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Why PCOS May Be Getting a New Name

Elizabeth Willett - M.A., Certified Herbalist
July 17, 2021
Reviewed by Christine Traxler, MD

Polycystic Ovary Syndrome (PCOS) is a leading cause of infertility and is one of the most perplexing health issues of our time. In fact, because doctors aren’t sure what causes it, combined with the fact that women with this issue can present with a multitude of symptoms (which may not be the same from woman to woman), there has been a push for a name change for PCOS.

A health issue that directly impacts fertility, PCOS, was originally called the “Syndrome of Stein” and coined a “fugitive syndrome”, but currently goes by many other names:

  • Polycystic ovary syndrome (PCOS)
  • Polycystic ovary disease (PCOD)
  • Polycystic ovaries (PCO)

Having metabolic risk factors or a metabolic syndrome is the reason why many women have PCOS and, as a result, researchers and healthcare providers are questioning whether metabolic-related PCOS might need another name.

PCOS – Why Leaving the Current Name is Complicated

PCOS is becoming an increasingly common fertility-health condition affecting women of all reproductive ages and has multiple presentations. It is a benign condition that is the most common cause of anovulatory infertility.

The challenge in diagnosing and naming it is that no two cases of PCOS are the same. The definition of “polycystic” is “having many cysts”, yet some women do not have cysts; rather, they have several of the other symptoms.

“Patients read into the name and just think, ‘Okay, this is about my ovaries, it’s really not about anything else…’ But from a doctor’s perspective, the most worrisome aspects of the disorder are the long-term consequences, such as diabetes.” – Dr. Melissa Goist, ObGyn.

Symptoms can include the following reproductive presentations:

  • hormonal imbalance – often elevated levels of androgens, estrogen and luteinizing hormone (LH) and low levels of follicle-stimulating hormone (FSH)
  • irregular menstrual cycles, or absent periods (amenorrhea)
  • heavy menstrual blood loss
  • anovulation
  • enlarged ovaries and ovarian pain
  • presence of multiple ovarian cysts
  • excessive male-pattern hair growth (Hirsutism)

Many women with PCOS also have, or are at risk for experiencing:

  • obesity
  • insulin-resistance which increases production of androgens
  • high blood sugar
  • cystic acne
  • metabolic syndrome which increases the risk factors for heart disease and diabetes
  • heart disease and high blood pressure
  • chronic, low-level inflammation
  • mood disorders – contributed to by elevated levels of androgens, hormonal imbalance and obesity
  • endometrial hyperplasia and endometrial cancer

Although many women present initially with having high metabolic risk, metabolic syndrome and/or metabolism-related symptoms – insulin resistance, high blood sugar, obesity, high cholesterol, and high blood pressure – are not yet widely included in current diagnostic criteria.

According to the National Institutes of Health, “About one in three women with PCOS also has metabolic syndrome.” Although metabolic contributors are acknowledged by many healthcare providers, the symptoms and metabolic-related risk factors for this disorder are not identifiable on ovarian ultrasound tests, or apparent to radiologists/sonographers who are not trained to notice them. Prospective studies indicate that the form and structure (size, shape, or indication of past or present cysts) of an ovary alone does not identify those women with metabolic risk factors, or who have had past metabolic disease.

Should PCOS Go By More Than One Name?

A November 2013 publication in The Journal of Clinical Endocrinology & Metabolism titled Renaming PCOS–a two-state solution has brought to light that “It has become evident over the past 30 years that polycystic ovary syndrome (PCOS) is more than a reproductive disorder. It has metabolic sequelae* that can affect women across the lifespan.”

*Sequelae is defined as “a condition that is the consequence of a previous disease or injury.”

Radiologists and sonographers are well versed in seeing physical risk factors – cysts, enlarged ovaries and inflammation – but not in evaluating metabolic and hormonal risk factors, which the current diagnostic criteria for PCOS focuses on. Current diagnostic criteria come from two resources…

  • The National Institutes of Health (NIH) – The NIH identifies endocrine system malfunction as a result of the presence of hyperandrogenism and chronic anovulation, acknowledging both as primary contributors to PCOS.
  • The Rotterdam diagnostic criteria which identifies reproductive dysfunction (enlarged ovaries, multiple cysts, etc.) as the primary contributor to PCOS.

Researchers, scientists, and healthcare providers believe there is “rationale for a separate name for the syndrome that is associated with high metabolic risk…” In fact, the conclusion of Renaming PCOS–a two-state solution states that “There should be two names for the PCOS phenotypes: those with primarily reproductive consequences should continue to be called PCOS, and those with important metabolic consequences should have a new name.”

