PCOS Types
PCOS can present in different ways in different people, which might influence your ability to get a correct diagnosis or impact what treatment options or lifestyle interventions are best suited to you. Read below for a quick rundown of Subtypes A thru D, but keep reading further for more functional/practical guidance!
PCOS Subtypes
Type A
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High Androgens
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Ovulation Problems
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Ovarian "cysts" (high number of follicles shown on ultrasound)
Type B
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High Androgens
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Ovulation Problems
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Normal ovarian ultrasound
Type C
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High Androgens
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Normal ovulation/menstrual cycles
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Ovarian "cysts" (follicles)
Type D
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Normal Androgens
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Ovulation Problems
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Ovarian "cysts" (follicles)
Functional Approach
I have found that the categories of PCOS "Type" mostly influence someone's ability to receive a proper PCOS diagnosis, but that digging deeper into how the body is functioning is more helpful in prioritizing treatment options. The slide deck below provides a few examples of common functional issues I see in PCOS. A weight-inclusive or HAES®-friendly approach can help you to manage PCOS no matter your size.
Insulin resistance
70% of PCOS patients experience insulin resistance, often linked to high androgens. Addressing this can significantly improve symptoms through strategies like nutrition, exercise, lifestyle changes, supplements, and medication. Personalized guidance can help you choose the right approach.