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Does PCOS Cause Early Menopause?

Polycystic ovary syndrome (PCOS) is a hormonal condition that affects millions of women. Usually those with PCOS start showing early signs shortly after puberty, and the symptoms reach their peak during reproductive years. These chronic symptoms include infertility, fatigue, weight gain, headaches, excessive hair growth on the face/body, head hair loss, sleep problems, mood swings, and more! 

Where do these symptoms come from? The root issues of PCOS are inflammation, insulin resistance, and, of course, hormone dysregulation! Some of the hormones that are out of whack are sex hormones like estrogen, testosterone, and progesterone. If you’re a Cyster and you’re hopeful for symptom relief and PCOS healing, you’ve probably wondered if menopause will bring an end to your chronic symptoms. It’s a great question!

So, today, I am dedicating this post to discussing how PCOS impacts menopause. We’ll get into all the details, so you know what to expect as you reach your 50s! 

does pcos cause early menopause

Does PCOS Cause Early Menopause?

No. PCOS doesn’t cause early menopause. In fact, Cysters often experience delayed menopause! However, some symptoms of menopause are similar to PCOS, so it can be easy to mistake the two. Some overlapping symptoms of PCOS and menopause are: 

  • Irregular or Absent Periods: Menopause is usually marked when you have a full year of no periods. So, when a woman experiences amenorrhea with PCOS, it can be mistaken for menopause. 
  • Hot Flashes: Hormonal imbalances in both PCOS and menopause can affect the hypothalamus, which is the part of the brain that regulates body temperature. This can make the body feel hot.  
  • Mood Swings: Hormonal imbalances, insulin resistance, sleeping issues, and more can cause mood swings in PCOS. Mood issues are common with menopausal hormone changes, too! 
  • Weight Gain: Women with PCOS struggle to lose weight due to insulin resistance. With menopause, it’s because of hormone shifts! A big drop in estrogen can lead to an increase in androgen levels and insulin resistance. This results in the accumulation of abdominal fat similar to PCOS belly.  
  • Sleep Disturbances: That drop in estrogen (as well as a dip in progesterone) can impact sleep in menopause. Similarly, the hormone imbalances affect sleep with PCOS. 
  • Acne and Skin Problems: Low female hormone levels is to blame for this one, too! Drops in estrogen with menopause can lead to excess oil and reduced collagen production. PCOS causes acne due to elevated androgens levels, while other skin problems with PCOS (like skin darkening and skin tags) result from insulin resistance. 
How Does PCOS Affect Menopause

How Does PCOS Affect Menopause

The hormonal imbalances of polycystic ovarian syndrome (PCOS) can affect menopause in quite a few ways. It’s a good idea for Cysters to be aware of how they may experience menopause differently before this season of life begins. Here’s what you can expect: 

Cysters experience menopause later than average. 

Most Cysters reach menopause later than other women. Menopause sets in for most women at around 50, but Cysters may not experience menopause for a few years after that! This is because women with PCOS have a larger ovarian reserve, which means more follicles (eggs) in the ovaries, which lengthens our reproductive lifespan. (More on this below!)

Hormones decline more gradually in perimenopause. 

Women with PCOS often experience a more gradual decline in hormones during the perimenopause phase. The unpredictable hormone fluctuations caused by irregular menstrual cycles, prominent insulin resistance, and elevated levels of male hormones all contribute to a slower decline in the hormones that trigger menopause. 

This means people with PCOS will have a longer perimenopause phase, which is the transitional period that leads into menopause. It usually starts in a woman’s 30s or 40s as hormones start to change. Symptoms usually include hot flashes, night sweats, mood swings, sleep disturbances, and vaginal dryness. It can be hard to spot since many of these symptoms overlap with PCOS symptoms. 

Increases the risk of osteoporosis, type 2 diabetes, and cardiovascular disease.

As women transition into menopause, the risk of osteoporosis, type 2 diabetes, and cardiovascular disease naturally increases due to shifts in hormone levels. Estrogen plays a key role in bone health, so as it declines, bone density decreases—raising the risk of osteoporosis. At the same time, insulin resistance tends to worsen with age, making blood sugar management more challenging and increasing the risk of type 2 diabetes and heart disease.

For women with PCOS, these concerns are even greater. Many Cysters already struggle with high blood sugar and estrogen imbalances long before menopause, meaning these risks start earlier and can become more severe if left unaddressed. The good news? There are steps you can take now to support your long-term health, balance your hormones, and reduce your risk of complications down the road!

The symptoms of menopause can be challenging. 

Because hormone levels in women with PCOS are already imbalanced, fluctuations during perimenopause and menopause just fuel the fire. This can increase your risk factors for long-term complications and make the symptoms of PCOS and menopause more complicated. You’re probably familiar with the symptoms of PCOS, but here are some common menopausal symptoms:

  • Vaginal Dryness
  • Decreased Libido 
  • Hot Flashes
  • Night Sweats
  • Irregular Periods
  • Mood Changes 
  • Sleep Disturbances
  • Increased Urinary Frequency
  • Memory Problems 
  • Thinning Hair
  • Acne and Skin Texture Changes 

The good news? Addressing your hormonal imbalances and the root causes of PCOS now can help ease both PCOS and menopause symptoms down the road. Making intentional lifestyle shifts—like following an anti-inflammatory gluten- and dairy-free diet, prioritizing slow-weighted workouts, improving sleep hygiene, and taking high-quality supplements for PCOS—can set you up for success. Taking these steps before menopause can help you feel your best, lower your risk of complications, and create a lifestyle where you can truly thrive with PCOS!

Learn more by reading my essential guide to naturally managing PCOS.

Supplements to Support PCOS Through Menopause

Your body needs all the support it can get when going through this big transition. Taking supplements is one of the best ways you can ensure all your systems have the fuel they need to function optimally. For the best results, choose a supplement brand like Ovafit that’s clean, third-party tested, highly bioavailable, and made specifically for women with PCOS. 

Here’s what I recommend:

  • Inositol: This supports insulin sensitivity, helps maintain steadier energy, improves mood, and reduces cravings. These are all key benefits as estrogen declines and insulin resistance becomes harder to manage during menopause.
  • Omega-3: This reduces inflammation, supports heart health, and may ease menopausal symptoms such as mood swings and joint stiffness.
  • Multivitamin: This provides foundational nutrients that are often depleted during perimenopause and menopause. A good formula should include B vitamins to support energy and mood, vitamin D and K2 to maintain bone strength, vitamin E for antioxidant protection and hot-flash support, and minerals like zinc and selenium to help balance thyroid function and overall hormone health. For more, read my guide to PCOS multivitamins
  • Berberine: This is a powerful insulin-sensitizing supplement that helps counter the natural rise in insulin resistance that occurs with age, supporting healthier blood sugar and metabolism.
  • Curcumin: This offers potent anti-inflammatory benefits that help reduce joint pain, calm systemic inflammation, and support metabolic health during hormonal transitions.
  • Probiotics: These help maintain a balanced gut microbiome, support digestion and immunity, and promote healthier blood sugar regulation as hormone shifts impact digestive and metabolic function. Here are the best probiotics for PCOS.
When Does Menopause Start With PCOS?

When Does Menopause Start With PCOS?

Perimenopause, the transition into menopause, starts in a woman’s late 30s or 40s. A Cyster will probably experience perimenopause later on that spectrum! Menopause itself will start at the earliest around 50, but many women with PCOS go through menopause a year or more after that. 

As I mentioned earlier, women with PCOS actually have a higher number of follicles (aka eggs) in their ovarian reserve, which can extend reproductive years. This might seem surprising since PCOS is often linked to fertility struggles, but having more eggs doesn’t necessarily mean they’re maturing properly. High androgen levels (male sex hormones) can prevent eggs from fully developing, leaving many small, immature follicles. So, while Cysters may have a larger ovarian reserve, overall egg quality tends to be lower. Because of this, PCOS can sometimes delay menopause, as the body continues producing hormones for a few extra years beyond the typical timeline.

