What Type Of PCOS Do You Have? My Treatment And Tips For The Pcos Spectrum 

Many women forget to ask the most important question regarding their Hormone imbalance: Why do I have hormone imbalance? ‘What is the root cause of PCOD’ or Why is my thyroid off in the first place? I often see comments on Quora / Facebook  from people asking questions such as, ‘What is the best diet for PCOS?’ or ‘What supplements should I take for PCOS?’ This is completely understandable and natural, but it’s kind of like asking, ‘What type of fuel should I put in my car?’ The answer is, “It depends on what type of car you have.”

Dr Disha Sridhar

I am a Gynaecologist Obstetrician ( MD, DNB OBGYN )with an emphasis on INTEGRATIVE MEDICINE.

In terms of PCOS, the answers to all of those questions depend on the type of PCOS you have or, more precisely, your personal cause of PCOS. It is a syndrome with a few common elements, but the root cause of those, and therefore the treatment, differ for every woman. Treatment and diet also depends on which stage of the healing journey you are. Hence healing PCOS is a journey and there can’t be one blanket diet and treatment which works for everyone. I believe the key is to understand your own ROOT CAUSE of PCOS and be an active healer and not just a passive patient.

There is not just one kind of PCOS (Polycystic Ovarian Syndrome), in fact, that are several types and knowing which PCOS type you have is the key to knowing the right pcos treatment protocol for you. Every type of PCOS is given the same name, even though the root causes are in reality quite different. Of course, in mainstream medicine, every type of PCOS is also managed with the same suggested treatments, even though these treatments only work for some women, some of the time.

Different types of PCOS also have different  pcos symptoms
– not all women with PCOS experience weight gain, or have excess hair growth, or have acne– and this confusion can delay diagnosis, and therefore result in delayed proper treatment and support.

I personally had the type of PCOS that is rooted in insulin and food sensitivity. I’ve been able to put my PCOS into remission with the TRUHEALING protocol. It means I no longer struggle with my periods, fertility, my weight, my skin, my hair, or any of the other symptoms I used to suffer from. However, it’s ongoing lifestyle changes , I am mindful of my PCOS every day and I’ve created a lifestyle around what helps me to feel good every day!

There are a few types of PCOS, and different causes behind them, as well as various symptoms. The way you’ll know which you have is by looking at symptoms, and following up with the right kind of blood tests or an ultrasound to look for cysts on the ovaries. The first sign for all women is missing periods and irregular cycles. If you know you’re not ovulating and your cycles are messed up, the next step is to figure out which PCOS you’re dealing with exactly.

The 3 types of PCOS on the spectrum

1. Insulin-resistant PCOS

This is the most typical and common PCOS type. High insulin levels stop ovulation, causing irregular periods and symptoms. The insulin resistance is brought about by diet. The symptoms are weight gain or obesity, acne, hirsutism, mood swings, and lack of periods. Women with this kind of PCOS are normally considered borderline diabetic.

2. Inflammation-based PCOS

This is the kind of PCOS that can be seen in women who do not experience weight gain,, but normal weight or even underweight, and don’t feel they have any of the classic symptoms of PCOS. The inflammatory response that stops ovulation and causes irregular cycles comes from the body’s response to foods like gluten, dairy, sugar, soy, or from overexposure to endocrine disruptive chemicals. There are multiple influencers that can cause suppressed ovulation and irregular cycles. The lack of ovulation will cause symptoms, but it won’t necessarily look or feel the same as common, insulin-resistant PCOS.

3. Synthetic Hormone-Induced PCOS

This kind of PCOS is common for women who have been on the contraceptive pills or other hormonal birth control like the implant, shot, or ring, for a long time. They will come off and see their periods do not return. The synthetic hormones shut down communication between the pituitary gland and the ovaries in order to prevent pregnancy and many times it can be challenging to bring it back online.

It’s also possible to have a combination of these types of PCOS, as I did, or for the root cause of your PCOS to change and develop over time like to develop THYROID WEAKNESS which further contributes to the PCOS.This is why the TRUHEALING protocol is uniquely supportive for the PCOS “spectrum” that exists as it addresses all the root causes.

Common treatments for PCOS
Once you’ve got to grips with your PCOS type, the next step is to consider your treatment options. I’ve explained previously why the two most commonly prescribed PCOS treatments – Metformin and the birth control pill – are not very effective.

Metformin is only effective for women with insulin-resistant PCOS, and even then I recommend only short term use paired with changes to diet and lifestyle. I have assisted many women for whom Metformin did not work to manage and control their PCOS symptoms using the TRUHEALING protocol.

The birth control pill just acts to mask the problems with PCOS. It may suppress symptoms short term, but they will return when you stop using it and they could be even worse than when you started. The pill happens to exacerbate many of the root causes of PCOS, including insulin-resistance and inflammation.

Natural treatments for PCOS:
Vitex is not a great option for all women with PCOS, even if you are looking for a more natural treatment. Women with inflammation-based PCOS may find Vitex helps them, but if you have a different type, Vitex may worsen your symptoms.

The TRUHEALING protocol works for all the types of PCOS I’ve mentioned here to address the root causes, which includes Balancing the endocrine system.

For all PCOS types, I recommend this 3 stage strategy 

1. Balance Insulin by Stabilize blood sugar.

2. Balance Cortisol by managing stress 

3. Balance estrogen by Supporting Detoxification and avoiding endocrine disruptors.

Women with all types of PCOS can benefit from:

Good quality sleep
Eliminating sugar
A focus on strength training
Magnesium supplementation

Other tips for your type of PCOS:

if you have Insulin-resistant PCOS – Focus on your blood sugar stability – 

1 add cinnamon for blood sugar regulation,  

2.brisk exercise after eating to prevent an insulin spike, like a walk after dinner.

Other types of PCOS – if you don’t have the common symptoms of insulin-resistant PCOS, because you’re normal weight or even underweight, with clear skin – then you need to look carefully if your body is getting the right kinds of nutrients  to make hormones. The communication between the pituitary gland and the ovaries has broken down and needs to be restored. Whether you came off the pill last month or last year you can follow my protocol for that transition to help jumpstart your ovaries. You can also realign with what would be a regular cycle by syncing your diet and lifestyle to the moon phases. This heightened awareness coupled with a gentle progression towards living with your cycle can bring back your regular period.

Remember that health is your birthright and my job is to help you achieve that. Wherever you may be right now, you are a wonderful woman, and once you get the right information, you can make better choices. Stop masking the symptoms and heal the root cause! It’s time to listen to your body and reconnect with yourself. So, what are you waiting for? The science of your body is on your side. Change your life today and become the person you most want to be because this world needs you!

to your healthy cycle…


Originally published July 15, 2019 by Dr Disha Sridhar

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