PCOS Treatment

If you are one of the many women diagnosed with PCOS (Polycystic Ovary Syndrome) you may have been prescribed the Pill and Metformin.  Unfortunately these medications will not resolve the underlying hormonal imbalances, even if they do help mask some of your symptoms.  

PCOS is commonly associated with increased testosterone and insulin resistance.  These imbalances contribute to acne, male pattern hair growth, weight gain, irregular menstrual cycles, reduced or no ovulation and infertility. The symptoms experienced can differ between women.

Fortunately there are other effective treatment options that will help support healthy hormone balance, resolve symptoms and support optimal ovulation and fertility.  

• Herbs including Paeonia, Licorice, Cinnamon and the herbal compound Berberine can help support hormone balance, ovarian function and improve insulin sensitivity.

• Inositol may help reduce elevated testosterone and acne.

• Zinc is vital for healthy ovulation and hormone balance and also helps to reduce acne and heal skin. Facial hair growth may be related to the conversion of excess testosterone to dihydrotestosterone - and zinc helps to reduce this conversion.

• Magnesium deficiency has been associated with insulin resistance and studies show that supplementing with magnesium can improve insulin sensitivity. There are also added benefits from taking magnesium such as calming your nervous system, improving sleep and reducing cramps and headaches.

• Reducing sugar consumption is imperative - focus on eating a variety of vegetables with adequate protein and healthy fats. What you eat everyday will have the biggest impact on your blood sugar, insulin levels and hormone health.

• Liver support is also important when correcting hormonal imbalances as it plays a large role in hormone metabolism. Herbs such as St Mary's Thistle are great for this, and you can also include cruciferous vegetables, turmeric, ginger, rosemary, onions and garlic in your diet to support liver function.

• Chemicals in pesticides, plastics, body care products and cleaning products also disrupt hormones so avoiding these as much as possible is a great idea for hormone and overall health! There are many natural alternatives available so it can be as simple as switching products next time you need to replace something.

• Lastly working on stress management and supporting healthy gut function will also support healthy hormone balance and allow your body to clear excess hormones.

While these are the most common imbalances and treatment of PCOS, every woman is different and may have different contributing factors or influences.  Saliva testing is a great way to assess hormone levels and help determine the best treatment for you.

If you would like more personalised support in restoring hormone balance I'd love to help you.

Marion McConnell is a degree qualified Naturopath who helps women with stress, hormone imbalances, anxiety and fatigue.  The clinic is located in New Farm Brisbane, and consultations are also available via Skype.  You can contact Marion here.

Top 7 Causes Of Fatigue - Part 2

Top Causes Of Fatigue - Part 2

PROGESTERONE, ESTROGEN AND TESTOSTERONE

Many factors in our lives can impact our hormone levels including stress, chemicals, plastics, diet and medications.  Our hormones like to be in a happy balance so when this balance is disrupted we can experience a range of reproductive and other body symptoms including fatigue.

Low progesterone, high estrogen or low testosterone are the most common imbalances I see which contribute to fatigue.  We can assess your levels through a salivary hormone test which shows the levels of these hormones including the three types of estrogen.  Testing will help to ensure treatment is specific to your particular hormone imbalance which will result in quicker symptom improvement.

METHYLATION ISSUES

Methylation is a process which is involved in many essential areas of health including energy production, mental health and reproduction.  A genetic mutation can reduce your ability to activate and utilise folate, and thereby reduce the efficiency of this methylation cycle (by 30-70%!) and contribute to fatigue and many other health issues.  This gene mutation affects the enzyme MTHFR (for short!) and reports estimate 1 in 3 of us may have this defect.  This means taking certain forms of folate - such as folic acid in supplements and consuming foods fortified with folic acid are not a good idea for everyone!  

A simple salivary test can detect if you have a defect in the 2 most common and researched gene variants.  However even if the test comes back negative, you could still have impaired methylation due to other reasons.  This is why it is important to work with a qualified Naturopath or Nutritionist in this area, and utilise other blood tests to assess other markers of methylation efficiency.  There is more involved than just taking an activated folate supplement!

POOR BLOOD SUGAR CONTROL

If you rely on sugars and flour products (and caffeine!) for quick energy, or these make up the majority of your diet, it's likely you will have blood sugar regulation issues which will contribute to fatigue.  This will be experienced as short bursts of energy followed by energy slumps or crashes. This pattern usually continues in an unfortunate cycle - however you can make simple changes to stop it!

Eating adequate fat and protein at each meal will keep your energy more stable for longer and keep you full for longer, as there will be less of an impact on your blood sugar and insulin levels.  

Include good quality fats such as olive, macadamia, avocado and coconut oils, grass fed butter/ghee/eggs/meat, local wild fish, avocado and some nuts and seeds.  

Don't forget to include a variety of organic vegetables too - you can fill up on these instead of bread!

A guide to daily protein is 0.8g per kg of ideal body weight.  So 0.8 x 70kg = 56g of protein per day, spread over 2-3 meals.  Of course this is only a guide and recommendations can vary depending on your activity level, health issues or if you're pregnant or breastfeeding.

FOOD INTOLERANCES

Many women are intolerant to certain foods even if they don't have a diagnosed allergy.  The most common are

• Gluten in Wheat, Barley, Rye
• Casein and/or Lactose in Dairy
• Soy
• Eggs
• Peanuts or Tree Nuts
• Shellfish
• Corn

We can also be intolerant to natural plant chemicals in 'healthy' foods such as

• Oxalates (spinach, kale, nuts, soy)
• Histamines (fermented foods, aged cheese, wine, avocado)
• Salicylates (tomato, zucchini, blueberries, almonds)

Food intolerances may produce digestive symptoms or may present in other ways such as fatigue, headaches and irritability.

There are blood tests which test different panels of foods however it is not always completely accurate and will only pick up an intolerance if the tested foods have been consumed recently.  Working with your Naturopath and eliminating foods for certain periods of time can be another option to figure out the foods you feel best on.

Food intolerances can improve once gut health has been improved, so you may not have to avoid these foods forever.

If you would like to get to the bottom of your fatigue and improve your energy in 2018, book your consultation today! 

Marion McConnell is a degree qualified Naturopath who helps women with stress, hormone imbalances and thyroid issues.  The clinic is located in New Farm Brisbane, and consultations are also available via Skype.  You can contact Marion here.