The Four PCOS Phenotypes

Polycystic ovary syndrome (PCOS) is a common hormonal disorder. When people think of PCOS, they typically think of the classic presentation of irregular cycles, acne, facial hair and difficulty with weight.

To be diagnosed with PCOS, an individual has to meet 2 of the 3 Rotterdam Criteria:

  1. Delayed ovulation or menstrual cycles

  2. Hyperandrogenism / elevated androgenic hormones

  3. Polycystic ovaries on ultrasound

With this criteria in mind, there are actually four different PCOS phenotypes that someone can fall into.

  • Type A: Delayed ovulation, hyperandrogenic and with polycystic ovaries present

  • Type B: Delayed ovulation, hyperandrogenic and without polycystic ovaries

  • Type C: Regular ovulation, hyperandrogenic and with polycystic ovaries present

  • Type D: Delayed ovulation, without hyperandrogenic signs and with polycystic ovaries present

Since there are different phenotypes of PCOS, determining which phenotype an individual may have can impact the individualized treatment strategy. For some individuals, symptoms of PCOS can be reversed and cycles can return to normal with natural lifestyle and supplemental changes. If you know or suspect you have PCOS and desire a holistic approach, book a free alignment call today.

Next
Next

Sleep Hygiene & Support