Episode #141: PCOS Myths Exposed: Separating Fact from Fiction

Episode #141: PCOS Myths Exposed: Separating Fact from Fiction

Episode #141: PCOS Myths Exposed: Separating Fact from Fiction

This post may contain affiliate links. Please read my disclosure and privacy policy.

PCOS Myths Exposed Separating Fact from Fiction

What you’ll learn in this episode:

This episode is addressing common misinformation regarding PCOS, explores where it comes from, and offers strategies to navigate through the noise effectively. Misinformation surrounds us, where personal anecdotes and marketing heavily influence our perceptions and decisions. We’ll dissect some prevalent myths and provide you with the tools to make informed decisions about managing your PCOS.

The Origins of Misinformation in PCOS Management 

Misinformation about PCOS frequently arises from personal success stories shared on social media and aggressive marketing tactics for supplements, diets and coaching. Influencers and marketers often promote diet plans, supplements, and lifestyle changes that claim to be the ultimate or only solution to PCOS symptoms. However, these sources may not always present the full picture, often offering solutions that are exaggerated, fear-based, or not universally applicable.

Navigating PCOS Misinformation 

One major challenge with misinformation is that it encourages constant switching between health plans, preventing consistency, which is essential for lasting progress. This inconsistency can lead users to feel disillusioned and believe that no treatment will be effective for them. This episode debunks some common myths and misconceptions about PCOS, helping you to understand your unique needs and how to address them effectively.

Debunking Common PCOS Misconceptions 

During this episode we’ll discuss several areas where misinformation is common, including: 

  • Exercise Misconceptions
  • Myths about Dairy
  • Gluten Myths
  • Inaccurate Carbohydrate suggestions
  • Supplement Misunderstandings
  • Lab Testing and PCOS: 

Empowering Your PCOS Journey 

To effectively manage PCOS, it’s crucial to cut through the misinformation by understanding the root causes of your symptoms, recognizing the unique aspects of your condition, and implementing a sustainable and personalized plan based on scientific research and personal health data. This approach ensures that the management strategies you adopt are tailored specifically to your needs and are grounded in reliable evidence, leading to better long-term outcomes.

Let’s Continue The Conversation

Do you have questions about this episode or other questions about PCOS? I would love to connect and chat on a more personal level over on Instagram. My DMs are my favorite place to chat more.

 

So go visit me on IG @nourishedtohealthy.com

 

Let’s Continue The Conversation

Do you have questions about this episode or other questions about PCOS? I would love to connect and chat on a more personal level over on Instagram. My DMs are my favorite place to chat more.

 

So go visit me on IG @nourishedtohealthy.com

 

rate the podcast

Spread the Awareness

If you have found this podcast helpful please take just a moment to rate it and leave a review. This helps apple, spotify or whichever platform you use know to share this podcast with other women. I truely appreciate your help supporting as many women as possible

Read The Full Episode Transcript Here

Hello, hello, and welcome back to the PCOS Repair Podcast!

Today, we’re diving into misinformation—incorrect or misleading information that may not be the best for you. There’s an overwhelming amount of content out there, with people sharing their personal experiences and what has worked for them on social media. Then there’s marketing—diet plans, meal plans, workout routines, and supplements—constantly being advertised to us based on our search history and browsing habits. Influencers, who understand how to use algorithms to reach you, are sharing what worked for them or promoting a system they recommend.

The problem? It’s not necessarily wrong information, but it might be misleading, exaggerated, fear-based, or simply not what your body needs. So, how do we cut through the noise and find a clear, sustainable path—one we can stick with long enough to actually see results?

One of the biggest issues with misinformation is that it causes us to jump from one method to another. Instead of staying consistent and making small, effective tweaks, we end up constantly switching plans, never giving any one approach enough time to work. Eventually, we start to believe that nothing will work for us, which is a dangerous mindset—because that’s simply not true.

Every person’s PCOS journey is unique. Our root causes, lifestyle factors, and personal goals differ, but we cansignificantly improve our symptoms if we find a way that works for us. That’s what today’s episode is all about—breaking down some of the most common misconceptions about PCOS so you can make informed, empowered decisions about your health.

Common PCOS Misconceptions: Exercise, Dairy, Gluten, Carbs, Fasting, Supplements, and Labs

Today, we’re covering several key areas where misinformation is widespread: exercise, dairy, gluten, carbohydrates, fasting, supplements, and lab testing. These are topics where advice is often partially correct, entirely wrong, or simply not the best fit for your body.

What might surprise you is that some of these misconceptions come from experts—people with medical degrees, nutrition certifications, and backgrounds in hormone health. But even among professionals, misinformation can spread. Let’s break it down.

Misconception #1: Exercise is Bad for PCOS

A major myth circulating online is that certain types of exercise are harmful for PCOS, particularly because of cortisol (our stress hormone).

Yes, exercise temporarily raises cortisol—but this isn’t a bad thing! Cortisol naturally fluctuates throughout the day, rising in the morning and tapering off at night. Small increases in cortisol due to exercise don’t negatively impact your overall stress response.

In fact, exercise improves insulin sensitivity, reduces chronic inflammation, supports mental health, and enhances overall well-being—all of which are crucial for PCOS management. Avoiding strength training or intense workouts because of a temporary cortisol increase is shortsighted.

Ideally, PCOS-friendly exercise should include:
✔️ Strength training: At least three times a week, 30-45 minutes of intense, muscle-building resistance work
✔️ Cardiovascular exercise: Supports heart health, insulin function, and mental clarity
✔️ Consistency: Movement should be a long-term habit, not something to fear

Yes, overtraining or ignoring rest can be harmful, but avoiding exercise entirely due to cortisol concerns does more harm than good. Instead of cutting out movement, we should be managing overall lifestyle stress.

Misconception #2: Dairy is Inflammatory and Should Be Avoided

Dairy often gets a bad reputation for being inflammatory or hormone-disrupting. But the truth is, dairy can be an excellent source of high-quality protein, vitamins, and minerals.

The key is choosing the right kinds of dairy:
✔️ Opt for organic and hormone-free dairy when possible
✔️ Be mindful of added sugars, especially in flavored yogurts
✔️ Avoid highly processed, low-fat dairy products with artificial additives

Some people do have dairy sensitivities, and if you experience bloating or digestive discomfort, it’s worth experimenting with a dairy-free period (like my PCOS Detox plan) to see how your body responds. However, avoiding dairy just because someone online said it’s bad for PCOS isn’t necessary.

Misconception #3: Gluten is an Endocrine Disruptor

Gluten has been labeled as an endocrine disruptor, but the real issue for many women with PCOS is not gluten itself—it’s the glyphosates (pesticides) used in conventional wheat products.

If you want to include gluten in your diet, I highly recommend:
✔️ Choosing organic grains to reduce pesticide exposure
✔️ Prioritizing whole, minimally processed grains over refined carbs
✔️ Eating gluten in moderation rather than making it the base of your meals

If you do have a gluten sensitivity, celiac disease, or inflammation-related symptoms from gluten, then avoiding it makes sense. But for many, switching to organic grains is enough to reduce negative effects.

Misconception #4: Carbs Are Bad for PCOS

There is so much conflicting advice about carbohydrates. Low-carb, keto, high-carb, balanced-carb… what’s the truth?

Carbohydrates are essential for energy, hormone production, and nutrient intake. The goal isn’t to cut them out, but rather to choose the right types and balance them properly:
✔️ Focus on vegetables and fiber-rich carbs
✔️ Include small amounts of starchy carbs (sweet potatoes, quinoa, oats)
✔️ Pair carbs with protein and healthy fats to stabilize blood sugar

Completely avoiding carbs isn’t necessary and can actually lead to fatigue, hormone imbalances, and nutritional deficiencies.

Misconception #5: Fasting is the Ultimate Fix for PCOS

Fasting is often presented as a miracle fix for PCOS, but it’s not a one-size-fits-all solution.

✔️ Some women thrive with short fasting windows (e.g., not eating after 6:30 PM until breakfast at 7 AM).
✔️ Others struggle with low energy, increased cravings, or difficulty getting enough nutrients when fasting.

If you’re considering fasting, work with a doctor or nutrition expert to ensure it aligns with your needs.

 

Misconception #6: Supplements Will Cure PCOS

Supplements can be beneficial for PCOS, but they are not a magic fix.

