Are You Eating Enough to Get a Period?

Keto period or amenorrheaLost your period? You might just need to eat more. A lot more. Losing your period to undereating is called hypothalamic amenorrhea and is common, especially in women under thirty.

Hypothalamic amenorrhea is sometimes misdiagnosed as polycystic ovary syndrome (PCOS) because both hypothalamic amenorrhea and PCOS can have “polycystic ovaries” on a pelvic ultrasound exam.

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What If You Have Both PCOS and Endometriosis?

pcos and endometriosisPCOS is the hormonal condition of having high androgens or male hormones. Endometriosis is an inflammatory disease that can cause severe pelvic pain. They’re two very different conditions but also both quite common. That’s why it’s possible to have both PCOS and endometriosis at the same time.

Here’s how to differentiate the symptoms of PCOS from the symptoms of endometriosis and where to start if you have both conditions.

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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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