Two names being milled upon are “metabolic syndrome” and “metabolic reproductive syndrome”, according to the Renaming PCOS–a two-state solution article, but a new name has not been coined… yet.

Closing Thoughts

Creating another name comes with difficulty as a result of the multiple contributors to having PCOS. To add another layer to the debate is the recent publication of research in August 2015, which has identified an area of genetic markers in the DNA of women of European and Chinese descent, as a possible contributor to the development of PCOS.

Understanding the various presentations of PCOS and how these variations affect treatment options is an important first step. The article The Many Faces of Polycystic Ovarian Syndrome will teach you these presentations, but be sure to ask your healthcare provider to explain to you what type of PCOS it is that you have. This will help whomever you choose to work with to create the best PCOS fertility-health program for your needs.

References

  • Dunaif, A., & Fauser, B. C. (2013). Renaming PCOS—A Two-State Solution. The Journal of Clinical Endocrinology & Metabolism, 98(11), 4325-4328. doi:10.1210/jc.2013-2040. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3816269/
  • Northwestern University. (2015, August 19). Data mining DNA for polycystic ovary syndrome genes: Scientists identify PCOS susceptibility that appears to be unique to European women. ScienceDaily. Retrieved from: www.sciencedaily.com/releases/2015/08/150819103654.htm
  • PCOS | Polycystic Ovary Syndrome. (2018, August 28). Retrieved from: https://medlineplus.gov/polycysticovarysyndrome.html

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About the Author

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Elizabeth Willett - M.A., Certified Herbalist

Elizabeth Willett is the Senior Herbalist and Lead Educator at NaturalFertilityInfo.com. She holds a BS in Mass Communications (2000) from Minnesota State University, and a Master of Arts degree (MA, 2010) in Holistic Health Studies with a specialization is herbalism from St. Catherine University in St. Paul, MN. Liz has written over 200 articles on women's fertility and brings a vast wealth of knowledge and expertise in holistic health and healing to Natural Fertility Info.com

5 Steps To Improve Your Fertility Naturally

  • Learn the 5 different areas to focus on for optimal fertility health
  • Learn how to support hormonal health with herbs and essential oils
  • Tips on transitioning to a whole food fertility diet.
  • Self-care therapies to support your reproductive health

@NaturalFertilityInfo

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Based on new studies, we now know that this may not be true. 🤯

There are many factors that can have an impact on the health of the ovaries and eggs including environmental factors, hormones in the diet, and stress, just to name a few.

In addition, having healthy fertility is based on many additional aspects to consider, including:
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➡️ A healthy fertility cycle
➡️ Balanced hormones
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Egg health is one of the cornerstones of healthy fertility. 

The health of your eggs (ova) can affect whether or not fertilization and implantation will occur as well as the viability of a pregnancy.

During the cycle of an egg’s journey towards ovulation, there is a window of opportunity, a period of time, when certain factors can affect the health of the eggs that are preparing for ovulation. ⏳

This journey takes about 90 days. 

The steps you take today will impact the health of your eggs 3 months from now. 

That is why I talk so much about taking a MINIMUM of 90 days to prepare for pregnancy or IVF/IUI. 

🙂 The good news is that there are steps you can take to help support the health of your eggs. There is too much info to put into this tiny caption but….

Type EGG if you would like me to send you my Egg Health Checklist that takes you through all of the steps to take.👇👇

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3️⃣ Protect and remove any substances that are causing harm

4️⃣ Learn how to fertility chart and read your monthly cycle

5️⃣ Add lifestyle habits that help to support fertility health

🌼 To learn more on how to support your fertility naturally, type STEPS in the comments below to join my free mini-course - 5 Steps To Improve Your Fertility Naturally, where I go into detail on each of the 5 steps. 👇

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Fertility Cleansing for men is a big step in the right direction. 

👇 To learn more about the Fertility Cleansing type CLEANSE in the comments below and I will send you my Guide To Fertility Cleansing. 👇 

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Nutrition can make a big difference when you are wanting to prepare for pregnancy, support hormonal health or overcome fertility issues.

But it can sometimes be hard to start new habits.

One of my favorite ways to make lasting dietary changes is to focus on what you can add instead of only the things you shouldn’t be eating.

There are 5 specific things I have my clients add to their current diets every day.

🍌What they found after about 21 days of eating this way, they started to not only crave healthier foods, their body was giving them positive feedback through lighter cycles, better digestion, clearer skin and more energy. ⚡

While eating healthy is something you will need to do for the rest of your life, doing a challenge like this helps to give you a great jump start.

