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.

Read more

Pain Is Not a Symptom of PCOS

PCOS pain

According to a 2017 study, pain is the most frequently reported symptom of PCOS. Even though pain is not a symptom of PCOS!

The solution to this paradox is that both PCOS and period pain are common, so it’s easy to have both a PCOS diagnosis and period pain (including pain due to endometriosis).

That’s true whether the PCOS diagnosis is valid (i.e., there are symptoms of androgen excess) or invalid (i.e., the diagnosis was mistakenly based on an ultrasound finding).

Read more

Ovulation Is the Main Event of the Menstrual Cycle

Anovulatory cycles and pill bleeds.A menstrual cycle is, by definition, an ovulatory cycle in which ovulation is the main event and progesterone is made.

Any other kind of bleed is either an anovulatory bleed or a pill-bleed — neither of which are real menstrual cycles. Ovulatory cycles are the only way to make progesterone which is important for general health, not just for making a baby.  

Read more

Is It PCOS or Hypothalamic Amenorrhea (Undereating)?

PCOS versus hypothalamic amenorrhea.

What is the difference between polycystic ovary syndrome (PCOS) and hypothalamic amenorrhea?

PCOS is the condition of androgen excess when all other causes of androgen excess have been ruled out. It can also cause irregular periods.

Hypothalamic amenorrhea (HA) is the loss of periods due to undereating. It can also present with mild acne, facial hair, and polycystic ovaries.

Read more