✔️ Be cautious about brands—many supplements are contaminated with heavy metals or fillers
✔️ Choose third-party tested brands to ensure quality
✔️ Use supplements to support lifestyle changes, not replace them

There is no single supplement that will cure PCOS. Sustainable health comes from a holistic approach, not just pills or powders.

 

Misconception #7: Labs Are the Key to Diagnosing PCOS

Lab tests are important, but they don’t tell the whole story. Many women have “normal” lab results but still experience major symptoms.

✔️ Regular lab monitoring is valuable for tracking changes over time
✔️ Daily symptoms (energy, hunger, mood, cravings, sleep) tell you more about what’s going on
✔️ Using both lab work and symptom tracking gives a complete picture of PCOS health

 

Final Thoughts: Cutting Through the Noise

I hope this episode helps you filter through the overwhelming amount of PCOS information out there. The key takeaway? Your PCOS journey is unique. What works for someone else might not be what’s best for you.

Instead of jumping from one extreme approach to another, focus on:
✔️ Understanding your root causes
✔️ Listening to your body’s feedback
✔️ Building a sustainable, long-term plan

If you found this episode helpful, be sure to subscribe so you don’t miss next week’s episode. And until next time—bye for now! 😊

Take The PCOS Root Cause Quiz

   What Do Your Symptoms Mean?

  Discover your current PCOS Root Cause

Start to reverse PCOS at the root cause. 

Results are not guaranteed. Please see Medical Disclaimer for more detail.

Similar Podcasts You Will Enjoy

 Episode #162: The Science of Stress & What It’s Doing to Your PCOS

 Episode #162: The Science of Stress & What It’s Doing to Your PCOS

In this episode, discover how chronic stress can quietly sabotage your PCOS healing by disrupting hormone balance, driving insulin resistance, and worsening symptoms like irregular cycles, weight gain, and inflammation. Drawing on cutting-edge research, you’ll learn how your body’s stress response, designed for survival, can become overactivated in modern life, keeping cortisol high and hormones out of balance. You’ll also uncover practical strategies for identifying hidden stressors, repairing your stress response, and creating a lifestyle that supports both your metabolic health and fertility.

Episode #161: PCOS & Insulin Resistance: A Step-by-Step Guide

Episode #161: PCOS & Insulin Resistance: A Step-by-Step Guide

In this episode, you’ll uncover the truth about insulin resistance in PCOS, how it can exist even when your lab work appears “normal” and why it’s one of the most common yet overlooked root causes. You’ll learn how insulin resistance develops, the hidden ways it impacts energy, cravings, weight, and ovulation, and why recognizing it early can make all the difference in your hormone health. Plus, I’ll share practical steps to spot the signs, understand your test results, and start restoring balance with simple, targeted lifestyle changes that work with your body.

Episode #160: Rachel’s Fertility Breakthrough: A True PCOS Story

Episode #160: Rachel’s Fertility Breakthrough: A True PCOS Story

In this episode, you’ll hear Rachel’s inspiring story of overcoming PCOS-related fertility struggles by addressing chronic inflammation, a root cause often overlooked. Learn how simple, targeted changes to her diet and lifestyle helped her heal her gut, restore regular cycles, and conceive naturally, all without extreme restrictions.

About Show

Welcome to The PCOS Repair Podcast!

I’m Ashlene Korcek, and each week I’ll be sharing the latest findings on PCOS and how to make practical health changes to your lifestyle to repair your PCOS at the root cause.

If you’re struggling with PCOS, know that you’re not alone. In fact, it’s estimated that one in ten women have PCOS. But the good news is that there is a lot we can do to manage our symptoms and live healthy, happy lives.

So whether you’re looking for tips on nutrition, exercise, supplements, or mental health, you’ll find it all here on The PCOS Repair Podcast. Ready to get started? Hit subscribe now

Episode #140: Supplement Spotlight: Maca’s Role in PCOS Management

Episode #140: Supplement Spotlight: Maca’s Role in PCOS Management

Episode #140: Supplement Spotlight: Maca’s Role in PCOS Management

This post may contain affiliate links. Please read my disclosure and privacy policy.

Supplement Spotlight Maca’s Role in PCOS Management

What you’ll learn in this episode:

This week’s episode is a supplement spotlight for Maca, a plant native to Peru known for its medicinal properties. Let’s explore its potential in managing PCOS symptoms. We’ll focus particularly on its impact on fertility, mood, energy, and metabolic health. Tune in to dissect scientific studies and offer practical advice on integrating Maca into your PCOS management strategy.

Potential Benefits of Maca

Maca has long been revered for its health benefits and has traditionally been used to enhance fertility, libido, stress management, and energy along with many other benefits. 

Scientific research on maca is limited but promising. This episode discusses some of the research about fertility and metabolic health benefits. Maca’s influence through the hypothalamic-pituitary-adrenal axis may explain its ability to enhance stress tolerance, categorizing it as an adaptogenic herb that helps regulate stress and hormonal balance.

Maca supports the entire menstrual cycle by enhancing the follicular phase, supporting luteal surge for healthy ovulation, and promoting balanced estrogen and progesterone levels. Having a single herb that supports the full menstrual cycle is rare, making maca particularly valuable for women trying to conceive. However, it has not been studied for safety during pregnancy, so it is generally recommended to discontinue use once pregnancy is achieved.

Maca may also benefit metabolic health, particularly in blood sugar regulation and lipid metabolism. Another study on young adult women in 2022 demonstrated that maca significantly improved mood and energy levels. 

Choosing a Safe Maca Supplement

Due to concerns over heavy metal contamination in supplements, selecting a reputable brand is essential. Look for third-party testing to ensure purity and safety. The PCOS Supplement Guide recommends trusted brands that meet stringent quality standards.

Integrating Maca into a Holistic PCOS Management Plan

As with all supplements Maca should complement a comprehensive approach to PCOS that includes nutrition, physical activity, and medical care. While it supports hormonal balance and metabolic health, holistic lifestyle adjustments are crucial for effective long-term management.

Maca can be a helpful tool for fertility support, hormone balance, and metabolic health, but it is not a magic fix for PCOS. For more insights and resources, download our free PCOS Supplement Guide at www.supplementsforpcos.com,  and subscribe to our podcast for more episodes on PCOS management.

Let’s Continue The Conversation

Do you have questions about this episode or other questions about PCOS? I would love to connect and chat on a more personal level over on Instagram. My DMs are my favorite place to chat more.

 

So go visit me on IG @nourishedtohealthy.com

 

Let’s Continue The Conversation

Do you have questions about this episode or other questions about PCOS? I would love to connect and chat on a more personal level over on Instagram. My DMs are my favorite place to chat more.

 

So go visit me on IG @nourishedtohealthy.com

 

rate the podcast

Spread the Awareness

If you have found this podcast helpful please take just a moment to rate it and leave a review. This helps apple, spotify or whichever platform you use know to share this podcast with other women. I truely appreciate your help supporting as many women as possible

Read The Full Episode Transcript Here

Welcome back to the PCOS Repair Podcast! In today’s Supplement Spotlight, we’re diving into the role of maca in PCOS management. Maca is a plant native to Peru, long recognized for its medicinal properties as a natural remedy for various health concerns.

While maca is touted for a wide range of benefits—including mood support, antimicrobial properties, antioxidant effects, antiviral benefits, glycemic control, improved stress tolerance, and even UV protection—it is most commonly associated with menopausal symptom relief, fertility enhancement (both male and female), prostate health, libido support, and skin health. Some even claim benefits for chronic illnesses like cancer, anemia, and other metabolic conditions.

However, scientific research is limited in confirming many of these claims. What does have some scientific backing is maca’s role in fertility, libido, mood, energy, and stress tolerance. In this episode, we’ll take a closer look at the research, its potential benefits for PCOS, and how to choose a high-quality maca supplement.

How Maca Works in the Body

As with many supplements, scientific research on maca is limited, but there are some promising studies. Some research suggests that maca stimulates both the testes and ovaries, increasing fertility by enhancing sperm production in men and improving egg maturation and ovulation in women.

Maca appears to work through the hypothalamic-pituitary-adrenal (HPA) axis, which may explain its ability to improve stress tolerance. Because of this, maca is often classified as an adaptogenic herb—one that helps the body regulate stress and hormonal balance.