Does PCOS Go Away With Menopause?

Unfortunately, no—PCOS isn’t just a reproductive condition; it’s a metabolic one, too. So, menopause does not cure PCOS. While some symptoms, like high testosterone, may ease up after menopause (which can mean less acne, hair loss, or excess facial and body hair), other issues like insulin resistance and inflammation don’t just disappear on their own. In fact, they can get worse if left unmanaged, leading to symptoms like high body mass index, fatigue, poor sleep, mood swings, and immune issues.

But here’s the good news: even though PCOS doesn’t go away, you can take charge of your symptoms at any stage of life! By targeting the root causes—insulin resistance, inflammation, and hormonal imbalances—you can feel your best before, during, and after menopause. Inside The Cysterhood app, we guide you through lifestyle changes designed to support your body for the long haul!

Three women with in yoga clothes holding yoga mats
PCOS does not cause early menopause. In fact, menopause starts late for many Cysters!

If you have PCOS, approaching menopause can feel overwhelming—but it doesn’t have to be! The best thing you can do is start supporting your body now so you can step into this next chapter feeling strong, confident, and in control of your health. We’re here to help every step of the way! Stay tuned to the PCOS Weight Loss blog and A Cyster and Her Mister podcast for all the resources, expert insights, and encouragement you need. Because yes, Cyster—you can thrive with PCOS, even after menopause!

Facts About PCOS That Change Everything: Why Tallene Is Passionate About PCOS Education

Vulnerability time. Today I’m sharing some of the difficult parts of my personal story in the hopes that my experience will provide encouragement and solidarity if you’ve been diagnosed with polycystic ovary syndrome (PCOS). It can be a scary diagnosis, and because of the chronic nature of the symptoms, it can also feel like you’re doomed to discomfort, unexplainable weight gain, and even infertility. But I am living proof that a PCOS diagnosis is reversible, and managing it can become your superpower.

Tallene PCOS Education

Facts About PCOS That Change Everything: Why Tallene Is Passionate About PCOS Education

I love sharing my journey with polycystic ovary syndrome (PCOS), because there was so much that I learned along the way that made me say, “Ah! If only I knew this sooner?” So, in this post, I wanted to share my experience and what I learned along the way in hopes it’ll help the next Cyster!

First of all, let’s clarify what PCOS is. PCOS is a common hormone disorder that affects women of reproductive age. It doesn’t *just* cause irregular periods and ovarian cysts like people think. Symptoms of PCOS include fatigue, weight gain, mood swings, excessive hair growth, and acne. These are due to root issues like inflammation, insulin resistance, and high levels of androgens and other hormonal imbalances.

Not only is PCOS difficult to live with day-to-day, but it increases you risk of long-term complications like type 2 diabetes, ovarian cancer, cardiovascular disease, and sleep apnea. It’s a lot to deal with! People with PCOS find out they have this condition usually through a blood test and symptom evaluation by a professional. Once a diagnosis is made . . . of there seems to be little hope for healing. Cysters are prescribed birth control pills and told to lose weight.

It’s incredibly frustrating. Just know, I’ve been there. Here’s my story:

My PCOS Diagnosis and Weight Loss Struggles

I’m Tallene, creator and founder of PCOS Weight Loss, and yes, a fellow Cyster. I was diagnosed with PCOS at age 18 when I was rushed to the emergency room for a ruptured ovarian cyst (small fluid-filled sacs on the ovaries). In a way, the diagnosis was a relief, because it explained so much of the frustration I had been feeling regarding my weight. I was kickboxing twice a day and not losing a single pound, and cutting calories only left me feeling hungry and crabby. In short, I was miserable.

In desperation, I asked my doctor for more information on how to manage my diagnosis—but I was so disheartened to learn that birth control was my only option. I didn’t want to accept it; there must have been a more natural way! After two years I made the bold decision to quit synthetic hormones. Unfortunately, my weight ballooned to an extra thirty pounds heavier, despite all my efforts to continue exercising and eating right.

I hated the idea of birth control. But I also hated the excess weight and felt powerless to control it. Nothing was working. I was all the more determined to research all I could about the disorder. I consulted with naturopathic doctors and sought alternative remedies for my condition. I knew there must be alternative solutions out there… natural ways to empower my body to heal itself. 

Facts About PCOS That Change Everything

Learning to Say “Ciao!” to Chronic Inflammation

In 2011 I had the opportunity of a lifetime: a summer in Italy studying the culinary arts! And although it may seem unlikely seeing I was in the land of pasta and parmesan, I learned to cut out gluten and dairy. Yes, I said “Ciao!” to spaghetti, fettuccine, and linguine, and all the cheese you sprinkle on top. But you know what else makes up Italian cuisine? A Mediterranean diet: locally prepared meats, healthy oils, plenty of fish, and lots and lots of fresh vegetables. I was onto something.

The dietary changes seemed to unlock my weight loss mystery. It turns out that both gluten and dairy can cause a lot of inflammation in the body, something that was detrimental to my PCOS condition. Of course, gluten and dairy are in a lot of foods, and it was a little intimidating to make the decision to cut out these major food staples. But thanks to a job at a gluten and dairy-free grocery store when I got back, it was actually easy to adopt this new lifestyle. And because my body felt so much better, I decided to avoid gluten and dairy for good.

I knew I was heading in the right direction. What else could I tweak to improve my health, I wondered. Perhaps my exercise regime needed a little fixing. So I swapped kickboxing for yoga, and boom! I lost ten pounds. Turns out that yoga addresses chronic inflammation as well as manages stress, which was the key to managing my PCOS holistically.

Rediscovering Better Health

The gains I had made were all the more motivating to continue researching and learning. The next step on the journey was enrolling in grad school to study Nutritional Science. On the medication front, I started taking the supplement Ovasitol, and miracle of miracles, my menstrual cycles became regular once again. That was a HUGE breakthrough since the time I decided to quit birth control four years prior. 

My body was healing. The right foods and the right supplements gifted me real results. I couldn’t wait to share my own experience with my clients. 

In 2016 I started working with a (very cute!) PCOS personal trainer named Sirak. He introduced me to slow, weighted exercises, which were really different from the hours of kickboxing I used to do at the gym. The result? Ten pounds just melted off. 

I finally passed the necessary exams to become a registered dietitian, and I decided to specialize (surprise, surprise!) in helping other women understand and manage PCOS. My journey of challenge and hardship had become a means to help thousands of women, and I couldn’t imagine a more fulfilling career.

Hope for Women with PCOS

Hope for Women with PCOS

Sirak and I married in 2019, and together we have developed a program that offers support and real solutions for women with PCOS who want to get control back of their health. My hope is that women will discover effective options for their PCOS symptoms without having to navigate the murky misinformation I had to sort through. My dream is to be the resource to other women that wasn’t available to me all those years ago.

Sirak and I make a great team. He edits and produces the content for our program, keeps PCOS management entertaining and hosts our podcast with me.  

Even though I had to learn the best methods for managing PCOS over the course of a decade, you don’t have to! Together Sirak and I have created an easy and supportive program, and our “Cysterhood” of women reversing their symptoms has become the largest, most supportive community for women with PCOS.

Embrace Your Own Superpower

So how can PCOS become your superpower? Let my personal story serve as an inspiring example. Even though PCOS may have been a devastating diagnosis initially, it was the catalyst for preventative health, the reason for meeting my soulmate and husband, and it has led to a fulfilling career helping a community of women. I’ve heard before that the bit of extra testosterone in women with PCOS, makes us more driven and determined…and I agree. I am living proof that you don’t just have to live with PCOS… you can thrive! 

Are you ready to thrive? You can start by taking a quick (and fun!) quiz to determine your PCOS Type. I want to help you regain control of your PCOS and ultimately reverse your symptoms!

PCOS And False Positive Pregnancy Tests: Causes, Myths, and Solutions

Polycystic ovary syndrome (PCOS) is a common condition that affects a woman’s reproductive hormones. Of course, because of its impact on the reproductive system, women with polycystic ovary syndrome (PCOS) often experience symptoms like infertility, ovarian cysts, pelvic pain, bloating, heavy periods, and irregular menstrual cycles. 

