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00:00:00 Welcome to this video series on polycystic ovarian syndrome or PCOS. My name is Julie Young and I'm a registered nutritional therapist specialising and fertility. PC OS is a common condition affecting around one in ten women and while it can feel overwhelming, understanding it is the first step to managing it. In this video series we'll explore the common symptoms
00:00:25 of PCOS, the different types of the condition, how it can affect fertility and of PCOS, the different types of the condition, how it can affect fertility and what you should do if you think you might have it. So what exactly is PCOS? Well it's a common endocrine disorder in women that disrupts ovarian function. Now the name can be a bit confusing while it refers to cysts, these aren't typical cysts but some actually small follicles
00:00:48 that don't fully develop and they get stuck in the ovaries. PCOS is a syndrome when you use a collection of symptoms, not a single disease. So some of the common symptoms include weight gain weight gain or difficulty maintaining weight, excess hair growth especially on the face or up areas
00:01:05 of the body, male pattern baldness or hair thinning, acne, irregular or absent periods and having a higher risk of developing diabetes. Now many of these symptoms are driven by hormonal imbalances especially in excess of angigens which are hormones more commonly associated with male traits like testosterone. This hormonal imbalance can disrupt ovulation
00:01:28 disrupt ovulation making it more difficult to have regular menstrual cycles. Now let's talk about fertility. PCOS doesn't mean you can't get pregnant but it can make conceiving more challenging . Women with PCOS often have regular or absent periods which means fewer opportunities to ovulate and become pregnant. PCOS is linked to elevated levels of luteinizing hormone
00:01:57 and reduced follicle stimulating hormone alongside elevated angigens and insulin resistance follicle stimulating hormone alongside elevated angigens and insulin resistance . This hormonal imbalance makes it harder for the eggs and ovaries to mature properly which can lead to irregular or absent ovulation. Now if you're not ovulating regularly it reduces the chance
00:02:15 of pregnancy because it's harder to pinpoint when you're fertile. An additionally prolonged exposure to high angigen levels and insulin resistance can affect egg quality making it even more difficult to conceive. Now PCOS is a complex condition and there are even more difficult to conceive. Now PCOS is a complex condition and there are actually different types of PCOS. While insulin resistance is the most common cause
00:02:39 present in about 70 to 80% cases there are other forms of PCOS too. So here are the main types. So insulin resistance PCOS, the most common form where the body becomes resistant to insulin leading to higher insulin and blood sugar levels. Then you have post pill PCOS. This can happen can happen
00:03:00 after stopping birth control pills. It usually results itself over time. There 's also inflammatory PCOS which is linked to chronic inflammation which can trigger hormone imbal ances. And then you have adrenal PCOS caused by an overproduction of angigens by the adren al glands often due to stress. And in addition thyroid and gut health can also play a significant role in
00:03:22 the development of PCOS. It's not just about the ovaries, it's about your whole body's health. So what to do if you suspect PCOS? Well if you're experiencing some of health. So what to do if you suspect PCOS? Well if you're experiencing some of the symptoms we discussed like irregular periods, excess hair growth or some weight gain, it 's important to see your doctor for a full evaluation. A proper diagnosis is the first step.
00:03:46 PCOS is typically diagnosed using what's called the Rotterdam criteria. And doctors look for two out of three signs. So multiple cysts or follicles in the ovaries visible on an ultrasound, having irregular or absent periods and elevated angigens levels. Your doctor having irregular or absent periods and elevated angigens levels. Your doctor may also run
00:04:04 blood tests to check hormone levels, fasting glucose and insulin levels. And they may even assess cholesterol and triglycerides as PCOS is a metabolic condition. Now there are treatment options available both medical and lifestyle based. If you're trying to conceive medications like chlamide or lectrazole can stimulate ovulation. Chlamide for example blocks the
00:04:26 yeast chain to encourage your body to release eggs. It can be effective though yeast chain to encourage your body to release eggs. It can be effective though there can be some side effects and there is an increased chance of multiple births with that one. Another common medication which is prescribed is metformin which is going to improve insulin sensitivity. However it's not always suitable for lean women with PCOS and it can affect gut
00:04:49 health. The good news is that diet and lifestyle changes can make a huge difference in managing PCOS. Reducing your sugar intake, focusing on whole and processed foods and incorporating exercise