For female fertility, maca’s benefits extend throughout the entire menstrual cycle. It has been shown to:
✔️ Improve the follicular phase by supporting follicle-stimulating hormone (FSH)
✔️ Support luteinizing hormone (LH) surges for healthy ovulation
✔️ Promote balanced estrogen and progesterone levels

Having a single herb that supports the full menstrual cycle is rare, making maca particularly interesting for women trying to conceive. However, it has not been studied for safety during pregnancy, so it is generally recommended to discontinue use once pregnancy is achieved.

Maca’s Benefits for Metabolic Health

Beyond fertility, maca may also have metabolic health benefits, particularly in blood sugar regulation and lipid metabolism.

📌 Study #1: Diabetes & Blood Sugar Control
A study on diabetic mice found that those given maca extract had lower glucose levels compared to those that did not receive the supplement.

📌 Study #2: High-Fat, High-Fructose Diet & Metabolism
Another study examined hamsters fed a high-fat, high-fructose diet—a diet known to contribute to metabolic disorders. These animals were then given different doses of maca extract. The results showed:
✔️ No significant increase in body weight, liver weight, or fat accumulation
✔️ Improved insulin sensitivity and lowered cholesterol/triglycerides in the groups receiving moderate to high dosesof maca

While this research is promising, maca is not a substitute for a healthy lifestyle. No supplement can fully counteract an unhealthy diet long-term, but this study does suggest that maca may support metabolic pathways when combined with a balanced lifestyle.

Maca for Mood & Energy

A 2022 study on young adult women examined maca’s impact on energy and mood.

📌 Study #3: Mood & Energy Enhancement
In this human study, participants took 3 grams of maca daily for 12 weeks. The results showed that maca significantly improved self-reported mood and energy levels compared to the placebo group.

Additional observations from studies suggest maca may also:
✔️ Support cognitive function (reducing brain fog)
✔️ Have anti-inflammatory properties
✔️ Aid in digestion

While these findings are promising, more research is needed to confirm these benefits.

Who Should Avoid Maca?

🔹 Pregnancy & Breastfeeding – Maca has not been studied for safety during pregnancy, so it’s best to discontinue use if you become pregnant.
🔹 Hormone-Sensitive Conditions – Because maca can act like estrogen, it may not be suitable for individuals with:

  • Breast cancer
  • Uterine cancer
  • Ovarian cancer
  • Endometriosis
  • Uterine fibroids
    If you have any of these conditions, consult your healthcare provider before using maca.

Choosing a Safe Maca Supplement

💡 WARNING: Heavy Metal Contamination in Supplements
A 2018 study found that a woman who regularly consumed maca had elevated lead levels in her blood.Unfortunately, supplement contamination is a common issue, especially in green powders and herbal supplements.

Since supplements are not regulated as strictly as pharmaceuticals, it’s crucial to:
✔️ Choose a trusted brand that prioritizes quality and safety
✔️ Look for third-party testing for heavy metals, purity, and accurate labeling

In my PCOS Supplement Guide, I provide a list of recommended brands that meet high safety and efficacy standards. These brands are available through Fullscript, an online dispensary that only carries high-quality, third-party-testedsupplements.

🔗 Get the PCOS Supplement Guide at www.supplementsforpcos.com (link in show notes)

The Role of Supplements in PCOS Management

As a final note, supplements alone will not “cure” PCOS.

A holistic approach to managing PCOS includes:
✔️ Lifestyle adjustments – Nutrition, movement, and stress management
✔️ Medical care – Lab monitoring, medications (if needed), and birth control (if appropriate)
✔️ Targeted supplementation – To support but not replace lifestyle and medical interventions

Maca can be a helpful tool, particularly for fertility support, hormone balance, and metabolic health. However, no supplement can replace a healthy lifestyle or serve as a magic fix for PCOS.

Final Thoughts

If today’s episode was helpful, be sure to:
Download the free PCOS Supplement Guide at www.supplementsforpcos.com
Subscribe to the podcast so you never miss an episode
Follow me on Instagram (@NourishToHealthy) for more PCOS insights

Until next time, bye for now!

Take The PCOS Root Cause Quiz

   What Do Your Symptoms Mean?

  Discover your current PCOS Root Cause

Start to reverse PCOS at the root cause. 

Results are not guaranteed. Please see Medical Disclaimer for more detail.

Similar Podcasts You Will Enjoy

 Episode #162: The Science of Stress & What It’s Doing to Your PCOS

 Episode #162: The Science of Stress & What It’s Doing to Your PCOS

In this episode, discover how chronic stress can quietly sabotage your PCOS healing by disrupting hormone balance, driving insulin resistance, and worsening symptoms like irregular cycles, weight gain, and inflammation. Drawing on cutting-edge research, you’ll learn how your body’s stress response, designed for survival, can become overactivated in modern life, keeping cortisol high and hormones out of balance. You’ll also uncover practical strategies for identifying hidden stressors, repairing your stress response, and creating a lifestyle that supports both your metabolic health and fertility.

Episode #161: PCOS & Insulin Resistance: A Step-by-Step Guide

Episode #161: PCOS & Insulin Resistance: A Step-by-Step Guide

In this episode, you’ll uncover the truth about insulin resistance in PCOS, how it can exist even when your lab work appears “normal” and why it’s one of the most common yet overlooked root causes. You’ll learn how insulin resistance develops, the hidden ways it impacts energy, cravings, weight, and ovulation, and why recognizing it early can make all the difference in your hormone health. Plus, I’ll share practical steps to spot the signs, understand your test results, and start restoring balance with simple, targeted lifestyle changes that work with your body.

Episode #160: Rachel’s Fertility Breakthrough: A True PCOS Story

Episode #160: Rachel’s Fertility Breakthrough: A True PCOS Story

In this episode, you’ll hear Rachel’s inspiring story of overcoming PCOS-related fertility struggles by addressing chronic inflammation, a root cause often overlooked. Learn how simple, targeted changes to her diet and lifestyle helped her heal her gut, restore regular cycles, and conceive naturally, all without extreme restrictions.

About Show

Welcome to The PCOS Repair Podcast!

I’m Ashlene Korcek, and each week I’ll be sharing the latest findings on PCOS and how to make practical health changes to your lifestyle to repair your PCOS at the root cause.

If you’re struggling with PCOS, know that you’re not alone. In fact, it’s estimated that one in ten women have PCOS. But the good news is that there is a lot we can do to manage our symptoms and live healthy, happy lives.

So whether you’re looking for tips on nutrition, exercise, supplements, or mental health, you’ll find it all here on The PCOS Repair Podcast. Ready to get started? Hit subscribe now

Episode #139: PCOS Without the Pill: Alternative Management Strategies

Episode #139: PCOS Without the Pill: Alternative Management Strategies

Episode #139: PCOS Without the Pill: Alternative Management Strategies

This post may contain affiliate links. Please read my disclosure and privacy policy.

PCOS Without the Pill Alternative Management Strategies

What you’ll learn in this episode:

Today’s episode is dedicated to unraveling the complexities of birth control in the context of PCOS. Explore how synthetic hormones might influence PCOS symptoms and hormonal imbalances, providing you with a range of perspectives to help make informed decisions adaptable to different life stages.

Navigating Birth Control Choices Through Life’s Phases

This episode discusses whether birth control is the right choice for you based on your lifestyle needs. The best option during your teenage years may not be ideal in your twenties, thirties, or as you approach menopause. It also explores lifestyle adjustments, the choice between synthetic and bioidentical hormones, and various birth control methods. The goal is to empower you to personalize your approach based on how your body responds, your specific symptoms, and your overall health and lifestyle needs.

Understanding Your Menstrual Cycle and Hormonal Influence

Understanding the hormones of the menstrual cycle lays the foundation for understanding how birth control impacts your body. The cycle involves several key phases: the estrogen-powered follicular phase that prepares your ovaries for ovulation, the ovulation phase marked by a surge in luteinizing hormone and the release of the egg, and the luteal phase where progesterone prepares the body for a potential pregnancy or triggers menstruation pregnancy doesn’t occur. For those with PCOS, these phases are often irregular, leading to non ovulatitory cycles or difficulty predicting when it occurs despite using ovulation tracking tools. 