These reproductive symptoms can be challenging for any Cyster, but especially those trying to conceive. (Here’s more on how PCOS affects pregnancy.) Imbalances of estrogen, testosterone, progesterone, and other hormones can reduce egg quality, stop ovulation, hinder implantation, disrupt sperm transport, increase miscarriage risk, and make it difficult to know when you’re pregnant at all. 

Not only does the irregularity of your periods make it difficult to know when to take a pregnancy test, but many first trimester pregnancy symptoms overlap with daily PCOS symptoms. And, with all the reproductive hormone imbalances, you may be wondering if pregnancy tests are reliable at all! 

So, today I’m going to discuss pregnancy tests! I’ll talk about whether or not pregnancy tests are dependable for us Cysters, when you should take one, how you should take one, and what type works best for PCOS. 

PCOS And False Positive Pregnancy Tests

PCOS And False Positive Pregnancy Tests: Causes, Myths, and Solutions

Many women with PCOS experience crazy period irregularity! This is because of imbalances of hormones like testosterone. When you have elevated androgens (male sex hormones), your ovaries don’t get the proper signaling to produce and release eggs. 

Ovulation usually triggers the production of progesterone to thicken the uterine lining, which will eventually be shed during your period. But, with no ovulation, no progesterone is produced, so no period happens at all! As long as hormones remain dysregulated, periods can be super irregular or absent altogether. 

We all know people usually take pregnancy tests a few days after their missed period. It’s often the first sign for women that they may be pregnant! However, a missing period isn’t abnormal to most Cysters, making it difficult to determine a good time to take a pregnancy test. And, after all, without the proper hormone production, should a woman with PCOS even trust a pregnancy test?

Let’s get into it:

How Do Pregnancy Tests Work?

Home pregnancy tests detect pregnancy by measuring a hormone called human chorionic gonadotropin (hCG). It only enters the bloodstream and your urine when your body begins developing a placenta. The pregnancy test uses antibodies that are specifically designed to bind with hCG. That way, when you pee on a test strip (or dip it into urine) it picks up on even small amounts of hCG. 

A pregnancy blood test that you’d receive at the doctor also measures hCG, but it measures exact amounts of hCG. They’re also significantly more sensitive. They can confirm pregnancy at as little as 6 days after ovulation, whereas an at-home pregnancy test won’t detect hCG until closer to 12 days after ovulation. 

Can PCOS Cause A False Positive Pregnancy Test?

Yes! There are rare circumstances where PCOS can cause a false positive pregnancy test. Many women with PCOS have elevated levels of luteinizing hormone (LH), which is a hormone involved with ovulation. LH is structurally similar to hCG, so low-quality tests can, in rare circumstances, struggle to distinguish between the two, offering a false positive pregnancy test. 

There’s one other way PCOS can cause a false positive pregnancy test. Certain types of ovarian cysts can produce small amounts of hCG. Corpus luteum cysts, theca-lutein cysts, and luteinized unruptured follicles (LUFs) can all produce hCG in rare cases. 

Is it Common with PCOS to Get a False Negative Pregnancy Test?

You may be thinking: what about false negatives? These are much more common in women in general! When women test too early (which is easy to do if you’re not sure when you last ovulated), the hCG amounts may be too low to be detected on an at-home pregnancy test. Old tests may also lose their effectiveness over time and fail to detect lower levels of hCG.

other reasons for false positive pregnancy tests

Other Reasons for False Positive Pregnancy Tests

Chemical Pregnancy

A chemical pregnancy is a very early miscarriage that occurs 6-12 days after ovulation (or before 5 weeks pregnant). Shortly after implantation, the pregnancy fails to progress due to hormone imbalances, chromosomal abnormalities, uterine issues, poor immune health, low egg quality, stress, or other factors. 

Sometimes when you test, you get a positive pregnancy test from the small amount of hCG that has been released, despite the fact the pregnancy has already ended. Usually, a day or two after the false positive, you’ll get negative tests due to the hCG rapidly dropping. 

Evaporation Lines

All pregnancy tests have a set time when you should read the results—most recommend somewhere between 3 and 10 minutes. If you attempt to read the test after that set reading time, it may show a false positive. This is because the urine has dried up on the test, leaving a faint, colorless streak that can be mistaken for that “second line.” 

Blue dye tests tend to be more prone to evaporation lines, so use pink dye tests and toss them after they’ve read negative by the recommended reading time. 

Fertility Treatments or Medications 

Some Cysters undergo fertility treatments to get pregnant with PCOS. When you participate in IUI or IVF, you’ll probably be given “trigger shots” to induce ovulation. The trigger shots contain hCG, and enough of it that it can show up on a pregnancy test even before fertilization or implantation occurs. 

Medical Conditions

There are a few medical conditions out there like Gestational Trophoblastic Disease (GTD), molar pregnancy, pituitary tumors, and certain types of cancers that can sometimes cause a false positive, because they all trigger the body to produce hCG at the wrong time. 

Expired or Faulty Tests

Old, damaged, or faulty tests may not function like they’re supposed to. They’re way more likely to deliver a false negative result, but in some cases, they can cause a false positive—especially when you consider how evaporation lines could be mistaken for a positive pregnancy test! 

Recent Pregnancy or Miscarriage 

If you’ve recently experienced a pregnancy loss or were pregnant, your hCG levels may still be elevated. This can result in a positive pregnancy test even after the pregnancy has ended. It typically takes a few weeks for hCG to leave your system completely, but the timeline is different for everyone. If you’re navigating this, please know you’re not alone—give yourself grace, and reach out for support if you need it.

Are False Positive Pregnancy Tests Common​?

No. Getting a positive result on a pregnancy test and not being pregnant is incredibly rare. These tests are designed to detect human chorionic gonadotropin (hCG). This hormone is only produced after a fertilized egg implants in the uterus.

The only time a pregnancy test would come back positive when you’re not pregnant is if you recently had a miscarriage (even if you don’t know you had one, like in the event of a chemical pregnancy). Or, if you read a pregnancy test after the recommended time window laid out in the instruction manual, it may appear positive. This happens because the urine has dried and an evaporation line has formed.

Can a UTI Cause a False Positive Pregnancy Test?

No. There’s no reason a urinary tract infection (UTI) would cause a false positive pregnancy test. 

What Medications Can Cause a False Positive Pregnancy Test?

The only medications that would potentially cause a false positive pregnancy test are certain fertility medications. Before IVF or IUI, women often receive an hCG trigger shot, which can make a pregnancy test appear positive. Because of this, fertility doctors will tell you the exact date you should test for pregnancy after your injection to ensure you’re getting an accurate result.

When To Take A Pregnancy Test With PCOS

The general rule is to take a pregnancy test a few days after your missed period to get accurate results but with irregular periods, you may have no idea when you’ve ovulated or “missed” your period! This is especially true if you don’t track your menstrual cycles by taking ovulation tests. (Here’s more on how to track ovulation with PCOS!) 

If you don’t know where you are in your cycle, pay attention to your body and identify irregular symptoms. Some PCOS symptoms and first trimester pregnancy symptoms overlap, but here are distinct pregnancy symptoms you can watch out for: 

  • Nausea and vomiting 
  • Breast tenderness
  • Frequent urination
  • New food cravings and aversions
  • Dizziness or lightheadedness
  • Spotting
  • Heightened sense of smell and smell aversions
  • Increased basal body temperature 
  • Changes in cervical mucus
  • Leg cramps 
  • Vivid dreams

What Is The Best Pregnancy Test For PCOS?

Most pregnancy tests on the market are going to give you accurate, reliable results despite PCOS! However, I recommend you get something that’s sensitive to lower levels of hCG and uses pink dyes or a digital readout to avoid evaporation lines. Here are some good options:

how to take a pregnancy test with pcos

How To Take a Pregnancy Test With PCOS

Step 1: Determine if it’s time to test. 

