A change is coming for endometriosis treatment. Until now, the clinical approach has been surgery followed by hormonal suppression with the hormonal birth control or other drugs. Going forward, the approach will shift to anti-inflammatory and immune-modulating treatments. That’s because there is growing evidence that endometriosis is not primarily a hormonal condition. It is autoimmune.
**See the updated 2019 version of this blog post: 4 Types of PCOS (a Flowchart) **
I invite you to think differently about polycystic ovary syndrome.
PCOS is not one thing. It is not one disease. PCOS is a set of symptoms. The key primary symptom is a failure to ovulate regularly. Failure to ovulate is why you are deficient in estradiol and progesterone. It’s why you have high testosterone, and why you develop secondary PCOS symptoms such as hair loss, acne, and infertility.
You cannot treat PCOS until you first ask: “Why, in your particular case, do you not ovulate?”
If you suffer acne or treat acne, then 2012 was an important year. That’s when this ground-breaking paper came out of Germany: Diet in Acne: Further Evidence for the Role of Nutrient Signalling in Acne Pathogenesis.
One sentence from the abstract says it all:
“Acne should be regarded as an mTOR-driven disease of civilization, like obesity, type 2 diabetes and cancer induced by Western diet.”
Progesterone is your calming, soothing, happiness hormone. It lightens periods and relieves anxiety. It also boosts metabolism, reduces inflammation, and is great for hair and skin.
Do you have enough progesterone?