Managing PCOS: Focus on Insulin Resistance and Hormonal Balance

First I look at their symptoms and I will, I will, on the off chance, ask the client if they know what type of PCOS they have, because there's four types and normally women don't know what they have. So I like to assume that they have insulin resistant PCOS because that's 70% of cases. So in order to make sure, like if they have this diagnosis already, I assume it's insulin resistant. And then we will look at labs and when I'm looking at labs, I will look at fasting glucose, I will look at hemoglobin A1C, I will look at fasting insulin and those will give me a really good picture of if we have insulin resistance or, you know, what we have going on there. The other labs I will look at for PCOS will be HDL and triglycerides. That ratio there. If it's three to one, like triglycerides or three times hdl, we usually have a lot of metabolic issues, which is also indicative of pcos. So we'll look at those cholesterol labs. I'll look at HSVRP and inflammatory markers because inflammatory PCOS is also another type of PCOS that we have. And then adrenal PCOS, we're going to be pulling fasting cortisol and DHEAs sometimes we're also pulling sex hormones to see if we have more androgens. Most PCOS clients do have higher testosterone and higher androgens than they do, than they do estrogen and progesterone and usually they have irregular cycles. So we can't even really get a correct estrogen and progesterone lab value sometimes in these clients. So I don't even funny but like, I don't even worry about that with PCOS patients until we get back to like regular periods. I'm looking at inflammation, insulin resistance and metabolic syndrome. And then correcting those will then correct hormones.