Consider your symptoms, when you had sex, and where you may be in your cycle. With that information, determine the best time to test, which is going to be 12-14 days post-ovulation. 

Step 2: Choose the right type of pregnancy test. 

Choose a pregnancy test that uses pink dye or a digital readout. And, for the most accurate results, get an early response test. 

Step 3: Take the test first thing in the morning. 

Your first pee of the morning will have the highest concentration of hCG, so it’s the best time to get a reliable result! 

Step 4: Wait 3-10 minutes to read the results. 

Follow the directions on the box for reading times! Usually they’re between 3-10 minutes. Wait for the full duration to pass before interpreting the results.

Step 5: Read the results and make a plan for next steps. 

Time to read the results! If the result is negative, discard the test before a potential evaporation line appears. You can make plans to test again in a few days or see your doctor for whatever unusual symptoms you’re experiencing. 

If the result is positive, congratulations! It’s probably not a false positive—remember, they’re rare! However, you can continue to test over the next few days. If the lines continue to get darker, your hCG levels are rising, showing you’re definitely pregnant! 

Step 6: If positive, follow-up with your doctor right away. 

Once you get a positive test, follow-up with your doctor right away, even if you have fears it may be a false positive. Either way, something is going on that’s producing hCG, and that needs medical attention. As I said, false positives are rare, so chances are you’re pregnant! 

Prenatal care is always important, but it’s especially important with PCOS, when certain hormonal imbalances could increase the risk of miscarriage. See your doctor as soon as possible to make plans for the healthiest pregnancy possible. 

Here’s my post on how to have a healthy pregnancy with PCOS

Step 7: Confirm with a blood test if needed. 

If there are any doubts you’re pregnant, your doctor will order a blood test to measure the exact levels of hCG. They may even run multiple tests over a few weeks to ensure your hCG levels are increasing as expected. 

False positive pregnancy test results are rare, but are possible with PCOS!

When you have PCOS, knowing what’s happening in your body can be really difficult. There’s so much chaos, it can be easy to miss changes that are signalling you’re pregnant. That’s why it’s so important to start naturally healing your PCOS and reversing your symptoms. 

Your body doesn’t have to be in a state of chaos you can bring back harmony using a gluten- and dairy-free anti-inflammatory diet, slow-weighted exercises, better sleep hygiene, the right supplements, and other intentional lifestyle changes. For preconception supplements specific for women with PCOS, be sure to check out Purely Prenatal. You can find out more on the PCOS Weight Loss blog and on The Cysterhood app. It’s time to take back control of your fertility and overall health! 

My PCOS Story and Struggles

My PCOS Story and Struggles

Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder that affects how the ovaries work. Symptoms include acne, irregular periods, mood swings, fatigue, inflammation, lack of ovulation, male pattern baldness, and weight gain. 

I got diagnosed with PCOS (Polycystic Ovary Syndrome or Polycystic Ovarian Syndrome) pretty quickly, which is actually very uncommon among people with PCOS. It was right after I had a ruptured ovarian cyst, which was so painful that I ended up in the hospital! After my hospital visit, I went to the gynecologist who formally diagnosed me. Women with PCOS are often diagnosed based on whether they have ovarian cysts, however, this isn’t the only diagnostic criterion. 

You need 2 out of the 3 symptoms of PCOS to be diagnosed: 1. Ovarian cysts, 2. Irregular periods, 3. Hyperandrogenism. (You can also find out through a comprehensive blood test like this one.)

You can read this post to learn more “What Does PCOS Stand For? Understanding the Condition.”

My PCOS Story And Struggles

My PCOS Story and Struggles

I had all these symptoms, although I don’t remember being asked during my appointment. The next thing my doctor did was offer me birth control, and when I went home, I felt I had no choice but to take it. I didn’t know what it was, what was happening, or that there might be any other option. She never explained any details.

I went home, hopped on google, and found some pretty overwhelming information! So with that, I figured I should probably take that birth control she gave me. In hindsight, I feel that I should have been monitored more closely. I didn’t even know the side effects of birth control like the potential mood swings, weight gain, etc. Everyone else was on it, so I thought it would be fine. Luckily nothing serious happened, but I still had questions…what was actually going on? 

By the time I went to college, I knew I wanted to study health…but how could I do that if I didn’t understand my own health? Am I healthy? Why am I on birth control? That’s when I decided to get off of it and soon enough, all of my PCOS symptoms started to spiral out of control: mood swings, weight gain, cravings, an irregular menstrual cycle, cystic acne, excess hair growth…

I decided to visit some more ObGyns and to my disappointment, they still didn’t explain in detail what was going on hormonally.

A Naturopathic Doctor For PCOS Makes All the Difference

Perhaps I wanted to know more about the “science,” while it seemed we only had time in these appointments for a band-aid “solution.” Too often, women with PCOS are encouraged to lose weight without any further nutritional guidance. Nevertheless, I kept investigating my health. (This is something I often say on Instagram, “Keep investigating your health” – it’s even a gif on Instagram Story when you type in the word “cysterhood”!)

It wasn’t until I started seeing naturopathic doctors that I finally started learning what was happening. First things first, they said to reduce inflammation, as this can exacerbate insulin resistance (which can lead to weight gain, cravings, fatigue, more hormonal imbalances, and even type 2 diabetes.) I started by cutting out gluten and dairy from my diet. In the past, I had cut out calories and carbs. 

That was a miserable experience, it worsened my mood, made my cravings worse, and delayed my period even more! But cutting out gluten and dairy actually helped me feel better…my skin cleared, I was less bloated, less fatigued, and my water retention reduced significantly. I didn’t feel puffy and uncomfortable in my own skin, it was amazing progress! Don’t get me wrong, it wasn’t easy at first, but when I saw the benefits…I was all in!

Of course, my PCOS journey doesn’t end there. There are multiple components to PCOS weight loss. Although my diet was less inflammatory, I was still working out like crazy. I used to go kickboxing almost every day, sometimes twice a day! My stress hormones were running wild and it was affecting my blood sugar and carb cravings. (Here’s more on PCOS and high cortisol/stress hormone levels.)

One of my naturopathic doctors even told me I needed to “just relax!” and stop working out so much. Stop studying for hours instead of sleeping. Stop stressing and meditate more. It was the first time someone seriously sat me down and said something like that, and I listened. I swapped out kickboxing for yoga, set boundaries on when to study and when to relax, and started prioritizing my mental health. The next thing I knew, my grades were going up, my brain was less foggy, and I just felt happier.

“MY JOURNEY DOESN’T END THERE. IT WAS STILL THE BEGINNING!”

I Needed the Right Exercise and a Gluten- And Dairy-Free Diet

PCOS diet

Once I finished college at Chapman University, I went to grad school to study nutrition. I was working as a nutritionist at a meal prep delivery company, where I would create menus and nutrition labels. It was truly the perfect job for me at the time, not only was I happy in my position but I was also getting free food! It was perfectly portioned out, which really helped me learn what a proper portion size looked like. You would be surprised what 3oz of steak looks like when it’s weighed and portioned out! It’s great to track your meals temporarily like this just to learn what portions look like. 

So at this point, I’m doing yoga, eating proper portions of gluten and dairy-free foods…when suddenly I swiped right on Tinder and met Sirak, my husband, and personal trainer. Fast forward to one of our dates when we went to the gym and he taught me how to do slow workouts with weights while taking 60-second rests between each set. I was like…What?! I felt that burn and I saw definition in my body for the first time without feeling fatigued afterward and getting beat up by intense workouts.

I eventually had to move away for a few months to do my hospital rotations to get my Registered Dietitian license.

At this point, I got the workouts down, the gluten and dairy-free portion sizes, and the yoga. I was feeling good and was managing my symptoms. Later I realized that while I was working at the hospital, I was actually doing intermittent fasting too and I was walking 10,000 steps a day.

Thanks to a combination of diet and exercise, I was really slimming down! I ate 3 meals a day, with one small snack, which helped with keeping my insulin levels low. I was also doing a 12-hour intermittent fast. I walked 10,000 steps a day by going from room to room at the hospital. The combination of walking, going gluten and dairy-free, and weighted workouts…was really working out for me!

