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 pelvic pain. But, importantly, the PCOS diagnosis can only explain irregular periods or symptoms of androgen excess (e.g., facial hair). It can’t explain the pain!

Also, PCOS cannot be diagnosed by ultrasound.

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What Estrogen Does in Your 40s (and How Progesterone Can Help)

Estrogen rollercoaster of perimenopause

Night sweats, mood swings, and crazy heavy periods. Is this menopause already? And you’re only 42? No, menopause could still be a decade away. This is perimenopause or second puberty, which is the decade or so before your final period.

Perimenopause is different from menopause (or post-menopause), which is the life phase that begins one year after your final period.

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Are You Eating Enough to Get a Period?

Keto period or amenorrhea

Lost 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.

Unfortunately, hypothalamic amenorrhea can sometimes be 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’s the Story With Dairy and Period Problems?

Dairy can cause period problems.

For some women, stopping normal dairy products can relieve period symptoms. But why?

In the latest episode of my podcast and YouTube video, I discuss the inflammatory effects of A1 casein and how a mast cell histamine response can drive period problems such as premenstrual mood symptoms, heavy bleeding, and pain.

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