Perimenopause & Beyond
What is PCOS?
Did you know that polycystic ovarian syndrome, or PCOS, is changing its name? PCOS is an endocrine condition that affects over 4 million women in the UK. In 2021, there were an estimated 65.77 million women of reproductive age (15-49 years) worldwide living with PCOS. This complex condition has hormonal, reproductive, metabolic, and mental health features.
The Name Change of PCOS
It has been agreed that the name "PCOS" is not fit for purpose. There is a global consensus that it has caused confusion and adversely impacted research, education, and patient care. A multistep process is being run by Monash University in Australia, in collaboration with international experts, patient advocacy groups, and professional societies. Votes for name changes are being collected, and this will be reviewed in the coming months. A name change is expected by the end of 2026 after survey responses are reviewed and formal adoption processes are in place. The ultimate change may need to be formalised in the International Classification of Diseases (ICD) so that medical records, guidelines, and textbooks adopt the new name.
You can contribute to the name change by voting here: New name_PCOS.
Understanding PCOS: Causes and Management
Did you know there are four main underlying causes or categories of PCOS? Through analysis of health questionnaires and Q&A during consultations, I can help you get to the root of the origin. I can create a holistic plan to manage the condition more effectively. With some motivation and hard work on your part, we can get you feeling great again.
Types of PCOS
The table below outlines the ‘types’ of PCOS that occur:
Type of PCOS | Main Cause | Key Signs & Symptoms | Management Focus |
Insulin-Resistant PCOS | High insulin → excess androgens | Weight gain (esp. belly), sugar cravings, fatigue, acne, excess hair, irregular periods | Balance blood sugar: low-GI diet, strength training, metformin or inositol, regular meals |
Post-Pill PCOS | Temporary androgen surge after stopping birth control | Irregular/absent periods, acne, hair changes, sometimes mild weight gain | Support hormone balance: whole-food diet, stress reduction, supplements (zinc, B vitamins), patience (often improves in 3–6 months) |
Adrenal PCOS | Adrenal glands produce too much DHEA-S (stress-driven) | Acne, hair loss, hirsutism, anxiety, sleep issues, irregular cycles | Stress management: good sleep, adaptogens (ashwagandha, rhodiola), breathing practices, gentle exercise |
Inflammatory PCOS | Chronic low-grade inflammation disrupts ovulation | Fatigue, headaches, skin conditions (eczema, psoriasis, acne), food sensitivities, joint pain | Reduce inflammation: anti-inflammatory diet (omega-3s, turmeric), gut health & manage stress |
Lifestyle Changes and Management
Current NICE guidelines advise that individuals should be encouraged to adopt a healthy lifestyle and optimal weight management to reduce the risk of complications and help improve the clinical features of PCOS. By sharing your symptoms with me and possibly undergoing some diagnostic testing, I can set goals to focus on management through dietary intervention and supplement support.
Conclusion
Understanding PCOS and its complexities is crucial for effective management. By staying informed about the name change and the different types of PCOS, you can take proactive steps towards better health. Remember, a holistic approach that includes lifestyle changes, dietary adjustments, and professional support can make a significant difference in managing symptoms and improving overall well-being.
References
Meng Y, Zhao T, Zhang R, Zhu X, Ma C, Shi Q. Global burden of polycystic ovary syndrome among women of childbearing age, 1990-2021: a systematic analysis using the global burden of disease study 2021. Front Public Health. 2025 Mar 26;13:1514250. doi: 10.3389/fpubh.2025.1514250.
Scenario: Management - adults | Management | Polycystic ovary syndrome | CKS | NICE