PCOS Symptoms Are a Thing of the Past

It took me so much trial and error and so many years to really narrow down what’s working for me and what’s not working for me. It also took time to adapt to these lifestyle changes. I encourage you to keep an open mind as you try new lifestyle changes and investigate your health. Listen to your body and ask yourself, “what’s working for you?”

PCOS healthy diet

This is my story, and I’m happy to share it with you because these suggestions can be life-changing. The method that we share is based on years of my experience while studying to become a Registered Dietitian. We have taken my knowledge of metabolism and the naturopathic approach to reverse my PCOS and created The Cysterhood where everyone can access it. We’ve seen some incredible transformations. Don’t give up on reversing your PCOS!

Heal your PCOS with the help of Sirak and me!

If you’re not sure where to start on your journey, first, download The Cysterhood app. That’s where the best PCOS-healing recipes, workouts, resources, and support are held! Beyond that, check out these posts and podcast episodes to start making your plans to reverse this difficult hormonal disorder. You can live symptom-free with PCOS!

Why didn’t my doctor tell me how to reverse PCOS?

“I just got back from my gynecologist appointment and I have no idea what to do now that I’ve been diagnosed with PCOS. He told me to stop eating ‘so much’ so I could lose some weight and handed me a birth control prescription.”

I was put into this situation, like many Cysters, (women with PCOS) out there. I look back on the past 10 years, and the first 5 were such a struggle just trying to figure out what to do to manage my uncontrollable weight gain, acne, mood, irregular periods—the list goes on! 

It wasn’t until I finally found the right doctor, Dr. Felice Gersh, that I felt heard and understood. I was so lucky to have her! But not every doctor is like her. She is a gynecologist, and she also studied functional integrative medicine. That’s why she was able to give me advice beyond taking birth control, like changing my diet to eat gluten- and dairy- free! 

She recently wrote a book, PCOS SOS, in which she talks about her approach in a very comprehensive way. Give it a read!

Why can’t all gynecologists be like her?

Why Didn’t My Doctor Tell Me How To Reverse PCOS?

Oftentimes, we think that our doctor should carry all the answers to our ailments. However, doctors are trained to save lives, not treat chronic ailments like PCOS. If you want to take on a more holistic approach to treating your PCOS, it’s important to do a bit of investigation to find the right gynecologist or naturopathic doctor that will treat you with the approach you’re looking for. Perhaps you’ll want to see multiple healthcare practitioners like: gynecologist, acupuncturist, naturopath, endocrinologist, and registered dietitian.

So, next time you go to the doctor and you’re told to “eat less and workout more,” this is because that’s all they have learned. The field of medicine is so large and the amount of work and study for doctors is very intense. Like many chronic illnesses, PCOS is not studied in depth. There are thousands of chronic illnesses, and it takes years to master and understand each one. A better understanding of a specific chronic illness requires specialization.

What Doctor To See For PCOS?

If you’re looking for a doctor who specializes in PCOS and has a functional approach, here are 3 things to look for:

1 – They should know the benefits of inositol for PCOS.

Studies show that inositol works just as effectively as metformin. That is why you see me jumping up and down about Ovasitol, a combination of inositols, which has worked so effectively for Cysters in healing insulin resistance.

2 – They should be open to doing an ultrasound to check for ovarian cysts.

I personally like to go to the gynecologist once a year to make sure my ovaries are clear of ovarian cysts. Since being consistent with my gluten- and dairy-free lifestyle, my “string of pearls” ovarian cysts have disappeared.

3 – They should understand why it is so hard to lose weight with PCOS.

Nothing is worse than being told to “just lose weight” when you’re already trying, and then being blamed for not being able to. PCOS is associated with metabolic dysfunction, which means that the steps you take to lose weight should align with healing your metabolism – not cutting calories and carbs in an extreme way while working out 2 times a day.


All that being said, here’s who you may need by your side to reach your health goals:

Gynecologist

PCOS impacts a woman’s reproductive system in a big way, so you definitely need a gynecologist. A gynecologist will do a lot of diagnosis and monitoring by performing physical exams, ultrasounds, and blood tests. They can also provide fertility support and keep an eye on long-term complications like endometrial cancer, metabolic disorders, and more. 

Acupuncturist

Acupuncture can be a beneficial complementary therapy for managing PCOS! It can help regulate hormones, improve blood flow, reduce dress, increase insulin sensitivity, and provide pain relief. Here’s more on how acupuncture can help with PCOS

Naturopath

Naturopaths focus on treating the root cause of the disease and use natural remedies as much as possible! That means you won’t be prescribed side-effect heavy prescriptions and sent on your way. Instead, a naturopath will help make a personalized treatment plan that uses strategies like nutritional guidance, herbal medicine, detoxification, lifestyle counseling, and other natural remedies. 

Functional Medicine Practitioners

Functional medicine practitioners will also help get to the root cause, rather than treating your symptoms. To ensure they’re getting to the core of the problem, a functional medicine practitioner will often use advanced lab testing to keep track of hormone levels and other biochemical markers. 

Integrative Medicine Doctors

An integrative medicine doctor combines natural medicine and conventional medicine to treat a patient’s mind, body, and soul in the most effective and thoughtful way possible. These doctors can prescribe medications and perform certain medical procedures needed for your treatment! 

Endocrinologist

PCOS is a hormone condition, so a hormone specialist (an endocrinologist) is essential. They use their expertise to diagnose hormonal imbalances and metabolic issues that are causing your symptoms. Then, endocrinologists treat those imbalances using strategic lifestyle changes and necessary medications. 

Registered Dietitian

Dietitians aren’t all about weight loss. RDs are specialized for lots of different health goals! I’m a Registered Dietitian who specializes in PCOS, and there are lots of us out there. We help you Cysters use nutrition strategically to manage symptoms and get to the root cause of your symptoms. And, don’t worry, the approach to food isn’t all about restriction! 

Here’s more on my recommended PCOS-friendly balanced diet

Managing PCOS takes a holistic approach and the right team of doctors! 

Not every doctor can be expected to know how to treat every ailment. However, there are plenty of medical professionals that have the training to help you reach your PCOS healing goals—like my gynecologist Dr. Felice Gersh!

For more from her, listen to these episodes of A Cyster and Her Mister:

What Causes PCOS Face Shape?

Polycystic ovary syndrome (PCOS) is a hormonal condition that affects millions of women of reproductive age. Because symptoms can vary so much, PCOS is often difficult to diagnose and usually requires multiple tests and evaluations. But here’s the good news—you don’t need to wait for an official diagnosis to start making changes that support your hormones! Simple lifestyle strategies can help you take control of your symptoms and start feeling better today.

One PCOS symptom that often flies under the radar? PCOS face shape. Yes, Cyster—if you’ve noticed changes in your facial features, it could be linked to your hormones! But that’s not all—PCOS can also be behind weight gain, bloating, digestive problems, a weakened immune system, excessive hair growth. And here’s the thing: many of these symptoms stem from the same root cause that contributes to PCOS face shape.

Let’s break it all down and get to the real reasons behind these changes—so you can start seeing improvements from the inside out!

pcos face shape

What Causes PCOS Face Shape? 

Because PCOS is a hormonal disorder, it affects your entire body—including your face. Hormonal imbalances can impact facial fat distribution and inflammation, sometimes leading to changes known as ‘moon face.’

What is PCOS Moon Face?

What is PCOS Moon Face?

“Moon face” refers to some common facial features seen in women with PCOS. Often, Cysters have rounder, fuller cheeks, puffy eyelids, double chins, and even excess facial hair growth (hirsutism). Of course, the way PCOS may affect your physical appearance isn’t the most important reason to fix your PCOS face shape. However, these facial features can be a sign of an underlying problem that is probably contributing to a lot of your other chronic symptoms and the problem could be increasing your risk of common PCOS long-term complications like type 2 diabetes and heart disease. All in all, it’s a good idea to discover what’s the root cause of your moon face to support your PCOS healing journey. 

