“What is PCOS?

Polycystic Ovary Syndrome happens when the body’s hormone signals become out of balance — especially the communication between the ovaries, insulin, and androgen hormones (like testosterone and DHT).

Despite the name, many women with PCOS do not actually have ovarian cysts, and not all are overweight. Some are very thin and still have significant hormone symptoms.

Common symptoms of PCOS:

Symptoms can vary a lot from person to person, but common ones include:

• irregular periods

• skipped ovulation

• acne

• scalp hair thinning or hair loss

• increased facial/body hair

• weight gain or difficulty losing weight

• fatigue

• sugar cravings

• anxiety or mood swings

• trouble sleeping

• infertility

• PMS symptoms

• darkened skin in body folds

• bloating

A thin woman may mainly notice:

• acne

• hair shedding

• high DHT

• painful periods

• PMS

• irregular cycles

without ever gaining weight.

Different types of PCOS

1. Insulin-resistant PCOS

This is the most common.

The body makes extra insulin, and insulin stimulates the ovaries to produce more androgens.

Common clues:

• weight gain around the middle

• cravings

• fatigue after meals

• elevated fasting insulin

• irregular periods

Even thin women can have this type.

2. Adrenal PCOS

The adrenal glands (stress glands) contribute more androgen hormones.

Common clues:

• high stress

• anxiety

• poor sleep

• elevated DHEA-S

• acne

• hair loss

• normal body weight

This can happen even when insulin looks normal.

3. Inflammatory PCOS

Chronic inflammation can worsen hormone signaling.

Possible contributors:

• gut dysfunction

• food sensitivities

• chronic stress

• environmental toxins

• poor diet

• autoimmune issues

Often presents with:

• fatigue

• bloating

• acne

• irregular cycles

• brain fog

4. Post-pill / ovulatory dysfunction type

Some women develop PCOS-like symptoms after stopping hormonal contraception because their natural ovulation hormones take time to rebalance.