elevates insulin, LH, and androgens while suppressing ovulation. It is associated with increased risk of type 2 diabetes, cardiovascular disease, and metabolic syndrome.

What lifestyle approaches have evidence for PCOS?

A low-glycaemic diet — reducing refined carbohydrates and sugar whilst prioritising protein, healthy fats, and fibre — improves insulin sensitivity and is the most evidence-supported lifestyle intervention. Regular exercise, particularly resistance and high-intensity interval training, also improves insulin sensitivity. Even modest weight reduction (5–10% of body weight) can restore ovulation in many women.

What complementary approaches help PCOS?

Acupuncture has emerging evidence for improving menstrual regularity and hormonal parameters in PCOS. Nutritional therapy is highly relevant given the centrality of insulin resistance — inositol (particularly myo-inositol) supplementation has good evidence for improving insulin sensitivity, ovulation, and androgen levels. Spearmint tea has limited but positive evidence for reducing androgens. A nutritional therapist can design a comprehensive PCOS-targeted protocol.

What medications are used for PCOS?

Metformin is used to improve insulin sensitivity. The combined oral contraceptive pill manages menstrual irregularity, excess hair growth, and acne. Clomifene or letrozole are used to induce ovulation for fertility purposes. Anti-androgen medications address hair and skin symptoms. Treatment should be tailored to the individual's priorities — contraception, fertility, or symptom management — in discussion with a GP or gynaecologist.

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Ask Vidi about Polycystic ovary syndrome

Overview

Symptoms & Affected Systems

Contributing Factors

Supporting Lifestyle Strategies

Evidence Context

When to Seek Professional Help

Related Conditions

Infertility

PCOS

Menstrual Irregularities and PMS

Frequently Asked Questions