How Does PCOS Change Your Face Shape?

PCOS can change your face shape, as well as the rest of the body, due to its effect on inflammation, hormone imbalance, and insulin resistance. 

Inflammation

First of all, inflammation can cause bloating and facial swelling. Chronic inflammation is when your immune system is overactive and attacks healthy cells. This state causes our bodies to retain fluid and bloat! Inflammation can also contribute to insulin resistance, which is another culprit of PCOS moon face. 

Insulin Resistance

Insulin resistance occurs when your cells don’t process glucose (AKA sugar) properly. Instead of using it for energy, your body stores it as fat—contributing to weight gain and elevated blood sugar levels. Over time, this can also affect where fat is stored, including your face, leading to noticeable changes in facial shape.

But that’s not all—insulin resistance can also prolong inflammation and contribute to hormonal imbalances, which may worsen other PCOS symptoms like bloating, acne, and excess hair growth. Addressing insulin resistance is key to balancing hormones and reducing these effects!

Hormonal Imbalances

Hormonal imbalances are a big contributor to PCOS moon face. Progesterone is a necessary hormone for digestion, and at low levels, our bodies have a tendency to retain water. Women with PCOS are often deficient in progesterone, leading to fertility and menstrual problems. (One of the main signs of low progesterone is irregular periods or no periods.) Progesterone, though, as we’ve just discussed can impact physical appearances, too! 

Progesterone isn’t the only hormone playing a role in PCOS facial feature changes. Excess male hormones (androgens) in a Cyster’s body can worsen insulin resistance, further prompting weight gain. But, high androgen levels can also cause excess facial or body hair growth, leading to unwanted dark, coarse hair on the face. It can also lead to male pattern hair loss!

Though appearance isn’t the most important part of your healing journey, for many Cysters, getting their body back is essential to feeling empowered, confident, and joyful again. The changes in your body are signs of bigger troubles within, so let’s take some time to discuss how to lower inflammation, increase insulin sensitivity, and balance excess androgens and other hormones. Here’s what you can do to reduce PCOS moon face:

how to reduce pcos moon face

How To Reduce PCOS Moon Face

Reduce stress. 

Reducing stress is super helpful when trying to reduce PCOS moon face because stress is one of the biggest contributors to weight gain. Of course, the food we eat is a big part of it, but stress can worsen insulin resistance and hormonal imbalances! That means even when you’re eating well and exercising, you may not see change until you find ways to relieve stress. 

You can relieve stress with PCOS by spending time in nature, getting better sleep, cutting back on commitments, doing slow-weighted workouts, engaging in a hobby, and lots more! Figure out what helps you relax, and this can help with weight gain and bloating!

Drink more water. 

Staying hydrated is one of the simplest yet most effective ways to reduce fluid retention—especially in the face! When your body senses dehydration, it holds onto excess water, leading to puffiness and swelling. Drinking enough water helps flush out excess sodium and toxins, reducing bloating and inflammation.

Hydration also plays a key role in liver function, which is essential for hormone balance. Your liver helps process excess androgens and estrogen, so supporting it with proper hydration can aid in reducing hormonal imbalances that contribute to facial swelling, acne, and weight gain.

✨ Pro tip: Swap sugar-sweetened beverages for filtered water, herbal teas, or lemon water to keep inflammation low and hydration high!

Consume less salt and processed foods. 

We all know that salt is the worst when it comes to swelling. Processed foods aren’t any better! So, cutting back on these two things can do a lot for PCOS face shape. Specifically, having salt and processed food in moderation can help reduce water retention, improve insulin sensitivity, decrease inflammation, and balance hormones. Yes, all that! The way we eat can have a big impact on our PCOS symptoms, including moon face! 

Tallene sitting on her kitchen counter with a plate of buckwheat noodles

Maintain a balanced diet overall.

That being said, a balanced diet is key to healing your PCOS and living symptom-free. The goal is to make food our best friend and not our worst enemy with PCOS. Remember, we can still have delicious food and our favorite meals with PCOS-friendly modifications. There are sooo many delicious meal options and ingredient alternatives/substitutions that’ll satisfy your cravings, relieve symptoms, and help you lose weight. 

I recommend trying an anti-inflammatory gluten- and dairy-free diet for 30 days to see how you feel. Many Cysters find this approach helpful because gluten and dairy can trigger inflammation, worsen insulin resistance, and disrupt hormone balance—all key drivers of PCOS symptoms. Gluten may contribute to gut inflammation, which can lead to leaky gut and heightened immune responses, making PCOS symptoms like bloating, fatigue, and cravings worse. Dairy contains hormones and insulin-spiking proteins that can increase testosterone levels, leading to acne, weight gain, and excess facial hair growth.

Exercise regularly. 

Exercise is also great for your overall PCOS healing goals! Focusing on slow-weighted workouts or other meditative exercises can help reduce stress, lower insulin resistance, lower inflammation, balance hormones, and, of course, promote PCOS weight loss! All these things can help shape your face and get rid of PCOS moon face. 

Like I said, not all exercises are made for PCOS. High-intensity workouts that get your heart rate up and pump your body full of cortisol and adrenaline probably won’t help you reach your goals! You can learn more about PCOS exercises here and make sure you download The Cysterhood app for all the best PCOS-friendly workout plans! 

Tallene doing a slow-weighted lunge in workout gear and weights while Sirak points to her ankle to show proper exercise form.

Get better sleep.

So many of our body’s physiological processes take place while we’re asleep. That means, when we don’t get enough good quality sleep, our body can’t carry out the essential functions necessary to ditch PCOS face shape. That means if you prioritize better sleep hygiene to get those 7-9 hours of great sleep, you can see improvements in all the root issues of PCOS face shape, including insulin resistance, inflammation, and hormone imbalance. With this tip, you can literally reach your goals in your sleep. Doesn’t get much better than that!

Take Ovasitol and a multivitamin.

Even with a well-balanced PCOS-friendly diet, getting all the essential vitamins and minerals can be challenging—and that’s a big deal because nutrient deficiencies are common in women with PCOS and can contribute to inflammation, insulin resistance, and even moon face. Your body needs the right nutrients to support hormone balance, reduce inflammation, and optimize metabolism—which is why supplementing can make a huge difference!

Ovasitol is one of my favorite PCOS supplements because it helps regulate insulin resistance and hormone imbalances, two of the biggest culprits behind stubborn PCOS symptoms (including facial bloating and puffiness). Learn more about it in this episode of A Cyster and Her Mister podcast!

A high-quality multivitamin, like Ovafit’s MetaMulti, is another must-have! It’s packed with dozens of essential nutrients that many women with PCOS are deficient in—giving your body the full-spectrum support it needs to function at its best. When your body gets the nutrients it needs, you’ll start noticing changes in your energy, skin, bloating, and more!

Tallene is holding a bottle of supplements from the metabolism plus line and reading the nutrition label.

Talk to your doctor. 

If you’re struggling with PCOS symptoms, talking to a doctor is an important step. But I know how discouraging it can be when you leave an appointment with more questions than answers. Many of us have been given quick-fix solutions without real guidance on why our bodies are struggling in the first place.

That’s why it’s so important to keep searching for the right healthcare provider—someone who listens, understands PCOS, and works with you to find a treatment plan that feels right for you. They may suggest birth control, metformin, spironolactone, or other prescriptions, and while these can be helpful for some, make sure to do your own research, ask questions, and weigh the pros and cons before making your decision.

At the end of the day, you are your best health advocate—and you deserve to feel heard, supported, and empowered in your PCOS journey.

PCOS face shape happens due to hormonal imbalances, inflammation, and insulin resistance.

Once you get a PCOS diagnosis, treatment for PCOS can feel limited . . . meanwhile, the symptoms of PCOS can be overwhelming. But, don’t worry! There are so many ways to naturally reverse your PCOS and live symptom-free with PCOS! You can reverse everything from moon face and PCOS acne to heavy periods and weight gain.