👇 If you would like to learn more about the Important 5 and start a 21 Day Fertility Diet Challenge. Type DIET in the comments below and I will send you the link 👇

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The Fertility Cleanse encourages the liver to cleanse the body of toxins and excess hormones, while also supporting the uterus in cleansing old stagnant blood and increasing circulation.

Ready to get started? 

👇 Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. 💪 

#FertilityJourney #ReproductiveHealth #Cleansing"

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🌱Learn how to balance your HORMONES naturally 👇

Here are 3 practical and affect ways to support your hormonal health.

One of the keys to see the best results is to stay consistent and learn as much about your body as you can.

1️⃣ Use liver supporting herbs

Herbs such as milk thistle have been shown to help the liver in it's natural ability to get rid of toxins and chemicals in the body.

This can make a big difference when it comes to hormone balance.

2️⃣ Do the Fertility Cleanse 1-2x per year

Support the body in it’s natural ability to get rid of excess hormones by doing a fertility cleanse.

3️⃣ Stop using skin care and cleaning products that contain hormone mimicking chemicals

Xenohormones mimic estrogen in the body and can cause imbalance.

👇 To learn more about the Fertility Cleansing type CLEANSE in the comments below and I will send you my Guide To Fertility Cleansing. 👇

#hormonehealth #hormonalhealth #periodhealth #naturalfertility #fertilitytips #fertilitydiet

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Should men do a Fertility Cleanse as well? 💪

A common misconception when it comes to fertility is that if there is an issue it is most likely going to be with the woman. 

This is simply not true. 

Statically fertility issues impact men just as often as women and lifestyle factors can make a big difference. 

The Male Fertility Cleanse Kit helps to support men to cleanse and detox excess hormones, toxins, increase circulation and promote hormone balance. 

👇 Drop MEN in the comments below & I will send you my Male Fertility Checklist with all the details on which herbs, supplements and foods to focus on in addition to cleansing 👇

#malefertilty #naturalfertility #gettingpregnant #fertilitytips

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Get ready to prep your body for conception with Fertility Cleansing 101 🌿

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By cleansing the uterus and liver through the use of herbs, you'll be supporting your body in preparation for conception. 

The Fertility Cleanse encourages the liver to cleanse the body of toxins and excess hormones, while also supporting the uterus in cleansing old stagnant blood and increasing circulation.

Ready to get started? 

👇 Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. 💪 

#FertilityJourney #ReproductiveHealth #Cleansing"

naturalfertilityinfo

View

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Get ready to prep your body for conception with Fertility Cleansing 101 🌿

The time leading up to pregnancy is crucial in creating a healthy foundation for your growing baby. That's where fertility cleansing comes in!

By cleansing the uterus and liver through the use of herbs, you'll be supporting your body in preparation for conception. 

The Fertility Cleanse encourages the liver to cleanse the body of toxins and excess hormones, while also supporting the uterus in cleansing old stagnant blood and increasing circulation.

Ready to get started? 

👇 Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. 💪 

#FertilityJourney #ReproductiveHealth #Cleansing"

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☕Reproductive Support Tea contains herbs that support, tone, and nourish the female reproductive system while supporting hormone balance.
It’s a soothing and effective fertility tea that provides just the right mixture of beneficial fertility herbs designed to help:

1️⃣ Nourish the uterus*
2️⃣ Support fallopian tube health.*
3️⃣ Help maintain normal ovarian function.*
4️⃣ Encourage normal uterine health.*
5️⃣ Support hormonal balance.

This tea is one of two teas in our Fertility Cleanse Kit. 

👇 To learn more about the Fertility Cleansing type CLEANSE in the comments below and I will send you my Guide To Fertility Cleansing. 👇 

What tea are you drinking today??

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View

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Open
Get ready to prep your body for conception with Fertility Cleansing 101 🌿

The time leading up to pregnancy is crucial in creating a healthy foundation for your growing baby. That's where fertility cleansing comes in!

By cleansing the uterus and liver through the use of herbs, you'll be supporting your body in preparation for conception. 

The Fertility Cleanse encourages the liver to cleanse the body of toxins and excess hormones, while also supporting the uterus in cleansing old stagnant blood and increasing circulation.

Ready to get started? 

👇 Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. 💪 

#FertilityJourney #ReproductiveHealth #Cleansing"

naturalfertilityinfo

View

Mar 21

Open
Get ready to prep your body for conception with Fertility Cleansing 101 🌿

The time leading up to pregnancy is crucial in creating a healthy foundation for your growing baby. That's where fertility cleansing comes in!

By cleansing the uterus and liver through the use of herbs, you'll be supporting your body in preparation for conception. 

The Fertility Cleanse encourages the liver to cleanse the body of toxins and excess hormones, while also supporting the uterus in cleansing old stagnant blood and increasing circulation.

