To Understanding Different Types & Personalised Solutions.

Our associate Naturopath Arabella shares her wisdom and expertise. Today, we’re delving into a topic that resonates with many women: Polycystic Ovary Syndrome (PCOS). Often discussed as a single condition, PCOS can actually manifest in different forms, each with its own unique causes and treatment needs. By identifying which type of PCOS you may have, we can craft a personalised approach to support your health and well-being.

At Ritual Haus, we believe in a holistic approach to managing all forms of PCOS.
Let’s explore the three main types: ovarian, insulin-resistant, and adrenal PCOS, and discuss how you can manage them naturally.

1. Ovarian PCOS: The Classic Hormonal Imbalance

Ovarian PCOS is often characterised by elevated androgens (like testosterone) that can lead to irregular periods, acne, and hirsutism (excess hair growth). This type is closely linked to imbalances in reproductive hormones, which can disrupt the natural ovulation process.

Key Symptoms:

• Irregular or absent periods
• Elevated testosterone levels
• Polycystic ovaries seen on ultrasound
• Acne and excess hair growth

Natural Management for Ovarian PCOS:

• Dietary Adjustments: Emphasise anti-inflammatory foods and healthy fats. Cutting back on dairy and sugar can help lower androgen levels and promote hormonal balance.
• Herbal Remedies: Consider herbs like Vitex (Chaste Tree), White Peony and Liquorice Root to regulate ovarian hormones and encourage regular menstruation.
• Stress Reduction: Mindfulness practices, meditation, and gentle exercises like yoga can be particularly beneficial, as stress can exacerbate hormonal imbalances.

2. Insulin-Resistant PCOS: The Metabolic Connection

Insulin-resistant PCOS is the most common type, often linked to metabolic issues like weight gain and sugar cravings. This occurs when your body’s cells become resistant to insulin, leading to elevated insulin levels and subsequently higher androgens.

Key Symptoms:

• Weight gain, especially around the abdomen
• Sugar cravings and blood sugar management difficulties
• Post-meal fatigue
• Acanthosis nigricans (dark patches of skin)

Natural Management for Insulin-Resistant PCOS:

• Low-GI Diet: Focus on low glycemic index foods to stabilize blood sugar. Incorporate whole grains, vegetables, legumes, and lean proteins.
• Nutraceuticals: Myo-inositol and D-chiro-inositol are effective supplements for improving insulin sensitivity. Omega-3s and chromium can also support metabolic health.
• Exercise: Regular physical activity—especially strength training and aerobic exercises—can enhance insulin sensitivity and help with weight management.
• Intermittent Fasting: Many women find intermittent fasting beneficial for improving insulin function and supporting weight loss, but it’s important to do this under professional guidance.

3. Adrenal PCOS: The Stress Response

Adrenal PCOS is driven by an overproduction of androgens from the adrenal glands, often in response to chronic stress. In this type, you might have normal insulin levels but elevated stress hormones like cortisol and DHEA-S.

Key Symptoms:

• High DHEA-S levels but normal testosterone and insulin levels
• Chronic fatigue or feeling “burnt out”
• Increased stress or anxiety
• Acne and hair loss
• Difficulty managing stress and poor sleep quality

Natural Management for Adrenal PCOS:

• Stress Management: The key here is to prioritise stress reduction. Practices like yoga, meditation, deep breathing, and acupuncture can lower cortisol and support adrenal health.
• Adaptogenic Herbs: Herbs such as Withania, Rehmannia, Rhodiola, and Holy Basil can help balance stress hormones and support adrenal function.
• Nutritional Support: Focus on a nutrient-rich diet rich in B-vitamins, magnesium, and vitamin C, which are essential for adrenal health.
• Mindful Exercise: It’s vital to choose gentle, restorative activities like walking, Pilates, or tai chi, rather than high-intensity workouts that may elevate cortisol levels further.

Identifying Your Type of PCOS

Many women experience a combination of the above types, which is why understanding your body’s unique hormonal and metabolic patterns is crucial. At Balance by Bell Naturopathy, we take a personalised approach, often starting with a thorough hormonal evaluation to identify your dominant type of PCOS.

Once we have this insight, we can design a comprehensive plan integrating diet, lifestyle, nutraceuticals, and herbal medicine tailored to your specific needs.

Can You Have More than One Type of PCOS?

Absolutely! It’s common to experience more than one type of PCOS simultaneously. For instance, women with insulin resistance may also have elevated adrenal androgens due to chronic stress. This is why a holistic approach is essential. By looking at your body as a whole, rather than just focusing on one aspect, we can effectively manage multiple forms of PCOS.

Let’s Find the Root Cause Together

PCOS is a complex condition that varies from person to person, and the path to managing it should reflect that diversity. Whether you’re dealing with ovarian, insulin-resistant, or adrenal PCOS (or a mix), our we’re here to support you every step of the way.

Together, we’ll create a tailored plan combining nutritional support, lifestyle adjustments, herbal medicine, and supplements designed to enhance your overall health and well-being.

If you’re ready to take control of your PCOS symptoms naturally, reach out to us at Ritual Haus today to book your consultation. We’re excited to partner with you on your journey to better health!

Written by Arabella Richards