Polycystic Ovary Syndrome (PCOS)

Polycystic ovary syndrome (PCOS) is a hormonal and metabolic disorder that can have significant implications for reproductive health, emotional and psychological well-being, as well as the risk of developing other health problems in affected women. PCOS is characterized by menstrual irregularities, clinical signs of hyperandrogenism such as hirsutism, acne, and hair loss, and can be diagnosed through pelvic ultrasound or MRI showing the presence of ovarian dystrophy (multiple follicles in the ovaries / ovaries with a polycystic appearance) but can only be confirmed through complete blood work as there are often diagnostic errors (see our article on the subject). 

One in 10 women have it (about half don’t know it). And unfortunately, there's no cure for PCOS, but seeking treatment is crucial due to its significant impact on health and well-being. It's important to understand that treatment options vary based on individual concerns . Whether it's managing excess hair growth, fertility desires, or regulating menstrual cycles, tailored therapies are essential.

Different Types of PCOS Treatment

In the treatment of PCOS, three main approaches are considered: medication, surgical treatment, and natural approach.

Medication Treatments

• Oral contraceptives: Combined pills containing estrogen and progesterone may be prescribed to induce regular menstruation and artificially reduce certain symptoms. However, it is important to note that these medications do not cure PCOS and may have undesirable side effects, such as nausea, headaches, irregular bleeding, loss of libido, or weight gain.

• Anti-androgens: Hyperandrogenism is one of the most difficult issues to manage in the context of PCOS. Spironolactone is a medication that can be used in the treatment of polycystic ovary syndrome (PCOS), especially to alleviate symptoms related to excess androgens (male hormones) in women with this disorder. Spironolactone is an aldosterone diuretic that also has anti-androgenic properties. It works by blocking androgen receptors, thereby reducing the effects of male hormones on the body. By inhibiting androgens, spironolactone can help reduce acne, hirsutism (excessive hair growth), hair loss, and other symptoms related to excess androgens in women with PCOS.

• Androcur: Androcur is a medication containing the active ingredient cyproterone, which is an antiandrogen. It is commonly used in the treatment of hirsutism, a condition characterized by excessive hair growth in women. In the context of hirsutism, Androcur works by reducing the production of androgens, the male hormones present in small amounts in women. Androgens can contribute to excessive hair growth in areas such as the face, chest, abdomen, and back. By inhibiting the effects of androgens, Androcur can help reduce unwanted hair growth. Upon discontinuation, hairiness returns. Androcur alone can lead to the cessation of menstruation which is why it is often associated with contraceptive pills to have cycles.

• Metformin, a medication commonly used to treat type 2 diabetes, but it can also be prescribed to women with PCOS who have insulin resistance. Insulin resistance is often associated with PCOS and can exacerbate symptoms. Metformin can help improve insulin sensitivity, which can help reduce androgen levels and regulate menstrual cycles. However, it is important to note that metformin can cause gastrointestinal side effects, such as nausea and diarrhea. Combined with dietary management, you may notice a real decrease in some PCOS symptoms.

• Clomiphène : Clomiphene (Clomid) and Letrozole (Femara) are among the effective fertility options for women with PCOS, extensively studied in randomized clinical trials, as highlighted by Dunaif. These oral medications are commonly prescribed to induce ovulation, with Letrozole originally intended for breast cancer treatment but now utilized off-label to stimulate ovulation. Injectable gonadotropins and in vitro fertilization (IVF) are also viable options.

   

Surgical Treatments

In some cases, when medication treatments are not effective or appropriate, surgical options may be considered.

• Ovarian drilling is a surgical procedure that involves small perforations of the ovaries, usually performed by laparoscopy. This technique aims to reduce the production of male hormones in the ovaries, which can help restore hormonal balance and promote regular menstrual cycles. However, ovarian drilling is generally considered a second-line option and is not recommended as a first-line treatment. Ovarian drilling also has a "transient" effect; after 6 months to 1 year, the benefits of drilling diminish because the cause of PCOS is not treated.

In cases where women with PCOS have difficulty conceiving naturally, in vitro fertilization (IVF) may be recommended. IVF is an assisted reproductive technique where ovulation is stimulated, eggs are retrieved and fertilized in the laboratory, and then the resulting embryos are transferred to the uterus.

Natural Treatments

A natural approach can also be beneficial in managing PCOS and help alleviate some symptoms. It may include lifestyle changes such as a balanced diet, regular physical exercise, stress management, weight loss, and maintaining a healthy weight.

THE BASICS

• A healthy and balanced diet is essential in managing PCOS. Opt for a diet rich in proteins, fibers, and lipids. Avoid processed foods, added sugars, and refined carbohydrates. Prioritize low glycemic index foods to stabilize blood sugar levels and improve insulin sensitivity.The Mediterranean diet is highly recommended for regulating PCOS and can be applied regardless of the origin of your syndrome.
• Regular exercise has many benefits for women with PCOS. It can help reduce insulin resistance, promote weight loss, improve hormonal balance, and reduce PCOS symptoms. Choose activities you enjoy, such as walking, swimming, yoga, or dancing, and aim to do at least 30 minutes of moderate exercise several times a week.
• Chronic stress can exacerbate PCOS symptoms. Find stress management techniques that work for you, such as meditation, deep breathing, yoga, or relaxation therapy. Make time to relax and engage in activities that calm you down. But above all, do not hesitate to take plants to help you manage your stress. Like our Ino stress supplement.

What are the specific natural solutions for PCOS symptoms?