Ready to get started? 

👇 Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. 💪 

#FertilityJourney #ReproductiveHealth #Cleansing

naturalfertilityinfo

View

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Open
🥚 In the past, a common belief was that the only factor which determines ovarian and egg health was age. 

Based on new studies, we now know that this may not be true. 🤯

There are many factors that can have an impact on the health of the ovaries and eggs including environmental factors, hormones in the diet, and stress, just to name a few.

In addition, having healthy fertility is based on many additional aspects to consider, including:
➡️ Proper circulation
➡️ A healthy fertility cycle
➡️ Balanced hormones
➡️ Healthy eggs

Egg health is one of the cornerstones of healthy fertility. 

The health of your eggs (ova) can affect whether or not fertilization and implantation will occur as well as the viability of a pregnancy.

During the cycle of an egg’s journey towards ovulation, there is a window of opportunity, a period of time, when certain factors can affect the health of the eggs that are preparing for ovulation. ⏳

This journey takes about 90 days. 

The steps you take today will impact the health of your eggs 3 months from now. 

That is why I talk so much about taking a MINIMUM of 90 days to prepare for pregnancy or IVF/IUI. 

🙂 The good news is that there are steps you can take to help support the health of your eggs. There is too much info to put into this tiny caption but….

Type EGG if you would like me to send you my Egg Health Checklist that takes you through all of the steps to take.👇👇

naturalfertilityinfo

View

Mar 20

Open
5 Steps you can take to help support your fertility naturally…. 👇

1️⃣ Cleanse and prepare the body for conception

2️⃣ Nourish the body with fertility supportive foods

3️⃣ Protect and remove any substances that are causing harm

4️⃣ Learn how to fertility chart and read your monthly cycle

5️⃣ Add lifestyle habits that help to support fertility health

🌼 To learn more on how to support your fertility naturally, type STEPS in the comments below to join my free mini-course - 5 Steps To Improve Your Fertility Naturally, where I go into detail on each of the 5 steps. 👇

#naturalfertility #fertilitytips #gettingpregnant #hormonehealth #hormonalhealth

naturalfertilityinfo

View

Mar 19

Open
Get ready to prep your body for conception with Fertility Cleansing 101 🌿

The time leading up to pregnancy is crucial in creating a healthy foundation for your growing baby. That's where fertility cleansing comes in!

By cleansing the uterus and liver through the use of herbs, you'll be supporting your body in preparation for conception. 

The Fertility Cleanse encourages the liver to cleanse the body of toxins and excess hormones, while also supporting the uterus in cleansing old stagnant blood and increasing circulation.

Ready to get started? 

👇 Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. 💪 

#FertilityJourney #ReproductiveHealth #Cleansing"

naturalfertilityinfo

View

Mar 19

Open
What does the Fertility Cleanse Kit include and how to use the kit. 

A common misconception when it comes to fertility is that if there is an issue it is most likely going to be with the woman. 

This is simply not true. 

Statically fertility issues impact men just as often as women and lifestyle factors can make a big difference. 

The Male Fertility Cleanse Kit helps to support men to cleanse and detox excess hormones, toxins, increase circulation and promote hormone balance. 

👇 Drop MEN in the comments below & I will send you my Male Fertility Checklist with all the details on which herbs, supplements and foods to focus on in addition to cleansing 👇

#malefertilty #naturalfertility #gettingpregnant #fertilitytips

naturalfertilityinfo

View

Mar 18

Open
Is it okay to start a kit and the Fertility Cleanse at the same time?

Do you have natural fertility questions? Type them below. We are happy to help!

naturalfertilityinfo

View

Mar 18

Open
📈 Fertility charting will help you to better understand your current hormonal state, when or if you are ovulating and other information about your cycle that will help to bring clarity to your fertility path.

Some things you will be able to see on a fertility chart….📈

🌸Thyroid function
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🌸When and if you are ovulating
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🌸Length of follicular phase
🌸Length of luteal phase
🌸Pregnancy

👇To begin learning how to fertility chart, type CHART into the comments below and I will share a link to my getting started to fertility charting guide. 👇 

#fertility #fertilitycharting #fertilitytips #fertilitycoach #naturalfertility

naturalfertilityinfo

View

Mar 17

Open
The Fertility Cleanse kit is one of the best ways to prepare for conception. 

It's the first step we suggest for most couples when they start trying to get pregnant. 

With over 680 five star reviews, the Fertility Cleanse Kit is by far a customer favorite. 

You can find the Fertility Cleanse Kit on our website. Link in the bio... @naturalfertilityinfo

Want to learn more? 

👇 Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. 💪
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