
Polycystic ovary syndrome (PCOS) is not one disease. Instead, it’s “a heterogeneous disorder with different underlying biological mechanisms.” In other words, PCOS is a collection of symptoms—primarily androgen excess and anovulatory cycles—caused by different underlying mechanisms or drivers.
To effectively treat PCOS, you need to identify which mechanism (or combination of mechanisms) is driving your symptoms.
That’s why it’s helpful to identify your functional type of PCOS. These include:
- Insulin-resistant PCOS (most common)
- Post-pill PCOS (usually temporary)
- Inflammatory PCOS
- Adrenal PCOS (least common)


Progestins such as drospirenone, levonorgestrel, or medroxyprogesterone are not progesterone.