Exploring Alternative Birth Control Options

For those seeking non-hormonal methods due to side effects or personal preferences, we discuss alternatives such as the Copper IUD, barrier methods like diaphragms and condoms, and the Fertility Awareness Method, noting their specific considerations and effectiveness. This episode also discuses when and if birth control is needed. After listening you will have the consideration points necessary to decide if birth control is for you or not at this current time and more importantly how to manage your PCOS with lifestyle even if you do decide birth control is 

This episode emphasizes that there is no one-size-fits-all solution for managing PCOS with birth control. Understanding your body’s unique needs and maintaining open communication with your healthcare provider are key to finding the most suitable birth control approach.

Let’s Continue The Conversation

Do you have questions about this episode or other questions about PCOS? I would love to connect and chat on a more personal level over on Instagram. My DMs are my favorite place to chat more.

 

So go visit me on IG @nourishedtohealthy.com

 

Let’s Continue The Conversation

Do you have questions about this episode or other questions about PCOS? I would love to connect and chat on a more personal level over on Instagram. My DMs are my favorite place to chat more.

 

So go visit me on IG @nourishedtohealthy.com

 

rate the podcast

Spread the Awareness

If you have found this podcast helpful please take just a moment to rate it and leave a review. This helps apple, spotify or whichever platform you use know to share this podcast with other women. I truely appreciate your help supporting as many women as possible

Read The Full Episode Transcript Here

Welcome back to the PCOS Repair Podcast! Today, we’re diving into all things birth control and PCOS—how synthetic hormones interact with PCOS hormone imbalances and how they all work together. There’s no right or wrong answer here, but we’ll explore different perspectives and considerations to help you make informed decisions. These decisions are likely to evolve at different stages of your life.

What worked for you as a teenager may not be the best option in your twenties, thirties, or as you approach perimenopause and menopause. The decision to use synthetic or bioidentical hormones, birth control, or other hormonal interventions should be based on how your body responds, your symptoms, and your overall health and lifestyle needs. So, let’s dive in!

Understanding the Menstrual Cycle and Hormones

Before we get into how birth control works, let’s do a quick refresher on the menstrual cycle. Your cycle consists of three main phases:

  1. Follicular Phase: The first part of your cycle, starting on day one of menstruation, is dominated by estrogen. Estrogen stimulates the release of follicle-stimulating hormone (FSH), which helps mature follicles in the ovaries. One dominant follicle will eventually be released during ovulation.
  2. Ovulation: Around the midpoint of the cycle, a surge of luteinizing hormone (LH) triggers the release of a mature egg from the dominant follicle. This egg then travels through the fallopian tube, and you have a 72-hour window of fertility.
  3. Luteal Phase: After ovulation, progesterone rises to support a potential pregnancy. If fertilization doesn’t occur, progesterone drops, signaling the uterine lining to shed and triggering menstruation.

In women with PCOS, this cycle can be irregular. The follicular phase may be extended, making ovulation unpredictable. Ovulation tracking tools, such as basal body temperature (BBT) or ovulation predictor kits, can be helpful but may not always pinpoint ovulation accurately in women with PCOS.

How Birth Control Affects Your Cycle

Birth control works by overriding your natural hormonal cycle. There are several types:

  1. Combination Pills (Estrogen + Progestin): These prevent ovulation by suppressing FSH and LH. They also thicken cervical mucus and thin the uterine lining to prevent implantation.
  2. Progestin-Only Pills (Mini Pill): These primarily thin the uterine lining and are often used by breastfeeding women.
  3. Hormonal IUDs: These release progestin over several years, thinning the uterine lining and making implantation less likely. Unlike the pill, they don’t always prevent ovulation.
  4. Non-Hormonal Copper IUD: This doesn’t impact hormones but prevents pregnancy by creating an inflammatory response in the uterus that is toxic to sperm.
  5. Implant & Depo Shot: These release progestin over time, suppressing ovulation and thinning the uterine lining.
  6. Emergency Contraception (Morning-After Pill): A high dose of progestin that can disrupt the cycle and delay ovulation.

Birth Control and PCOS: The Pros and Cons

While birth control can help regulate cycles, reduce acne, and manage symptoms, it does not address the root causes of PCOS. Additionally, stopping birth control can cause hormonal imbalances to resurface, sometimes worse than before. Many women with PCOS find that after discontinuing birth control, their cycles become more irregular, or they struggle with weight gain, delayed ovulation, or prolonged anovulation.

Alternative Birth Control Options for Women with PCOS

If hormonal birth control isn’t the right fit, there are non-hormonal options:

  • Non-hormonal Copper IUD – Effective for long-term contraception without hormonal disruption.
  • Diaphragm – A barrier method that requires fitting from a healthcare provider.
  • Condoms – A simple, accessible contraceptive option.
  • Fertility Awareness Method (FAM) – Tracking ovulation to avoid pregnancy; however, it’s less reliable for women with irregular cycles.
  • Sterilization (Tubal Ligation or Vasectomy for Partner) – Permanent birth control for those who are done having children.

What to Do Before Choosing Birth Control

Before deciding on a birth control method, it’s important to:

  • Get comprehensive lab work to check hormone levels, insulin resistance, and other PCOS markers.
  • Understand your root causes and how they impact your cycle.
  • Consider lifestyle changes to support hormonal balance.
  • Consult with your doctor to determine the best approach based on your health and personal goals.

Final Thoughts

There is no one-size-fits-all answer when it comes to birth control and PCOS. It’s essential to understand your body, explore options, and make the best decision for where you are in life. Birth control can be a useful tool, but it’s important to know its effects and consider alternative options if needed.

I hope this episode provides clarity on how birth control interacts with PCOS and empowers you to have informed discussions with your healthcare provider. If you have any questions or want to continue the conversation, reach out on Instagram at @NourishToHealthy. Until next time, take care and be well!

Take The PCOS Root Cause Quiz

   What Do Your Symptoms Mean?

  Discover your current PCOS Root Cause

Start to reverse PCOS at the root cause. 

Results are not guaranteed. Please see Medical Disclaimer for more detail.

Similar Podcasts You Will Enjoy

 Episode #162: The Science of Stress & What It’s Doing to Your PCOS

 Episode #162: The Science of Stress & What It’s Doing to Your PCOS

In this episode, discover how chronic stress can quietly sabotage your PCOS healing by disrupting hormone balance, driving insulin resistance, and worsening symptoms like irregular cycles, weight gain, and inflammation. Drawing on cutting-edge research, you’ll learn how your body’s stress response, designed for survival, can become overactivated in modern life, keeping cortisol high and hormones out of balance. You’ll also uncover practical strategies for identifying hidden stressors, repairing your stress response, and creating a lifestyle that supports both your metabolic health and fertility.

Episode #161: PCOS & Insulin Resistance: A Step-by-Step Guide

Episode #161: PCOS & Insulin Resistance: A Step-by-Step Guide

In this episode, you’ll uncover the truth about insulin resistance in PCOS, how it can exist even when your lab work appears “normal” and why it’s one of the most common yet overlooked root causes. You’ll learn how insulin resistance develops, the hidden ways it impacts energy, cravings, weight, and ovulation, and why recognizing it early can make all the difference in your hormone health. Plus, I’ll share practical steps to spot the signs, understand your test results, and start restoring balance with simple, targeted lifestyle changes that work with your body.

Episode #160: Rachel’s Fertility Breakthrough: A True PCOS Story

Episode #160: Rachel’s Fertility Breakthrough: A True PCOS Story

In this episode, you’ll hear Rachel’s inspiring story of overcoming PCOS-related fertility struggles by addressing chronic inflammation, a root cause often overlooked. Learn how simple, targeted changes to her diet and lifestyle helped her heal her gut, restore regular cycles, and conceive naturally, all without extreme restrictions.

About Show

Welcome to The PCOS Repair Podcast!

I’m Ashlene Korcek, and each week I’ll be sharing the latest findings on PCOS and how to make practical health changes to your lifestyle to repair your PCOS at the root cause.

If you’re struggling with PCOS, know that you’re not alone. In fact, it’s estimated that one in ten women have PCOS. But the good news is that there is a lot we can do to manage our symptoms and live healthy, happy lives.

