Navigating PCOS: A Naturopathic Approach

Polycystic ovarian syndrome (PCOS) is a common endocrine disorder that affects women in their reproductive years. It is estimated that 4-20% of women of reproductive age may have PCOS. PCOS is diagnosed using the Rotterdam criteria  which requires the presence of at least two of the following three features: irregular or absent periods, clinical or biochemical excess male hormones, and ultrasound to confirm polycystic ovaries. Naturopathic medicine can offer support in balancing the hormones while addressing the root cause.
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To fully understand PCOS, we need to step back and talk about ovulation. Each individual with ovaries has two ovaries, and every month, follicles inside the ovaries begin to develop. Think of this process as a beauty pageant happening in the ovaries each month. The follicles, or contestants, compete for dominance, with one ideally emerging as the "front-runner." This dominant follicle becomes the egg that is released during ovulation.

However, in individuals with PCOS, hormonal imbalances, stress, inflammation, and insulin resistance disrupt this process. It becomes difficult for the body to select a "front-runner" follicle, leading to the development of multiple underdeveloped follicles. These follicles remain immature and accumulate, giving the ovaries the characteristic "string of pearls" appearance often seen on ultrasounds. This lack of ovulation, or anovulation, is a hallmark of PCOS and contributes to symptoms such as irregular menstrual cycles and infertility.

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Naturopathic Approach to PCOS 

Optimizing Nutrition 
Food is fuel, and by optimizing nutritio,n it gives the body the optimal fuel for the body to thrive. Having a balanced diet can aid in regulating blood sugar levels, reduce inflammation, and support hormonal balance. This looks like emphasizing whole, unprocessed foods, increasing fiber and healthy fats, and incorporating protein with all meals

Targeted Supplementation
Supplements can fill nutritional gaps and address specific needs, such as:

• Inositol: Helps improve insulin sensitivity and regulate menstrual cycles.
• Vitamin D: Supports hormonal balance and reduces inflammation.
• Omega-3 Fatty Acids: Reduces inflammation and supports ovarian health.
• Magnesium: Helps with stress management and insulin resistance.
  
  

Herbal Medicine
Herbs can be powerful allies in managing PCOS symptoms:

• Spearmint Tea: Known for its anti-androgenic effects, which can help reduce excess hair growth.
• Vitex (Chaste Tree): Supports hormonal balance and may help regulate menstrual cycles.
• Cinnamon: Improves insulin sensitivity and helps with blood sugar regulation.
  
  

Stress Management
Chronic stress can worsen hormonal imbalances, so managing stress is a vital part of the naturopathic approach. Techniques such as breathing techniques like box breathing, yoga, and meditation can help regulate cortisol levels and improve overall well-being.

 Lifestyle Adjustments

• Daily Movement: Activities like strength training and moderate aerobic exercise can improve insulin sensitivity and support weight management.
• Sleep Hygiene: Prioritizing quality sleep helps regulate hormones and reduce stress.
  
  

Navigating PCOS can feel overwhelming, but with the right support and strategies, it is possible to manage symptoms and improve quality of life. If you’re ready to explore a naturopathic approach to PCOS, schedule a consultation with Dr. Shreya Mistry, ND, to begin your journey toward hormonal balance and optimal health.

-- Dr. Shreya Mistry, ND

Sources: 
https://www.healthline.com/health/pcos-diet
https://www.healthlinkbc.ca/healthwise/polycystic-ovary-syndrome-pcos-0
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Li R, Li Z, Huang Y, Hu K, Ma B, Yang Y. The effect of magnesium alone or its combination with other supplements on the markers of inflammation, OS and metabolism in women with polycystic ovarian syndrome (PCOS): A systematic review. Front Endocrinol (Lausanne). 2022 Aug 5;13:974042. doi: 10.3389/fendo.2022.974042. PMID: 35992132; PMCID: PMC9389579.
Grant P. Spearmint herbal tea has significant anti-androgen effects in polycystic ovarian syndrome. A randomized controlled trial. Phytother Res. 2010 Feb;24(2):186-8. doi: 10.1002/ptr.2900. PMID: 19585478.
Mohan A, Haider R, Fakhor H, Hina F, Kumar V, Jawed A, Majumder K, Ayaz A, Lal PM, Tejwaney U, Ram N, Kazeem S. Vitamin D and polycystic ovary syndrome (PCOS): a review. Ann Med Surg (Lond). 2023 Jun 5;85(7):3506-3511. doi: 10.1097/MS9.0000000000000879. PMID: 37427232; PMCID: PMC10328709.
Moini Jazani A, Nasimi Doost Azgomi H, Nasimi Doost Azgomi A, Nasimi Doost Azgomi R. A comprehensive review of clinical studies with herbal medicine on polycystic ovary syndrome (PCOS). Daru. 2019 Dec;27(2):863-877. doi: 10.1007/s40199-019-00312-0. Epub 2019 Nov 18. PMID: 31741280; PMCID: PMC6895349.