PCOS Cannot Be Diagnosed by Ultrasound

PCOS cannot be diagnosed by ultrasound.

Were you told you have polycystic ovary syndrome or PCOS based on a pelvic ultrasound? That may or may not be an accurate diagnosis because PCOS cannot actually be diagnosed or ruled out with ultrasound.

In episode three of my podcast/YouTube video, I discuss PCOS including topics such as: why PCOS is an umbrella term, the difference between polycystic ovaries and ovarian cysts, and why some women with undereating and endometriosis are being mistakenly told they have PCOS.

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Cyclic Progesterone Therapy for PCOS

Progesterone has anti-androgen benefits and can promote ovulation. That makes progesterone potentially therapeutic for polycystic ovary syndrome, as described in my recent paper The central role of ovulatory disturbances in the etiology of androgenic polycystic ovary syndrome (PCOS)—Evidence for treatment with cyclic progesterone.

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4 Types of PCOS (a Flowchart)

Types of PCOS.

Polycystic ovary syndrome (PCOS) is not one disease. Instead, it’s “a heterogeneous disorder with different underlying biological mechanisms.” In other words, it’s a set of symptoms (androgen excess and anovulatory cycles) caused or driven by several different underlying factors. To successfully treat PCOS, you need to identify which factor (or factors) is driving the symptoms. In other words, you need to know your functional type of PCOS.

The four functional types of PCOS include insulin-resistant PCOS, post-pill PCOS (which is temporary), inflammatory PCOS, and the far less common adrenal PCOS.

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4 Causes of Androgen Excess in Women

If you suffer hair loss, facial hair (hirsutism), or acne, then you know all about androgen excess or high male hormones.

You may have been given the diagnosis of PCOS but there are actually several different reasons for androgen excess in women including androgen hypersensitivity, adrenal androgen excess, high prolactin, menopause, and hormonal birth control with a high androgen index.

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