So whether you’re looking for tips on nutrition, exercise, supplements, or mental health, you’ll find it all here on The PCOS Repair Podcast. Ready to get started? Hit subscribe now

Episode #138: Mind Matters: Exploring PCOS and Mental Health

Episode #138: Mind Matters: Exploring PCOS and Mental Health

Episode #138: Mind Matters: Exploring PCOS and Mental Health

This post may contain affiliate links. Please read my disclosure and privacy policy.

Mind Matters: Exploring PCOS and Mental Health

What you’ll learn in this episode:

This episode explores the psychological impact of Polycystic Ovary Syndrome (PCOS), a crucial aspect usually overshadowed by the physical symptoms. This episode discusses insights from the research article “The Invisible Struggle: The Psychological Aspects of Polycystic Ovarian Syndrome”. This article shines a light on the social misconceptions and internal struggles faced by those dealing with PCOS, highlighting how these challenges go beyond the physical to affect mental health profoundly.

The Overlooked Psychological Struggles of PCOS

This episode explores the psychosocial burdens that individuals with PCOS endure. These struggles include dealing with social misconceptions, stigmatization, and the personal distress caused by the chronic nature of PCOS. Understanding these factors is crucial as they significantly influence the overall quality of life and emotional resilience of those affected. This episode will shed light on how to move past these struggles to better PCOS health both mental and physical.

Addressing PCOS with a Holistic Approach

By understanding the root causes—insulin resistance, chronic stress, and systemic inflammation—and employing strategies to manage these issues, women can not only alleviate their physical symptoms but also significantly improve their mental and emotional health. However, the ability to improve these root causes must involve a comprehensive strategy that addresses your emotional and mental health. By integrating strategies that address mental health and emotional wellness, women with PCOS can develop resilience, reduce the psychological burden of managing a chronic condition, and enhance their overall quality of life.

Empowering Self-Management and Advocacy 

By understanding your body better and the specifics of your health, you can better navigate your treatment options and advocate for more personalized care. Public awareness and healthcare provider education are also crucial in improving the diagnosis and management of PCOS.

Listen now to explore more about the psychological aspects of PCOS, the full research article by Deepika Diwani is available via a link below.

Let’s Continue The Conversation

Do you have questions about this episode or other questions about PCOS? I would love to connect and chat on a more personal level over on Instagram. My DMs are my favorite place to chat more.

 

So go visit me on IG @nourishedtohealthy.com

 

Let’s Continue The Conversation

Do you have questions about this episode or other questions about PCOS? I would love to connect and chat on a more personal level over on Instagram. My DMs are my favorite place to chat more.

 

So go visit me on IG @nourishedtohealthy.com

 

rate the podcast

Spread the Awareness

If you have found this podcast helpful please take just a moment to rate it and leave a review. This helps apple, spotify or whichever platform you use know to share this podcast with other women. I truely appreciate your help supporting as many women as possible

Resources & References Mentioned in this episode

 

Read The Full Episode Transcript Here

Welcome back to the PCOS Repair Podcast! If you’ve been listening for a while, you know that nourishment can have a tremendous impact on PCOS health, movement can make a significant difference in a PCOS-friendly lifestyle, and mindset plays a crucial role in making progress on your PCOS healing journey. But equally important—if not more so—is our mental health when it comes to PCOS.

Today, I’m excited to share a research article that delves into the psychological intricacies of PCOS, shedding light on often-overlooked aspects that significantly impact the lives of those with PCOS. The article we’ll be reviewing is titled “The Invisible Struggle: The Psychological Aspects of Polycystic Ovarian Syndrome,” conducted and written by Deepika Diwani and published on December 30, 2023.

The Overlooked Psychological Struggles of PCOS

While the physical symptoms of PCOS are often the primary focus in clinical settings, the psychosocial impact—the connection between our internal mental health and how we respond to external factors—is just as critical. Despite playing a pivotal role in our well-being, this aspect of PCOS is often overlooked.

This “invisible struggle” involves coping with social misconceptions and stigma. The article describes these experiences in rather negative terms—facing stigmatization and navigating negativity—but the reality is that many of us don’t even share that we have PCOS, and when we do, people often don’t understand it.

Many are familiar with common health conditions like high blood pressure or diabetes, but unless they or someone close to them has PCOS, they likely have little grasp of how deeply it affects multiple areas of life.

Even when people know something about PCOS, they may still be insensitive—whether intentional or not. For example, if you mention struggling with infertility, some people might say, “Oh, I’m sorry to hear that,” and then immediately shift to talking about their own pregnancy or how challenging it is to raise kids. That can feel isolating and frustrating.

Because of this, even if others don’t understand what we’re going through, it’s important that we do. Being aware of our own emotional responses to PCOS and how they affect us is essential for managing our mental well-being.

Understanding the Connection Between PCOS and Mental Health

This research article aims to help professionals better understand the internal struggles of women with PCOS. As a clinical study, it focuses on data rather than emotions, but it’s still encouraging to see this topic gaining attention.

One key takeaway is that PCOS and mental health are closely linked. Many assume that the emotional burden of PCOS is caused by its physical symptoms—fertility issues, irregular periods, weight gain, acne, and hair-related symptoms. And while those do contribute to anxiety and depression, the hormonal imbalances of PCOS themselves also increase the risk of mental health issues—even before any physical symptoms appear.

This creates a vicious cycle:

  • As hormonal imbalances worsen, they increase the risk of depression and anxiety.
  • As mental health declines, it becomes harder to make lifestyle changes to improve PCOS symptoms.
  • As PCOS symptoms persist, it reinforces feelings of frustration and hopelessness.

Breaking this cycle isn’t easy, but recognizing it is the first step. If you’re struggling with your mental health, it’s not your fault—and you deserve support. That support can come from healthcare providers, family, friends, coaches, and self-care strategies.

The key is to be patient and gentle with yourself. Healing doesn’t happen overnight. But small, consistent steps—like improving sleep, reducing stress, and prioritizing self-care—can slowly shift things in a positive direction.

The Diagnostic Challenges of PCOS

Like many research articles, this one begins with a review of what PCOS is. It explains that PCOS is diagnosed when a patient meets at least two of the following three criteria:

  1. Hyperandrogenism – This can be confirmed through blood tests (high testosterone or LH) or physical symptoms(facial hair, male-pattern hair loss, acne).
  2. Ovulatory Dysfunction – Typically indicated by irregular periods.
  3. Polycystic Ovaries on Ultrasound – The presence of multiple small follicles on the ovaries.

PCOS is the most common endocrine disorder in reproductive-aged women, affecting approximately 7% of female patients. The exact cause isn’t fully understood, but research suggests it results from a complex interaction between genetics and environment.

One of the most frustrating aspects of PCOS is the difficulty in getting diagnosed. Despite its prevalence, many women struggle for years before receiving a proper diagnosis. This is partly because PCOS has many different presentations:

  • Some women with PCOS are very thin.
  • Some only experience irregular periods without other symptoms.
  • Others have severe hair growth, acne, or weight gain.

Because of this wide variation, many healthcare providers overlook or misdiagnose PCOS. In reality, diagnosing PCOS isn’t that complicated—it just requires basic lab work and a thorough medical history.

Recommendations for Improving PCOS Awareness

The research article provides several recommendations for addressing these challenges:

  1. Public Awareness Campaigns – Increasing general knowledge about PCOS and dismantling stigma.
  2. Healthcare Provider Education – Ensuring doctors understand both the physical and emotional aspects of PCOS.
  3. Advocacy for Accurate Media Representation – Encouraging media portrayals that reflect the complexity of PCOS, rather than oversimplifying it.
  4. Empowering Individuals Through Knowledge – Helping women understand their condition so they can advocate for themselves.

Taking Ownership of Your PCOS Journey

While I fully support efforts to improve public awareness, medical education, and media representation, I also believe in focusing on what we can control.

At the end of the day, society’s understanding of PCOS is outside of our control—but our own health is within our control.

  • If you’re struggling, I’m so glad you’re here. I hope this podcast gives you the knowledge and tools to better understand your body.
  • There is a lot of misinformation out there. When I started learning about PCOS over 10 years ago, there was almost no information available. Now, there’s too much—and much of it is confusing or misleading.
  • The goal of this podcast is to help you filter through the noise and focus on what truly matters—understanding your unique body and making realistic lifestyle adjustments that work for you.

