Navigating PCOS

Polycystic Ovary Syndrome (PCOS) is far more than just a reproductive issue; it's an intricate hormonal dance that can profoundly impact a woman. It affects approximately 1 in 10 women of reproductive age, yet it often goes undiagnosed or misunderstood, leaving many feeling isolated and frustrated.

PCOS is Not One-Size-Fits-All

The common misconception is that PCOS is a singular entity, a simple diagnosis. In truth, it presents in various forms, each with its own nuances and potential implications. It certainly isn’t as simple as seeing follicles on an ultrasound. Understanding the distinctions between the subtypes of PCOS is crucial for tailored support and effective management.

Insulin-Resistant PCOS

One prevalent type is Insulin-Resistant PCOS. Here, the body's cells don't respond efficiently to insulin, leading the pancreas to produce more of this hormone. This excess insulin can then trigger the ovaries to produce more androgens, such as testosterone and DHEA.

For an active woman this could manifest as persistent fatigue, difficulty managing weight despite exercise, or poor exercise recovery. These could be signs of insulin resistance at play, and impacting how the body utilises fuel.

Inflammatory PCOS

Systemic inflammation can exacerbate hormonal imbalances, contributing to symptoms like irregular periods, acne, and increased hair growth.

Women experiencing inflammatory PCOS might notice prolonged muscle soreness, slower recovery from injuries, or simply a feeling of overall "heaviness" that impacts agility and endurance.

Adrenal PCOS

Adrenal glands, rather than the ovaries, can be the primary source of excess androgens, often triggered by chronic stress.

This might be particularly insidious for women. Active women may further exacerbate stress through high-intensity and high-volume training loads.  

Symptoms might include persistent fatigue, anxiety, and brain fog that affects focus and decision-making. Others may have uncharacteristic irritability and mood swings. 

Post-Pill PCOS

Finally, Post-Pill PCOS can emerge after discontinuing hormonal birth control. While often temporary, it can mimic other PCOS symptoms as the body re-establishes its natural hormonal rhythm. This highlights the importance of individualised assessment and patience as the body recalibrates.

The Ripple Effect  

Irregular periods, weight fluctuations, and other visible symptoms can erode self-esteem and lead to significant emotional distress. A study revealed that women with PCOS report higher levels of depression and anxiety compared to other women. 

For a sportswoman, this can manifest as a diminished passion for their sport, difficulty staying motivated, or even body image issues that impact on confidence. 

Nurturing Resilience: Practical Support for Women with PCOS

While there's no single "cure" for PCOS, effective management strategies can empower women to reclaim their health.  A holistic approach is paramount, combining evidence-based lifestyle interventions with targeted support. Addressing PCOS requires a comprehensive strategy:

Nutrition:

Adopting a balanced diet rich in whole foods, lean proteins, healthy fats and unprocessed foods, can significantly improve insulin sensitivity and help regulate hormone levels. For instance, reducing refined sugars and processed carbohydrates can mitigate insulin spikes, thereby dampening androgen production.

Magnesium plays an important roll by signalling over 300 enzymatic reactions in the body and is critical to insulin signalling, glucose metabolism and bone health. Many women with PCOS are found to have magnesium deficiencies and clinical trials have shown supplementation may improve insulin and metabolic issues in PCOS and potentially alleviate symptoms like anxiety and muscle cramps.  

Exercise:

Regular, appropriate exercise is another cornerstone. While high-intensity training is often a part of an athlete's routine, incorporating a balance of strength training and moderate-intensity aerobic activities is beneficial. Resistance training, for example, can enhance insulin sensitivity and promote healthy muscle mass, which further aids glucose uptake. The key is finding a sustainable, balanced and enjoyable exercise plan that supports, rather than depletes, the body.

Stress Management:

Practices like mindfulness, yoga, and adequate sleep can reduce cortisol levels, positively influencing hormonal balance.

At the Athlete Sanctuary, we believe in stripping away the shame and leaning into the discomfort of open, honest dialogue. It’s about acknowledging the unique challenges, embracing the journey of discovery, and building a supportive team around you.