Here at PCOS Weight Loss I’m all about helping you find relief from all your symptoms by presenting you all the options you may not have known were possible. To take your PCOS journey to the next level, download The Cysterhood app, join our community, and let’s do this thing together!

PCOS And Skin Tags: How They’re Related

Polycystic ovary syndrome (PCOS) is the most common hormonal condition that affects women of reproductive age. There are a lot of symptoms of PCOS you’re probably familiar with: irregular periods, acne, excess hair growth on the face/body, and weight gain are a few side effects of PCOS that most people don’t understand we face. However, there are a number of unusual symptoms of PCOS, too!

As Cysters, knowing exactly how PCOS affects your body is super important. It can help reveal what type of PCOS you have, what root issues you might be dealing with, and, more importantly, what you need to do to heal your body and reverse your symptoms. 

So, today, I want to talk about skin tags, a lesser-known but common symptom women with PCOS often deal with! Polycystic ovarian syndrome (PCOS) can affect the skin in several ways, in fact. Let’s discuss why and how you can improve this symptom! 

pcos and skin tags how they're related

PCOS And Skin Tags: How They’re Related

Skin tags are still somewhat of a mystery in the medical world—just like PCOS! While their exact root cause isn’t fully understood, we do know that certain factors can increase the likelihood of developing them. Many of these same factors are directly linked to PCOS, which means addressing the root causes of your symptoms can also help improve your skin health!

What Is A Skin Tag?

A skin tag is a small growth that develops on areas of the body where there is friction or skin folds. You’ll probably notice them around your neck, armpits, groin, eyelids, under the breasts, or between stomach folds. They’re narrow, smooth, or slightly wrinkled and don’t cause pain. These “tags” are also non-cancerous and pose no risk to your health. They’re more of a cosmetic issue than a true medical concern. 

are skin tags a sign of pcos

Are Skin Tags A Sign of PCOS?

If the only symptom of PCOS you have are skin tags, that wouldn’t be enough to get a diagnosis. However, if skin tags are one of many symptoms of this condition you’re experiencing, it is worth bringing up to your doctor for a possible PCOS diagnosis.

As I mentioned, other skin issues could be due to PCOS, too! The same root issues leading to skin tags often lead to dark skin patches and acne as well. 

Why Does PCOS Cause Skin Tags?

Two of the core issues with PCOS are insulin resistance and hormonal dysregulation. Both can cause skin tags! Insulin resistance is when your body doesn’t respond correctly to insulin. Instead of turning glucose into energy, the body stores the sugar as fat and absorbs it into the bloodstream. This can lead to weight gain, cravings, fatigue, brain fog, skin darkening, and, of course, skin tags! 

Additionally, one of the main hormonal imbalances women with PCOS face is high levels of androgens (male sex hormones). Androgens like testosterone have their place in the female body, but elevated levels can wreak havoc! They can cause some reproductive symptoms like irregular periods, ovarian cysts, and infertility. However, high androgens can also cause skin problems like skin darkening, acne, and skin tags! 

This is because high androgens can lead to excess oil production, an overgrowth of skin cells, low collagen output, and less skin elasticity. All this impacts skin health, leading to acne, skin darkening, and skin tags. Plus, high androgens can even worsen insulin resistance! 

Therefore, one of the options we have to improving skin health and getting rid of skin tags is naturally regulating hormone levels and reducing insulin resistance. 

How To Get Rid Of PCOS Skin Tags 

Make lifestyle changes to manage insulin resistance. 

One of the first steps in any PCOS treatment plan should be increasing insulin resistance! Not only will it help with skin tags, but it’ll help relieve several other PCOS symptoms and even improve other root issues like hormonal imbalance and inflammation. Here are some of the main ways you can take control of your insulin resistance and metabolic health to ditch skin tags and other PCOS symptoms: 

Eat an intentional and balanced diet: 

The best way to reduce insulin resistance is by eating a more balanced diet! Find your carb tolerance range, lower foods that have excess sugar, increase fiber and protein in your plates, stay hydrated, and even try substituting foods or ingredients with gluten and dairy with alternatives. On the blog, you can learn more about my recommended PCOS-friendly diet as a PCOS Registered Dietitian (and fellow Cyster) but you can also download The Cysterhood app that’s full of delicious and PCOS-friendly recipes and meal plans to help you reach your goals! 

healthy balanced diet
Exercise regularly: 

Exercise plays a key role in improving insulin sensitivity, which is crucial for managing PCOS symptoms like skin tags, weight gain, and inflammation. But not all workouts are created equal—especially when it comes to hormone balance.

Slow-weighted workouts are one of the best ways to support insulin resistance and hormonal dysregulation without spiking cortisol levels. Strength training at a controlled pace helps your body use glucose more efficiently, reduces excess insulin in the bloodstream, and prevents it from being stored as fat. The key is progressive overload with proper rest periods—lifting weights with intention while allowing your body to recover. This keeps stress hormones in check while building strength and improving metabolism.

If you’re looking for guided, PCOS-friendly workout routines, you can find plenty inside The Cysterhood app!

Tallene doing a slow-weighted lunge in workout gear and weights while Sirak points to her ankle to show proper exercise form.
Reduce stress: 

Stress isn’t just a feeling—it has a direct impact on your hormones and metabolism. When your body is under stress, it produces more cortisol (your stress hormone), which can throw everything out of balance. High cortisol levels put your body in “survival mode”, slowing metabolism, increasing insulin resistance, and making it harder to manage PCOS symptoms—including skin tags.

Managing stress isn’t about eliminating it completely (because, let’s be real, life happens!). It’s about helping your body handle it better. Try incorporating stress-reducing habits like slow-weight workouts, daily walks in nature, deep breathing, prioritizing sleep, or engaging in hobbies that bring you joy. Small, consistent changes can make a huge difference in balancing hormones and improving your skin health!

how to get rid of pcos skin tags
Take the right supplements:

Targeting insulin resistance with the right supplements can make a huge difference in managing PCOS symptoms—including skin tags. The Metabolism Plus bundle from Ovafit is designed to fill common nutrient gaps in PCOS and support better insulin sensitivity. It contains key nutrients like:

  • Chromium, magnesium, & zinc – Help improve insulin function and blood sugar regulation
  • Vitamin D3 & vitamin E – Support hormone balance and inflammation reduction
  • B vitamins (thiamin, riboflavin, folate) – Essential for metabolic health and energy production
  • Omega-3s – Reduce inflammation and promote overall hormonal balance

Additionally, probiotics and Ovasitol (a combination of myo & d-chiro inositol) have been shown to support insulin resistance and hormone regulation, making them great additions to your PCOS supplement routine.

When combined with a balanced diet, movement, and stress management, supplements can play a key role in improving metabolic health and reducing PCOS symptoms—including skin tags!

Metabolism Plus supplements

Naturally regulate your high androgen levels. 

The next step to getting rid of skin tags and relieving PCOS symptoms is by regulating your androgen levels. Like with insulin resistance, there’s a lot you can do yourself to regulate hormone levels without medical intervention! Here are some things you can do:

Do slow-weighted workouts:

As mentioned earlier, the right exercise for our PCOS bodies can of course help with insulin resistance, but it also has incredible hormone-regulating effects. Doing low-intensity workouts with weights allows you to workout your whole body, without raising your heart rate. As your heart rate increases, so will your adrenaline and cortisol levels. 

Those high-stress hormone levels increase insulin resistance and throw off all your other hormone levels, including testosterone. So, exercise regularly, but stick to things like slow-weighted workouts from The Cysterhood app or try pilates, walking, or yoga! 

Tallene doing a squat exercise on her yoga mat and Sirak pointing to her knee to show proper form
Support your metabolism: 

Struggling with PCOS weight loss? You’re not alone—but here’s the good news: when you target the root causes of PCOS, weight loss becomes easier, and hormone balance follows. High insulin levels and chronic inflammation can lead to excess androgen production, which may contribute to symptoms like skin tags, acne, and hair loss. But by improving insulin sensitivity, reducing inflammation, and supporting metabolic health, you can help your body find its natural balance.