Final Thoughts

PCOS isn’t just about nutrition and exercise—our mental health matters too. Take a moment to check in with yourself. How are you really feeling? What small step can you take today to support your mental well-being?

As I wrap up, I challenge you to do at least one thing this week to support your mental health. It could be:

  • Getting some fresh air
  • Taking a mental break from social media
  • Enjoying a few minutes of sunshine
  • Prioritizing better sleep

Little things add up over time, and they can make a huge difference.

I’ll link the research article in the show notes in case you want to read more. And if you have any thoughts or questions, I’d love to hear from you over on Instagram @nourishedtohealthy.

Make sure you hit subscribe so you never miss an episode of the PCOS Repair Podcast.

Until next time—take care, be kind to yourself, and bye for now!

Take The PCOS Root Cause Quiz

   What Do Your Symptoms Mean?

  Discover your current PCOS Root Cause

Start to reverse PCOS at the root cause. 

Results are not guaranteed. Please see Medical Disclaimer for more detail.

Similar Podcasts You Will Enjoy

 Episode #162: The Science of Stress & What It’s Doing to Your PCOS

 Episode #162: The Science of Stress & What It’s Doing to Your PCOS

In this episode, discover how chronic stress can quietly sabotage your PCOS healing by disrupting hormone balance, driving insulin resistance, and worsening symptoms like irregular cycles, weight gain, and inflammation. Drawing on cutting-edge research, you’ll learn how your body’s stress response, designed for survival, can become overactivated in modern life, keeping cortisol high and hormones out of balance. You’ll also uncover practical strategies for identifying hidden stressors, repairing your stress response, and creating a lifestyle that supports both your metabolic health and fertility.

Episode #161: PCOS & Insulin Resistance: A Step-by-Step Guide

Episode #161: PCOS & Insulin Resistance: A Step-by-Step Guide

In this episode, you’ll uncover the truth about insulin resistance in PCOS, how it can exist even when your lab work appears “normal” and why it’s one of the most common yet overlooked root causes. You’ll learn how insulin resistance develops, the hidden ways it impacts energy, cravings, weight, and ovulation, and why recognizing it early can make all the difference in your hormone health. Plus, I’ll share practical steps to spot the signs, understand your test results, and start restoring balance with simple, targeted lifestyle changes that work with your body.

Episode #160: Rachel’s Fertility Breakthrough: A True PCOS Story

Episode #160: Rachel’s Fertility Breakthrough: A True PCOS Story

In this episode, you’ll hear Rachel’s inspiring story of overcoming PCOS-related fertility struggles by addressing chronic inflammation, a root cause often overlooked. Learn how simple, targeted changes to her diet and lifestyle helped her heal her gut, restore regular cycles, and conceive naturally, all without extreme restrictions.

About Show

Welcome to The PCOS Repair Podcast!

I’m Ashlene Korcek, and each week I’ll be sharing the latest findings on PCOS and how to make practical health changes to your lifestyle to repair your PCOS at the root cause.

If you’re struggling with PCOS, know that you’re not alone. In fact, it’s estimated that one in ten women have PCOS. But the good news is that there is a lot we can do to manage our symptoms and live healthy, happy lives.

So whether you’re looking for tips on nutrition, exercise, supplements, or mental health, you’ll find it all here on The PCOS Repair Podcast. Ready to get started? Hit subscribe now

Episode #137: LH Levels and PCOS: What You Need to Know

Episode #137: LH Levels and PCOS: What You Need to Know

Episode #137: LH Levels and PCOS: What You Need to Know

This post may contain affiliate links. Please read my disclosure and privacy policy.

LH Levels and PCOS What You Need to Know

What you’ll learn in this episode:

This episode goes deeper into the role of luteinizing hormone (LH) in regulating the menstrual cycle and its implications for those with PCOS. Discover the essential functions of LH, how it influences fertility, and why it’s particularly significant for understanding and managing PCOS symptoms and health.

Key Functions of Luteinizing Hormone

Luteinizing hormone plays a critical role in both men and women by regulating important aspects of the reproductive system. For women, LH is crucial for managing estrogen and progesterone levels, which are essential to creating the rhythm of the menstrual cycle’s phases. Learn how LH operates within a healthy cycle, including the sharp surge before ovulation, which is crucial for releasing the egg.

Challenges of LH Imbalance in PCOS

Many women with PCOS experience an imbalance in their LH-to-FSH (follicle-stimulating hormone) ratio, which can lead to disrupted menstrual cycles and challenges with ovulation. This section explains the typical LH imbalances seen in PCOS, how they affect the body, and the complications that may arise, such as the failure to trigger proper ovulation and the development of cystic ovaries.

Limitations of Ovulation Predictor Kits for PCOS

You will learn the limitations of ovulation predictor kits (OPKs) for women with PCOS, who may experience misleading results due to chronically elevated LH levels. Explore why these tools often fail to provide accurate readings and how they can lead to confusion about ovulation and fertility windows.

Addressing the Root Causes of LH Dysfunction in PCOS

Understanding and managing the underlying causes of elevated LH and testosterone levels can help improve their effects on the menstrual cycle and overall health. We discuss strategies to discover and manage the common triggers of LH imbalances in PCOS.

Let’s Continue The Conversation

Do you have questions about this episode or other questions about PCOS? I would love to connect and chat on a more personal level over on Instagram. My DMs are my favorite place to chat more.

 

So go visit me on IG @nourishedtohealthy.com

 

Let’s Continue The Conversation

Do you have questions about this episode or other questions about PCOS? I would love to connect and chat on a more personal level over on Instagram. My DMs are my favorite place to chat more.

 

So go visit me on IG @nourishedtohealthy.com

 

rate the podcast

Spread the Awareness

If you have found this podcast helpful please take just a moment to rate it and leave a review. This helps apple, spotify or whichever platform you use know to share this podcast with other women. I truely appreciate your help supporting as many women as possible

Resources & References Mentioned in this episode

 

Read The Full Episode Transcript Here

Welcome back to the PCOS Repair Podcast! Today, we’re going to talk about one of the most important hormones in our cycle, especially when trying to understand irregular cycles, ovulation timing, or fertility. This hormone plays a crucial role, and that is LH, or luteinizing hormone.

LH is a key reproductive hormone found in both men and women. In men, it stimulates testosterone production. In women, it helps regulate estrogen and progesterone levels, facilitating the cyclical hormone shifts that drive the different phases of the menstrual cycle.

How LH Functions in a Healthy Cycle

As a quick recap, we’ve discussed this in previous episodes, but essentially, LH levels are low at the beginning of the cycle. During this phase, estrogen is rising, helping to mature a follicle in the ovaries that will hopefully release an egg during ovulation. As estrogen increases, LH also gradually rises until it surges sharply—about 24 to 48 hours before ovulation. This LH surge signals the mature follicle to release the egg, enabling fertilization.

If pregnancy occurs, the fertilized egg implants in the uterine lining, and the body sustains progesterone levels. If pregnancy does not occur, progesterone levels drop, triggering menstruation and starting the cycle over again.

If you’ve ever taken progestin, a synthetic form of progesterone, to induce a period, it works by mimicking this natural progesterone drop. However, unlike natural progesterone, progestin doesn’t regulate the full hormonal symphony of rising and falling hormone levels. Instead, it simply signals the body to bleed. Some women find that after taking progestin, their body naturally resumes cycling, but others do not. This distinction is important to understand.

LH Imbalances in PCOS

One of the most common LH imbalances in PCOS relates to the LH-to-FSH (follicle-stimulating hormone) ratio. Ideally, LH and FSH should be at a 1:1 ratio throughout the cycle. However, testing LH and FSH can be challenging when cycles are irregular since timing is crucial.

In PCOS, we often see an LH-to-FSH ratio of 2:1 or 3:1, where LH levels are elevated compared to FSH. This disrupts the natural hormone pattern. Instead of the expected gradual LH rise, sharp surge, and decline, LH remains chronically elevated, which:

  • Interferes with estrogen and progesterone regulation
  • Fails to trigger ovulation properly
  • Leads to immature follicles that don’t fully develop or release an egg

This lack of proper ovulation creates a cycle where multiple follicles partially mature but never release, leading to cystic ovaries, a hallmark of PCOS. Instead of fully completing the cycle, the process stalls, leaving undeveloped follicles lingering in the ovaries.

