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Introduction to PCOS and the Importance of Self-Care

PCOS or polycystic ovarian syndrome is thought to be one of the most common conditions in women, affecting between 5 and 10 percent, depending upon the population. PCOS self-care is crucial for managing this condition effectively.

Many women with irregular periods and hyperandrogenic symptoms (acne, hirsutism, male-pattern hair loss) can be diagnosed based upon the history and physical exam alone. However, the diagnosis of PCOS is only confirmed when other conditions that mimic PCOS are excluded.

Diagnosing PCOS

Two out of three of the following criteria are required to make the diagnosis:

  • Menstrual abnormalities ranging from heavy, irregular, infrequent or absent menstrual cycles
  • Excessive hair growth on your face, chin, lower abdomen or in other words excess androgens or increase in male hormone levels
  • One or two polycystic ovaries depending on the number of follicles or volume of ovary per ultrasound

If you think you have at least one of these symptoms it may be worth going to get checked out by your physician or female health care provider for further evaluation.Effective PCOS self care involves monitoring your cycles and symptoms and taking proactive steps towards a healthier lifestyle.

Lifestyle Changes and Dietary Management

The mainstay treatment in managing PCOS is lifestyle change, especially diet. You have the ability to get to the heart of the problem, your hormones, simply by changing the way that you eat. The best foods for PCOS patients are a balanced diet rich in whole foods, lean proteins, and fiber. PCOS patients also have insulin resistance, so to decrease insulin levels focus on food with a low glycemic index. Examples are fruits, vegetables, legumes and whole grains. Anti-inflammatory foods are also important such as green vegetables, dark chocolate, and healthy fats.

The Role of Exercise in Managing PCOS

Exercising or just moving is important with managing PCOS as well. Any physical activity, such as cardio, strength training, and yoga are beneficial for individuals with this health condition. Understanding how to lose weight with PCOS is an important aspect of managing the symptoms, as maintaining a healthy weight will help with insulin resistance, can help to reduce stress levels, and improve PCOS symptoms. Additionally, addressing PCOS weight gain through regular exercise can lead to better overall health. Make mindful decisions like parking further away to walk more, riding your bike, or going for a walk at night with your family.

The Role of Supplements in PCOS Management

Supplements can play a valuable role in the management of PCOS, complementing lifestyle changes and dietary adjustments. While they are not a replacement for a balanced PCOS diet and regular physical activity, certain supplements have shown promise in supporting hormonal balance, reducing symptoms, and improving overall health.

Inositol

Inositol, particularly myo-inositol and D-chiro-inositol, is one of the most well-researched supplements for PCOS. It helps improve insulin sensitivity, which is crucial for managing insulin resistance commonly associated with PCOS. Inositol can also help regulate menstrual cycles and reduce the severity of symptoms such as acne and excessive hair growth.

Omega-3 Fatty Acids

Omega-3 fatty acids, found in fish oil supplements, are known for their anti-inflammatory properties. These can help reduce inflammation in the body, which is beneficial for women with PCOS. Omega-3s also support heart health and can help manage cholesterol levels, which is important as PCOS patients are at higher risk for cardiovascular issues.

Vitamin D

Vitamin D deficiency is common among women with PCOS, and supplementing with vitamin D can help improve insulin sensitivity and support ovarian function. Adequate levels of vitamin D are also essential for bone health and immune function.

Magnesium

Magnesium is an important mineral that can help alleviate symptoms of PCOS by improving insulin sensitivity and reducing inflammation. It can also help with muscle relaxation and reduce symptoms of anxiety and depression, which are often experienced by women with PCOS.

Zinc

Zinc is a trace mineral that can be beneficial for reducing acne and managing hirsutism in women with PCOS. It also supports immune function and helps maintain healthy hormone levels.

Probiotics

Gut health is increasingly recognized as an important factor in overall health, and probiotics can help maintain a healthy gut microbiome. This can be particularly beneficial for women with PCOS, as gut health can influence hormone balance and insulin sensitivity.

Choosing the Right Supplements

It's important to choose high-quality oral womens supplements and to consult with your healthcare provider before starting any new supplement regimen. They can help you determine the right dosages and ensure that the supplements will not interact with any medications you are currently taking. Incorporating the right supplements into your PCOS self-care routine can provide additional support in managing symptoms and improving your quality of life.

Mental Health and PCOS

Women with PCOS diagnosis may be more likely to have mood disorders (depression and anxiety) when compared with women without PCOS. The exact cause for this is still unclear and thought to be multifactorial. Incorporating a PCOS diet can also play a role in managing these symptoms, alongside stress management techniques such as mindfulness, meditation, and deep-breathing exercises are a good place to start. If you are still struggling, you could benefit from seeking support from mental health professionals or joining support groups online or in person to have a group of others to be there for you during your journey.

Monitoring and Evaluating Symptoms

The first step to being evaluated for this condition is to monitor your cycles and for the PCOS symptoms mentioned above. Don't ignore your symptoms. Getting a diagnosis and knowing how to manage your symptoms can significantly improve your quality of life and overall well-being. Again lifestyle changes are key and you don't have to make a huge change or multiple changes all at once. Little changes over time are what can make a difference.

Dr. Erica Montes is a Board-Certified Obstetrician and Gynecologist and a Fellow of the American College of OB/GYN. She received her medical degree from the University of Texas Health Center in San Antonio and completed her residency at the University of Texas Southwestern Medical Center-Parkland Hospital where she was elected one of three chief residents at the largest program in the nation. She is proud to be one of the few Latina physicians in the United States and hopes her work and visibility can decrease some of the health care disparities seen in her community. She is bilingual in English and Spanish.

For the last 10 years, Dr. Montes has practiced in Arizona with an emphasis on patient engagement, encouraging all patients to be active in their health care decisions. She is robotically trained on the daVinci Robotic Surgical System and excels in minimally invasive surgical procedures and in-office procedures. Medical interests include contraception, treatment options for abnormal uterine bleeding, and gynecologic surgery. She also believes preventative care is one of the most important aspects of medicine including immunizations, for which she was awarded “Arizona Big Shot” in 2014 by the Arizona Partnership for Immunization.

She is also the mama to three beautiful boys who keep her grounded, as well as a medical blogger and the creator of The Modern Mujer Women’s Health Blog. Her vision to create this blog started soon after delivering her third son and realizing that there are not many places on the internet for people to find expert information about their health, let alone in English and Spanish! The foundation for her blog combines her medical knowledge, life experiences, and approachable personality to create a safe space to learn about your body.

You can find her on Instagram @the.modern.mujer, Facebook @the.modern.mujer and stay up to date at modernmujer.com.

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