Hi, I'm Dr.Marc Sklar, The fertility expert, and welcome to fertility TV.
In this episode we're going to be talking about the different variations of PCOS.
So if you have PCOS or think you have PCOS and want to learn more, then stay tuned.
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Hi, I'm Dr.Marc Sklar, The Fertility Expert.
And I worked with couples from all over the world and locally here in San Diego to help
them get pregnant.
And one of the more common things that I see is PCOS.
And in a previous video I talked about what PCOS was.
And in this one I'm going to talk about the different variations of PCOS.
Now I know that might sound strange to all of you because most women are told and made
to believe that PCOS all looks the same.
There's one type of PCOS and either you look that way or you don't.
I'm here to tell you that I don't believe that that's accurate.
So the four key features that are important to recognize that women may have or may not
have, all of them are these four.
One is an irregular cycle or no psycho, but we'll call it irregular cycle, Two is increase
androgens, which can be testosterone, DHA and so forth.
Three is unwanted body or facial hair and not only, you know, kind of like the beard,
hopefully not excessive as mind but also down below the navel as well.
And then, around the nipples.
And then four is polycystic ovaries, which you have to see at least on an ultrasound
to visually inspect them.
Now I say the variations of PCOS cause I believe there's about 10 variations if we
want to like really condense it.
Then there's probably the more common like three or four types, but the, the 10 variations
up or upwards of 10 variations are basically the different variations of these four.
You know, do you have all four?
Do you have just two of those?
And do you have which two of the four do you have?
Right?
And those variations.
So you can have a combination of all of those, which will basically make you look and present
a little bit different than the classic PCOS type.
Additionally, this will affect your treatment.
So if you have all four then I would treat you very differently than if you just had
to and depending on what those two are, right?
Or one.
So because there's all these different types of variations, treatment has to be laid out
appropriately for each one of these.
So that's also why it's important to use testing to see what your hormones are like and what
they're doing because based on what your hormones look like, that will also play a part in what
what variation you have and then obviously the treatment for that.
You'll notice that in all of these I don't mention as a variation blood sugar and the
reason for that is is because blood sugar is pervasive and underlying in all of them,
underlying in any variation is some aspect of a blood sugar dysregulation.
It can be as extreme as diabetes or just a little dysregulation.
It really just depends and that variation will depend on the form of treatment.
We to regulate blood sugar, but for sure with PCOS there's always some sort of blood sugar
issue going on.
And the last thing I want to cover in this video is what I call a typical PCOS body type
or the thin PCOS type.
So about 50% of my patients who come in with PCOS are thin, petite and don't look like
they have any classic signs or symptoms of PCOS.
But once we do some testing, we do realize that they do have that.
And maybe one of the more common signs that they have is maybe an irregular cycle.
I find this typically in women who started exercising in their teenagers during puberty
and because of this fluctuation and shifting an increase of hormones in addition to this
intense working out because they're, they're not like working out, but they're playing
a lot of sports.
This kind of chemistry mixing up of hormones at this age really causes an explosion and
really triggers PCOS.
It causes an increase in androgens and causes a dysregulation of hormones.
And unfortunately that's a hard pattern to break because women who start at a young age
like that, they're predisposed to wanting to exercise and workout.
That's part of who you are as your personality.
And so that's a hard thing to, to regulate and pull back on.
So those are the different variations that are typically see a PCOS.
If you want more information on PCOS then you can find that in some of my other videos.
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