Why Ovulation Predictor Kits (OPKs) Are Unreliable for PCOS

Many women with PCOS turn to ovulation predictor kits (OPKs) to track ovulation. However, these tests often provide misleading results due to chronically elevated LH levels.

Popular OPKs, such as Clearblue digital tests, display:

  • A blank circle (no LH detected)
  • A smiley face (moderate LH detected)
  • A blinking smiley face (LH surge detected)

Since PCOS often causes consistently high LH levels, these tests may display multiple positive results in a row, creating confusion. Women may assume they’ve ovulated or missed their fertile window when, in reality, ovulation may not have occurred at all.

Another common OPK method uses test strips that darken in color based on LH levels. Women with PCOS may see fluctuating or persistently dark results, leading to false confidence in ovulation timing.

Tracking Ovulation More Accurately

For women with PCOS, alternative tracking methods are often more reliable than OPKs, including:

  1. Basal Body Temperature (BBT) – Tracking waking temperature can help confirm ovulation after it happens.
  2. Mira Fertility Tracker – Provides quantitative hormone levels, tracking LH, estrogen, and progesterone more accurately.
  3. Bloodwork from a Doctor – Measuring hormone levels through lab tests can give more precise data, though it’s difficult to time with irregular cycles.

Understanding PCOS and LH Dysfunction

So, what causes elevated LH levels in PCOS? The primary driver is high testosterone levels.

Testosterone plays a key role in raising LH, which disrupts ovulation and menstrual cycle regularity. Women with high testosterone may also experience:

  • Acne
  • Facial hair growth (hirsutism)
  • Male-pattern hair thinning

To reduce testosterone levels, we need to address the underlying root causes of PCOS, including:

1. Insulin Resistance

  • High insulin levels stimulate the ovaries to produce excess testosterone.
  • Snacking frequently, consuming high-sugar foods, and a high-glycemic diet can lead to increased insulin production, worsening the hormonal imbalance.

2. Chronic Stress and High Cortisol

  • Stress triggers cortisol, which increases insulin levels, further exacerbating high testosterone.
  • Psychological stress, poor sleep, and over-exercising can all contribute.

3. Inflammation

  • Chronic inflammation can directly stimulate androgen (testosterone) production in the ovaries.
  • Anti-inflammatory lifestyle changes, such as a nutrient-dense diet, stress reduction, and balanced exercise, can help.

How to Improve LH Balance and Regulate Cycles

Since LH is at the top of the hormone pyramid, directly lowering LH isn’t straightforward. Instead, we must address the root causes affecting testosterone and insulin. Here’s where to start:

  1. Identify Your PCOS Root Cause – Determine if insulin resistance, inflammation, stress, or a combination is driving your symptoms.
  2. Track Your Cycle – Chart symptoms, BBT, and hormone levels over several months to identify patterns.
  3. Improve Diet and Lifestyle
    • Balance carbohydrates with protein and healthy fats to stabilize insulin.
    • Manage stress through self-care and quality sleep.
    • Incorporate regular movement to improve metabolism and hormone balance.
  4. Use Tracking Tools Wisely – OPKs can be misleading, but Mira, BBT tracking, and lab testing provide more useful data.

Final Thoughts

LH dysfunction in PCOS is a complex but manageable issue. By identifying the underlying causes, making lifestyle adjustments, and tracking progress, we can improve hormone balance, restore ovulation, and enhance fertility.

If you’d like to dive deeper into this topic, check out my PCOS Period Repair Manual at PCOSRepair.com. This guide covers:

  • How the menstrual cycle works
  • What’s happening in PCOS
  • How to repair hormonal imbalances

You can also reach out to me on Instagram (@NourishedToHealthy)—that’s where I chat with most of my listeners. Feel free to send me a message if you have any questions!

And don’t forget to subscribe so you never miss an episode. Until next time, bye for now!

Take The PCOS Root Cause Quiz

   What Do Your Symptoms Mean?

  Discover your current PCOS Root Cause

Start to reverse PCOS at the root cause. 

Results are not guaranteed. Please see Medical Disclaimer for more detail.

Similar Podcasts You Will Enjoy

 Episode #162: The Science of Stress & What It’s Doing to Your PCOS

 Episode #162: The Science of Stress & What It’s Doing to Your PCOS

In this episode, discover how chronic stress can quietly sabotage your PCOS healing by disrupting hormone balance, driving insulin resistance, and worsening symptoms like irregular cycles, weight gain, and inflammation. Drawing on cutting-edge research, you’ll learn how your body’s stress response, designed for survival, can become overactivated in modern life, keeping cortisol high and hormones out of balance. You’ll also uncover practical strategies for identifying hidden stressors, repairing your stress response, and creating a lifestyle that supports both your metabolic health and fertility.

Episode #161: PCOS & Insulin Resistance: A Step-by-Step Guide

Episode #161: PCOS & Insulin Resistance: A Step-by-Step Guide

In this episode, you’ll uncover the truth about insulin resistance in PCOS, how it can exist even when your lab work appears “normal” and why it’s one of the most common yet overlooked root causes. You’ll learn how insulin resistance develops, the hidden ways it impacts energy, cravings, weight, and ovulation, and why recognizing it early can make all the difference in your hormone health. Plus, I’ll share practical steps to spot the signs, understand your test results, and start restoring balance with simple, targeted lifestyle changes that work with your body.

Episode #160: Rachel’s Fertility Breakthrough: A True PCOS Story

Episode #160: Rachel’s Fertility Breakthrough: A True PCOS Story

In this episode, you’ll hear Rachel’s inspiring story of overcoming PCOS-related fertility struggles by addressing chronic inflammation, a root cause often overlooked. Learn how simple, targeted changes to her diet and lifestyle helped her heal her gut, restore regular cycles, and conceive naturally, all without extreme restrictions.

About Show

Welcome to The PCOS Repair Podcast!

I’m Ashlene Korcek, and each week I’ll be sharing the latest findings on PCOS and how to make practical health changes to your lifestyle to repair your PCOS at the root cause.

If you’re struggling with PCOS, know that you’re not alone. In fact, it’s estimated that one in ten women have PCOS. But the good news is that there is a lot we can do to manage our symptoms and live healthy, happy lives.

So whether you’re looking for tips on nutrition, exercise, supplements, or mental health, you’ll find it all here on The PCOS Repair Podcast. Ready to get started? Hit subscribe now

Episode #136: PCOS to Parenthood: Inspiring Fertility Case Studies

Episode #136: PCOS to Parenthood: Inspiring Fertility Case Studies

Episode #136: PCOS to Parenthood: Inspiring Fertility Case Studies

This post may contain affiliate links. Please read my disclosure and privacy policy.

PCOS to Parenthood: Inspiring Fertility Case Studies

What you’ll learn in this episode:

In this episode of the PCOS Repair Podcast! I’ll focus on a prevalent issue many women with PCOS face, illustrated through the journey of one of my patients Janelle. This episode uncovers the common challenges and misconceptions surrounding PCOS from adolescence through adulthood and gives you a window into what the path to PCOS freedom looks like.

Janelle’s Struggle with PCOS

Janelle’s PCOS symptoms began subtly with semi-regular periods during her teenage years, leading to a diagnosis and subsequent birth control treatment in her late teens. However, the temporary solution masked underlying issues, which surfaced dramatically when she discontinued birth control at 27 to start a family. The absence of natural periods post-birth control led Janelle through a frustrating cycle of unsuccessful fertility treatments, highlighting the need for a different approach to her PCOS management.

Achieving Natural Menstrual Regularity

After years of hormonal treatments with little success, Janelle sought an alternative strategy focusing on natural restoration of her menstrual cycle. During this episode I will walk you through what changes she made and how she approaches her PCOS health differently so that she could finally experience regular cycles and ultimately optimize her fertility.

Comprehensive Approach to Managing PCOS

This episode explores the importance of understanding the intricacies of PCOS and why conventional methods like birth control and reactive fertility treatments often fall short. Through Janelle’s experience, we’ll discuss the effectiveness of the Dutch test in providing a detailed hormonal landscape, which is crucial for tailoring treatment strategies that address specific imbalances and root causes.

