What Is Adrenal PCOS, and How Is It Different?
Adrenal PCOS is a lesser-known subtype of Polycystic Ovary Syndrome (PCOS), but it’s just as important to understand. Unlike the more common forms of PCOS, where the ovaries produce too many androgens (male hormones), Adrenal PCOS involves the adrenal glands. These glands, located above your kidneys, start producing too much of a hormone called DHEA-S, which can cause a lot of the symptoms associated with PCOS.
What Causes Adrenal PCOS?
The exact cause of Adrenal PCOS remains unclear, but certain factors can play a role:
- Genetics: If PCOS or hormonal imbalances run in your family, you may be at a higher risk.
- Stress: Chronic stress is a big factor. Your adrenal glands can overreact to stress, increasing androgen production.
- Insulin Resistance: Though less common in Adrenal PCOS, insulin resistance can still contribute to it.
- Hormonal Imbalance: Disruptions in the hypothalamic-pituitary-adrenal (HPA) axis can trigger the adrenal glands to release excess androgens.
The symptoms of Adrenal PCOS can be tricky because they overlap with other forms of PCOS. However, they often have a stronger connection to adrenal function. Common symptoms include:
- Irregular Menstrual Cycles: Skipped or unpredictable periods are a hallmark symptom.
- Hirsutism: Excess facial and body hair due to high androgen levels.
- Acne: Breakouts, especially around the chin and neck area.
- Weight Gain: Though less pronounced than in other types of PCOS, some women still struggle with maintaining a healthy weight.
- Fatigue: Hormonal imbalances can leave you feeling tired all the time.
- Hair Thinning or Loss: Many women experience thinning hair or even male-pattern baldness.
How Is Adrenal PCOS Diagnosed?
Diagnosing Adrenal PCOS usually involves blood tests to check your hormone levels, particularly DHEA-S. Your doctor may also recommend an ultrasound to rule out ovarian cysts, which are less common in this type of PCOS. A thorough review of your medical history and symptoms is also part of the process.
What Are the Treatment Options for Adrenal PCOS?
Treating Adrenal PCOS requires a targeted approach. Here are some options:
- Lifestyle Changes: Simple habits like regular exercise, eating a balanced diet, and managing stress can significantly reduce symptoms. Techniques like yoga and meditation are especially helpful for stress management.
- Medications:
- Oral Contraceptives: Birth control pills help regulate periods and lower androgen levels.
- Anti-Androgens: Drugs like spironolactone can block the effects of excess androgens, reducing symptoms like unwanted hair growth and acne.
- Metformin: Though primarily for insulin resistance, it can also regulate periods in some women with Adrenal PCOS.
- Adrenal-Specific Medications: In cases of high adrenal overactivity, glucocorticoids may be prescribed to reduce androgen production.
- Nutritional Supplements: Omega-3 fatty acids, inositol, and vitamins D and B12 can help support overall hormonal balance.
Can Adrenal PCOS Be Managed Effectively?
With the right treatment plan, managing Adrenal PCOS is possible. By combining lifestyle changes with personalised medical care, you can regain control of your hormonal health and improve your quality of life. If you suspect you might have Adrenal PCOS, consult with an expert at Kishori IVF, Bargarh, for a tailored diagnosis and treatment plan.
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