Is it PCOS?

When diagnosing PCOS, it's crucial to rule out other conditions that may cause similar symptoms. A comprehensive assessment typically includes a detailed patient history, physical examination, and various laboratory tests to ensure an accurate diagnosis.


The diagnostic criteria for Polycystic Ovary Syndrome (PCOS) are based on the Rotterdam criteria, which require two out of three of the following:


  1. Signs of high androgens or high androgens found in blood tests

  2. Oligomenorrhea (infrequent menstruation) or amenorrhea (absence of menstruation)

  3. Polycystic ovarian morphology (PCOM) on ultrasound


It's important to note that a patient only needs to meet two of these three criteria to be diagnosed with PCOS. For the first criterion, either clinical signs of high androgens (such as hirsutism, acne, or hair loss) or biochemical evidence from blood tests is sufficient. 


Additionally, it's worth noting that while insulin resistance is often associated with PCOS and is considered one of the primary drivers behind the changes in the body, it is not part of the official diagnostic criteria.


Recent updates to the criteria suggest that AMH (Anti-Müllerian Hormone) levels can be used as an alternative to ultrasound for assessing ovarian morphology. However, it's recommended to use either ultrasound or AMH, not both, for the third criterion of PCOS diagnosis.

How PCOS Impacts Ovulation 

Did you know that Polycystic Ovary Syndrome (PCOS) affects ovulation in ways you might not expect? Here's the lowdown:


• Hormonal Havoc: Elevated LH levels disrupt the ovaries' hormone production

• Androgen Overload: Excess male hormones stunt follicle growth

• Menstrual Mayhem: 85% of women with PCOS experience irregular cycles

• Silent Struggles: Even with periods, ovulation may not occur


It is important to comprehend these intricacies in order to properly diagnose and treat the issue. While dealing with absent ovulation and irregular menstrual cycles can be challenging, there are numerous effective and scientifically proven solutions available.

PCOS and Miscarriage Risk 

Did you know that Polycystic Ovary Syndrome (PCOS) can increase the risk of miscarriage? Here's why:


• Impaired placental development

• Reduced blood flow to the fetus

• Hormonal imbalances

• Elevated homocysteine levels

• Metabolic factors like insulin resistance


While it may seem intimidating and overwhelming, there are effective solutions available to address the issues mentioned above.

PCOS and Pregnancy-related Complications 

Women with Polycystic Ovary Syndrome (PCOS) are at increased risk for several pregnancy-related complications. These include:


1. Gestational diabetes: Women with PCOS are approximately 3 times more likely to develop gestational diabetes.


2. Hypertension: There is a 3.5 times higher risk of developing hypertension during pregnancy.


3. Preeclampsia: The risk of preeclampsia is also 3.5 times higher in women with PCOS.


4. Preterm birth: PCOS patients are 1.75 times more likely to experience preterm birth.


5. Miscarriage: Women with PCOS under 35 have a significantly higher risk of miscarriage compared to women without PCOS (11.43% versus 9.47%).


6. Placental issues: PCOS can affect placental development, leading to increased inflammation in blood vessels, lower placental weight to birth weight ratios, and a greater number of vascular insults. This can result in impaired utero-placental circulation.


7. Postpartum depression: Women with PCOS have a 1.58 times higher risk of developing postpartum depression compared to women without PCOS.


Due to these increased risks, it is crucial for women with PCOS to receive close monitoring throughout pregnancy and the postpartum period. Early screening, lifestyle adjustments, and appropriate medical interventions can help manage these risks and improve outcomes for both mother and baby.


PCOS and Naturopathic Medicine 

Taking a comprehensive approach that addresses the underlying causes of PCOS can greatly benefit women who are trying to get pregnant. By thoroughly examining the issue, making dietary adjustments, incorporating specific supplements, and receiving tailored support, it is very achievable to successfully conceive and have a healthy pregnancy. 


Conventional care may not address all potential risk factors, so having a Naturopathic Doctor on your healthcare team can help fill in those gaps beautifully.

You Deserve Compassionate and Evidence-Based Support

If you are having difficulty with your fertility and think you may have PCOS, you deserve compassionate and evidence-based assistance. Feel free to schedule a complimentary 15-minute discovery call to learn more about my approach.