Lessons from Janelle’s Journey

Janelle’s story will illustrate the powerful reminder of how important a proactive and informed approach to PCOS is. By integrating comprehensive hormonal testing and embracing a holistic lifestyle focus, women can significantly enhance their health and fertility. This episode will assist you seek out and advocate for personalized care and to explore all avenues for managing their PCOS effectively.

Let’s Continue The Conversation

Do you have questions about this episode or other questions about PCOS? I would love to connect and chat on a more personal level over on Instagram. My DMs are my favorite place to chat more.

 

So go visit me on IG @nourishedtohealthy.com

 

Let’s Continue The Conversation

Do you have questions about this episode or other questions about PCOS? I would love to connect and chat on a more personal level over on Instagram. My DMs are my favorite place to chat more.

 

So go visit me on IG @nourishedtohealthy.com

 

rate the podcast

Spread the Awareness

If you have found this podcast helpful please take just a moment to rate it and leave a review. This helps apple, spotify or whichever platform you use know to share this podcast with other women. I truely appreciate your help supporting as many women as possible

Read The Full Episode Transcript Here

Welcome back to the *PCOS Repair Podcast*! Today, I’m excited to share a very common scenario I hear from the women I work with who have PCOS. I’ll start by sharing one of my patient’s experiences—with her permission—and then highlight some of the common pitfalls women encounter from their teen years into their 30s, which collectively contribute to the challenges we see with PCOS. Let’s dive in!  

I want to share the journey of my patient, Janel. I didn’t meet her until her late 20s, but she came to me because she hadn’t had a natural period since stopping birth control. Since puberty, she had always had semi-regular periods—a pattern that’s very common in PCOS. Her cycles were regular enough that she didn’t feel the need to see a doctor, but just when she started to worry about her period being late, it would arrive. This often looked like cycles ranging from 35 to 40 days, or sometimes a couple of months with a 32-day cycle, followed by a three-month gap. By the time she considered making an appointment, her period would return.  

Because of this irregularity, Janel started birth control in her late teens after being diagnosed with PCOS. Her doctor prescribed it to regulate her cycles, and since she wasn’t trying to conceive at the time, she went along with it. She remained on birth control for about 10 years, stopping at age 27 when she and her partner were ready to start a family.  

After stopping birth control, her period never returned. At the six-month mark, she saw her doctor. Given her history with PCOS, they retested her hormones and, without waiting for her cycle to regulate naturally, moved forward with fertility treatments. She was given Provera, which triggered a withdrawal bleed, but her cycle didn’t regulate on its own in the following months. She was then prescribed Provera along with Letrozole for six months. Each month, she experienced a withdrawal bleed, but pregnancy didn’t occur.  

After six months, feeling frustrated and still in the dark about whether or not she was ovulating, Janel decided to take a break. She wanted to see if she could recover her hormones and regain a natural cycle. This is when she started exploring alternative options beyond Provera and Letrozole, which led her to me.  

While her ultimate goal was pregnancy, her immediate priority was to restore her natural cycle without medication. She felt like something was wrong with her body and was stressed about not knowing what was happening with her cycle. This is a situation I see frequently.  

Fast forward three months into our work together, Janel was having regular 28 to 30-day cycles. Not perfectly clockwork, but very consistent—about as regular as we can expect when managing PCOS. Regaining a cycle so quickly was a huge milestone. From there, we continued working toward pregnancy, but just having a predictable cycle was an incredible sign of progress. It reassured her that her body was functioning well and that she was on the right track.  

Why Does This Happen?  

This is such a common scenario—where mild irregularity before birth control turns into a complete hormonal disruption after stopping it. Unfortunately, conventional medicine offers very few tools to support natural cycle recovery. This is where we need to take a step back and focus on repairing the cycle, optimizing fertility, and improving overall hormone health.  

A regular menstrual cycle is a key indicator of hormonal health, so the first step is understanding *why* cycles become irregular. Irregular periods don’t just happen randomly—there’s always an underlying hormonal imbalance. Identifying the root cause is crucial, but testing can be difficult when cycles are inconsistent. Since many hormone tests depend on cycle timing, it can be tricky to interpret results accurately.  

One of the best tests available is the DUTCH test. There are two versions: the standard DUTCH test for those with relatively regular cycles and the DUTCH Cycle Mapping test for those who haven’t had a period at all. The cycle mapping version provides a full month of hormonal data, offering insight into ovulation timing, whether it happened early or late, and overall hormone patterns. Insurance doesn’t typically cover these tests, making them somewhat expensive, but they can provide invaluable information.  

If a DUTCH test isn’t an option, conventional blood tests can still provide useful insights. However, results should always be interpreted with an understanding of where you are in your cycle—whether you’re in the follicular phase, around ovulation, or in the luteal phase. Without that context, hormone levels can appear misleadingly high or low.  

How Do We Recover a Missing Period?  

Once lab work is done, the next step is determining the primary root cause of hormonal dysfunction. Some women have one dominant root cause, while others have multiple factors at play. Identifying these allows us to tailor lifestyle changes to support hormone balance effectively.  

When it comes to restoring cycles, two major factors make the biggest impact: **stress management and nutrition.** Exercise is important for PCOS health, but stress and nutrition tend to influence cycle recovery the most. Stress management isn’t about eliminating stress but rather learning how to respond to it in a way that supports hormonal balance.  

If you’ve been on birth control and your period hasn’t returned, it can feel incredibly frustrating—like nothing is working. But time and time again, I’ve seen that committing just **four months** to focusing on root causes, emotional well-being, and nutrition makes a huge difference. Most women see at least one or two periods in those first few months, and by six months, cycles often become more consistent.  

For those trying to conceive, six months can feel like an eternity. But without a regular cycle, pinpointing ovulation is nearly impossible. The best way to track ovulation is by monitoring your cycle with tools like **Mira** (which measures hormone levels in urine) or **BBT tracking** (which tracks basal body temperature). While BBT tracking is sufficient for most women, Mira provides additional hormonal insights throughout the cycle.  

The DUTCH test, on the other hand, offers retrospective insights—it won’t help with real-time ovulation tracking but is useful for understanding broader hormonal patterns. If you’re not having a period at all, it typically means you’re not ovulating, making pregnancy impossible without intervention. This is why many fertility treatments involve a cycle reset with Provera, followed by ovulation induction with medications like Clomid or Letrozole.  

The Best Approach to Fertility with PCOS  

While Clomid is effective, it often loses effectiveness after three to four months, which is why Letrozole is now more commonly used. However, these medications work best when the body is already in a state of balance.  

This is why I *highly* recommend taking a pause before jumping into fertility treatments. A few months of prioritizing hormone health can significantly improve fertility outcomes. I know that waiting feels unbearable when trying to conceive, but investing just four to six months in hormone recovery often leads to better, more sustainable results.  

Janel’s story is a perfect example. She always had irregular periods, but birth control masked the underlying issue. When she stopped taking it, her hormone feedback loops were completely disrupted. Instead of relying solely on medication, she focused on metabolic health, endocrine balance, and restoring her natural hormone cycle. Now, she has the option to try naturally or, if she chooses to use Letrozole again, she’s in a much better position for success.  

Final Thoughts  

I hope this episode gives you a clearer picture of the steps involved in cycle recovery and fertility optimization with PCOS. When we panic about missing periods and rush into fertility treatments without addressing the root causes, we often create more frustration. But by taking a step back, supporting our bodies, and allowing time for healing, we can set ourselves up for better results—both for natural conception and assisted fertility treatments.  

If you found this episode helpful, be sure to subscribe so you never miss a new release. And if you have any questions, I’d love to hear from you! Send me a message on Instagram—I always enjoy connecting with you.  

Until next time, bye for now!

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About Show

Welcome to The PCOS Repair Podcast!

I’m Ashlene Korcek, and each week I’ll be sharing the latest findings on PCOS and how to make practical health changes to your lifestyle to repair your PCOS at the root cause.

If you’re struggling with PCOS, know that you’re not alone. In fact, it’s estimated that one in ten women have PCOS. But the good news is that there is a lot we can do to manage our symptoms and live healthy, happy lives.

So whether you’re looking for tips on nutrition, exercise, supplements, or mental health, you’ll find it all here on The PCOS Repair Podcast. Ready to get started? Hit subscribe now