Polycystic Ovary Syndrome (PCOS) is one of the most common hormonal health issues in women, affecting an estimated 1 in 10 women of reproductive age. Many women are first diagnosed when they are having difficulty trying to conceive, but PCOS presents with many other symptoms, like hair loss, acne, hirsutism, and weight gain. These symptoms can affect a woman's health even beyond trying to get pregnant. 

What Causes PCOS?
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     The exact cause of Polycystic Ovary Syndrome is unknown, though it is thought that genetics play a major role. PCOS is a complex disorder that presents itself as a group of symptoms resulting from hormonal imbalances -- usually an excess of androgens like testosterone and high levels of insulin. These symptoms include:

​If you’ve ever taken birth control pills and discontinued, you may have experiencedsomething known as post-birth control syndrome. It generally arises within the first 6 months of discontinuing, affects women of all ages, and has a wide array of symptoms. The severity is based on several factors, including how long you took the pill, the type of pill (dosage and hormone combination), your age, liver health, bowel regularity, and overall wellbeing.

Some of the more common symptoms one might experience after stopping the pill include acne and losing hair, and for some women it results in an absence of menses returning, known as amenorrhea. Other less common symptoms women may experience include:

If you and your loved one have been trying to conceive a child, but have unfortunately had little success, stress levels are often on the rise for both of you. But for some couples, the stress resulting from the inability to conceive may actually be part of the reason they’re having difficulty getting pregnant. Anew condition called “Pregnancy Stress Syndrome”not only can prevent you from getting pregnant, but also can create problems and complications during the pregnancy, most notably, miscarriages.
What Is Going on Inside My Body When I’m Under Stress?
When faced with excessive stress levels, the brain signals the adrenal glands to start producing and releasing more stress hormones, especially adrenalin and cortisol. In other words, your body is initiating your “fight or flight” response in the sympathetic nervous system. Since all hormones talk to each other (that is their job, after all), increased levels of stress hormones within your body often cause an imbalance to other hormone systems.
Together, the adrenal glands, pituitary gland, and hypothalamus of the brain, evaluate the level of stress and perceived stressors on your present state, and increase the production of stress hormones to enhance our “survival instincts” during heightened levels of stress. While this can be beneficial occasionally in certain situations, it is when we are in a constant state of “fight or flight,” it is counterproductive to the reproductive system and being able to conceive a child.

How Does Stress Prevent Pregnancy?
Increased, prolonged levels of stress results in the body’s continual release adrenalin and cortisol, and elevated levels affect the body as follows:

• Progesterone secretions from the corpus luteum (which are responsive for maintaining your uterine lining and sustaining a pregnancy) are reduced.
• The release of estrogen is reduced and impedes follicle development and health.
• With reduced estrogen levels, it also reduces the thickness of the fertile mucous and endometrium.
• The secretion of prolactin is increased and inhibits ovarian functions, like ovulation.
• Reduces immune responses, like the part of the immune system responsible for preventing miscarriages.
• Reduces secretion of LH (luteinizing hormone), which is responsible for ovulation.
• Reduced conversion of active thyroid hormones, leading to elevated TSH levels, and subclinical signs of hypothyroidism (one of the primary factors in infertility)

In addition, since increased stress levels reduce immune responses, other health issues can arise, which can further impede the ability to conceive.

What Can I Do?
The first thing you need to do is address and deal with your stress in a healthy manner.

Diet
First and foremost, a change in dietary eating patterns and developing a daily exercise routine helps immensely. Far too often, our “go-to” foods when overly stressed are those we consider “comfort” foods, which are full of unhealthy fats and contain large amounts of sugar and sodium. Eliminating refined sugar and a processed food reduces the insulin burden on the hormone system, and the livers need to detoxify chemicals. Instead, reach for whole foods, healthy fats like avocado and nuts, and be sure to reach your required daily caloric intake healty fat making up at least 40% of it.

Stress Management
Others benefit from learning new techniques and methods to reduce stress and relax, like getting regular message therapy, joining a yoga class, or trying acupuncture. I’ve personally seen acupuncture lower FSH levels (a sign of ovarian failure) from 19 down to 9 in a the course of a month.

Seek Help
Lastly, DON”TGoogle things! The Internet is a never-ending black hole of information, some good, some bad, and some terrible. You’re wasting precious energy adding potentially incorrect information to your already stressed state. This is what your Naturopath is for. Unsure to build a well rounded health team to not only help you manage stressors, but to look at every factor involved that may be reducing your chances of conception, all the while optimizing your chances of success (there’s a LOT you can do to improve sperm & egg quality, ovulation patterns, etc.)

As an additional resource, consider a well-rounded book that will provide insight and empowerment, like Taking Charge of Your Fertility, by Toni Weschler MPH.

To determine whether your inability to conceive is due to heightened stress levels, I encourage you to consult with a qualified and experienced Naturopathic Doctor who has a focus in hormones and infertility for a detailed and comprehensive examination.

To schedule a consultation appointment today, please feel free to contact Dr. Courtney Holmberg at 647-351-7282, or visit www.courtneyholmbergnd.ca for more information. 

Polycystic Ovarian Syndrome (PCOS) is a condition that causes significant imbalances to the hormonal system in many women today. One of the biggest concerns with PCOS is that it is widely under-diagnosed. Just in the United States alone, there are approximately 7 million women experiencing symptoms of this condition, yet around half of these women have no idea they have PCOS!

For a long time, the root cause to PCOS was believed to be a result of an overproduction of male hormones, called androgens. In more recent years, research has confirmed PCOS is in fact a condition resulting from desensitization to insulin production within the body, which in turn leads to increased production of these androgenic hormones.

In addition, studies on PCOS have revealed those with the condition are at a greater risk for heart disease and diabetes (type 2). Heart disease is the leading killer in women. Even in cases where women were young and fit, yet had PCOS, it was five times more likely they would still develop these risks if they did not seek treatment for their conditions.