In the case of the different specificities that will be addressed, several natural approaches can be used in addition to conventional treatments. Here are some options to consider:

Androgenic Hair Loss

Hair loss can be related to several elements: excess androgens related or not to insulin resistance, stress and therefore an excess of cortisol, thyroid disorders, micronutrient deficiencies, postpartum, etc.

• Saw Palmetto: Saw palmetto is a plant that can help reduce androgen levels. It is believed that this may have a positive effect on hair loss related to PCOS. Included in our supplement Hair'a 

• Amino acids play an important role in hair health as they are the building blocks of proteins. Hair is mainly composed of keratin, a protein rich in amino acids. Hair'a is the best solution for that. 

TOPICAL SOLUTIONS

• Ayurvedic Powder (Brahmi, Amla): Ayurvedic powders, such as Brahmi and Amla, are often used in hair care to promote hair growth and improve their health. They can be mixed with coconut or sweet almond oil to create nourishing hair masks.
• Daily Scalp Massage: Regular scalp massage can improve blood circulation, promote hair growth, and help reduce hair loss. Use your fingertips to gently massage your scalp every day for a few minutes.
• Recommendation: Hair'A from Imane Harmonie

Irregular Menstrual Cycles

• Shatavari Powder: Shatavari is a plant used in Ayurvedic medicine to regulate hormonal imbalances and promote regular menstrual cycles. Shatavari powder can be consumed by mixing it with water or added to drinks or smoothies.
• Chaste Tree (Vitex Agnus-Castus): Chaste tree is a herb commonly used to regulate menstrual cycles and balance hormones. It is often taken as a 

  It is often taken in supplement form.

• Recommendation: Luminaissance & Isis phase 1 and 2 from Imane Harmonie

  Acne

Regulating the menstrual cycle can have a positive impact on acne associated with PCOS. Remedies mentioned earlier, such as shatavari and chasteberry, can help balance hormones and regulate the menstrual cycle, which can help reduce acne.

• Glutamine: Glutamine is an amino acid that plays an important role in intestinal health. It can help strengthen the intestinal barrier and reduce inflammation, which can help improve acne. It is generally recommended to take it in supplement form.
• Chlorophyll: Chlorophyll is a pigment present in plants that can help detoxify the body. It can support skin health by removing toxins and reducing inflammation. Chlorophyll is often available in supplement form or can be consumed by increasing consumption of green leafy vegetables.
• Milk Thistle: Milk thistle is a plant that can support liver health. A healthy liver is important for the effective elimination of toxins from the body, which can help improve acne. Milk thistle is generally available in supplement form.
• Turmeric: Turmeric is a spice with anti-inflammatory properties. It can help reduce skin inflammation and improve acne. You can add it to your meals or take it in supplement form.
• Microbiota: As mentioned earlier, an imbalance in the intestinal microbiota may be associated with PCOS and acne. Taking care of your microbiota by consuming foods rich in fiber, prebiotics, and probiotics can help improve your skin's health.

Recommendation: Venus or the Acne Pack

Hirsutism

Regulating the menstrual cycle can help reduce levels of male hormones that are often imbalanced in women with PCOS. Remedies mentioned earlier, such as shatavari and chasteberry, can help balance hormones and regulate the menstrual cycle.

• Inositol: Inositol is a natural compound that can help regulate insulin levels and improve insulin sensitivity. It can be beneficial for women with PCOS, as high insulin is often associated with excessive production of male hormones. Inositol can be taken in supplement form.
• Green Tea: Green tea is rich in antioxidants and can help reduce inflammation in the body. It can also contribute to hormonal regulation and help reduce hirsutism symptoms. You can consume it as tea.
• Zinc: Zinc is an essential mineral that plays an important role in hormonal regulation. It can help reduce the production of male hormones and improve hirsutism symptoms. Zinc can be taken in supplement form or by increasing consumption of zinc-rich foods such as seafood, legumes, and seeds.
• Kudzu: Kudzu is a plant used in traditional Chinese medicine to regulate hormonal imbalances. It can help reduce androgen levels and improve hirsutism symptoms. Kudzu is generally available in supplement form.
• Saw Palmetto: Saw palmetto is a plant that can help reduce the production of male hormones in the body. It can be beneficial in reducing hirsutism symptoms in women with PCOS. Saw palmetto is generally available in supplement form.

Recommendation: Andromaque

In some cases, specific topical treatment for hair removal or reduction of excessive hairiness may also be necessary (LASER)

Weight Loss

It is important to note that weight loss can be beneficial, but it is not a universal solution for all cases of PCOS. Each person is unique, and individual response to weight loss may vary. Weight gain is often associated with insulin resistance (60% of women with PCOS) or excess cortisol.

• Cinnamon: Cinnamon can help regulate blood sugar by improving insulin sensitivity. This can be beneficial for women with PCOS, as high insulin is often associated with weight gain. You can add it to your meals or consume it as a dietary supplement.
• Berberine: Berberine is a natural compound that can help regulate blood sugar and improve carbohydrate metabolism. It can be useful for promoting weight loss in people with PCOS. Berberine is generally available in supplement form.
• Gymnema Sylvestre is a plant used in Ayurvedic medicine to support weight loss. It can help reduce sugar cravings and improve appetite control. Gymnema Sylvestre is often available in supplement form.
• Chrome Picolinate: Chrome picolinate is a mineral that can help regulate blood sugar and improve insulin sensitivity. It can be beneficial for weight management in women with PCOS. Chrome picolinate is generally available in supplement form.
• Glutamine: Glutamine is an amino acid that can help reduce sugar cravings and support intestinal health. It can also contribute to muscle recovery after exercise. You can take it in supplement form.

Recommendation: Glycemic Index Boost