Focusing on nourishing, high-protein meals, slow weighted workouts, and stress management can all help regulate insulin and reduce androgen levels—which not only improves symptoms like skin tags but can also help with sustainable weight loss. Instead of fixating on the scale, shift your focus to building habits that make you feel stronger, more energized, and in control of your health. With time, consistency, and the right approach, real change is possible!

Take the right supplements:

There are quite a few supplements that can help lower testosterone levels in women with PCOS, many of which we have already discussed earlier for insulin resistance! Ovasitol is the best one for addressing hormonal dysregulation, but you’ll also find that vitamin D3, omega-3, and zinc from our Metabolism Plus bundle can help regulate hormones and improve skin health, too. 

Tallene is holding a bottle of supplements from the metabolism plus line and reading the nutrition label.
Drink herbal tea: 

There are lots of herbal teas out there that have been found to help with hormone balance particularly androgen levels. Instead of trying to fit half a dozen different hormone-balancing teas into your daily routine, try Testosterone Relief Tea! It’s a blend of herbal teas, including spearmint, lemon balm, orange peel, chamomile, rosehip, peppermint, cinnamon, nettle lavender, and calendula, specially formulated to help lower androgen levels! I love to prep a large batch early in the week and leave it cold in my fridge so I can grab it to-go every morning.

two glasses of Testosterone Relief tea

Try safe home remedies:

There are a few home remedies that Cysters have tried to get rid of skin tags, with mixed results. Here are a few things you can try:

  • Tea Tree Oil: Try diluting tea tree oil in a carrier oil and applying it to your skin tag with a cotton swab and bandage overnight. After a few nights, the skin tags should dry out and fall off. 
  • Banana Peel or Crushed Garlic: You can try the same thing but with a slice of banana peel or a crushed clove of garlic under a bandage for a few nights. It’s also meant to dry out the skin tag. 
  • Apple Cider Vinegar (ACV): Apply diluted vinegar to your skin tag and let it sit for 15-30 minutes before washing it off. Repeat daily for a couple of weeks to see if it breaks down the skin tag tissue. 
  • Vitamin E: Massage vitamin E oil onto the skin tag daily until the appearance reduces over time. 

Consider medical intervention:

A lot of the natural methods of reducing skin tags I’ve explained can prevent new skin tags from forming, but they may not take care of skin tags you already have. Luckily, there are a number of treatment options you can discuss with your doctor that aren’t invasive, difficult, or painful. 

  • Cryotherapy: Dermatologists can freeze the skin tag with liquid nitrogen and it falls off within a few days or weeks. 
  • Cauterization: A small cauterization tool can be used to burn a skin tag off quickly. 
  • Surgical Removal: Dermatologists can use a scalpel or scissors to cut the skin tags off. 
  • Ligation: This is when a string is tied around the base of the skin tag and the loss of blood supply eventually causes the skin tag to fall off. 
You can relieve skin tags and other PCOS skin issues naturally!

Skin tags, skin darkening, and acne may not be the most challenging symptoms of PCOS, but these cosmetic struggles can lower our self-esteem and overall sense of self. We hope that with this article, you feel more hope for your health and confidence in what next steps you’d like to take for your PCOS journey.

Start managing all your PCOS symptoms naturally using these tips and other lifestyle changes you’ll find on the PCOS Weight Loss blog and the A Cyster and Her Mister podcast! It’s time to take charge and reverse ALL your PCOS symptoms, including skin tags!

What You Need to Know About the IUD and PCOS

Polycystic ovary syndrome (PCOS) is a hormonal condition that can impact a woman’s reproductive system in a big way. Women with PCOS often deal with infertility, irregular menstrual cycles, polycystic ovaries, and sex hormone imbalances that contribute to a lot of chronic common symptoms. 

Since PCOS symptoms can often be rooted to sex hormone levels, often Cysters get put on hormonal birth control pills to “manage” their PCOS challenges. However, hormonal contraceptives doesn’t get to the core of the problem, and symptoms usually return when you get off the pill. In many cases, hormonal birth control pills even worsen PCOS symptoms long-term! (There is even some question if birth control pills can cause PCOS.)

So, if you talk to a doctor and decide hormonal birth control pills aren’t right for you, what do you do if you need contraception? Natural family planning and condoms don’t work for everyone, especially since the effectiveness of those methods aren’t as fool proof as the pill. In recent years, IUDs have become a popular alternative to the pill, but is it right for PCOS? That’s what we’re going to get into today! 

What You Need to Know About the IUD and PCOS

What You Need to Know About the IUD and PCOS

There are lots of reasons people avoid hormonal birth control pills, but one of the biggest concerns is the pill’s long list of side effects. And, many of these side effects correlate directly to PCOS symptoms, meaning hormonal birth control could make your PCOS challenges even harder. Hormonal birth control can cause high blood pressure, nausea, weight gain, hair loss, acne, mood swings, blood clots, and sexual dysfunction. 

As the pill has been decreasing in popularity, more and more women are choosing IUDs! This has prompted lots of Cysters to look at alternative birth control forms too in order to understand if IUDs would be helpful or hurtful for their polycystic ovarian syndrome (PCOS). It’s really smart to look into these alternative contraception methods, because they can be much better for your unique body! 

What is an IUD?

Intrauterine devices (IUDs) are small T-shaped devices that are inserted into the uterus as birth control. It’s a long-lasting birth control that can be reversed when needed. Usually, these IUDs can stay inserted and prevent pregnancy for up to 10 years. Women do report pelvic pain upon insertion, so make sure you talk to your doctor about pain management before booking your placement. Once inserted, the IUD is 99% effective.

Does IUD Help with PCOS?

Does IUD Help with PCOS?

If heavy, painful, and irregular periods are a real struggle for you, the IUD could help get your periods on a regular schedule, reduce cramping and PMS symptoms, and lighten your period flow. In some cases, an IUD may even stop your periods altogether. If you do choose to have an IUD or go on birth control, I always recommend making diet and lifestyle changes in the meantime. That way, when you decide to get off of birth control, your PCOS symptoms don’t come back with a vengeance.

Hormonal birth control pills have both estrogen and progestin, and for estrogen-dominant Cysters this can be problematic for your symptoms, and raise your blood pressure and blood sugar. If you’re struggling with weight gain, cravings, fatigue, and other symptoms of insulin resistance, increasing your blood pressure and sugar is a bad idea. Not only can this impact how you feel and look, but sustained high blood pressure and blood sugar can actually increase your risk of type 2 diabetes, a common long-term complication of untreated PCOS

There are non-hormonal IUD options and the ones that are hormonal use only progestin—no estrogen. This prevents pregnancy, regulates periods, doesn’t increase blood pressure, and relieves some PCOS symptoms like hair loss, troubles losing weight, and insulin sensitivity. If you do decide to go on a contraceptive, IUDs could be a better choice than birth control! 

It is important to note that women with PCOS may be at a higher risk of certain complications like, endometrial hyperplasia and irregular bleeding. So, just keep a close eye on your periods and report any unusual symptoms to your doctor.

Learn more about the best types of birth control with PCOS here!

Does the IUD Treat PCOS?

No birth control (or prescription of any kind) gets to the root of your PCOS symptoms. When you get off the contraceptive, you’ll likely experience all those issues again. That’s why it’s best to work towards reversing PCOS by changing your diet, exercise routine, sleeping habits, supplement intake, and more. Download The Cysterhood app for all the best resources to take control of your PCOS and live symptom-free!

Best IUD for PCOS

Best IUD for PCOS 

Hormonal IUDs

There are progestin-only hormonal IUDs like Mirena, Kyleene, Liletta, or Skyla. They last anywhere from 3-8 years and work by thinning the uterine lining and thickening cervical mucus to make it nearly impossible for conception to happen. For some people, hormonal IUDs even stops ovulation all together. It’s a contraceptive and it can help temporarily relieve some symptoms of PCOS like irregular periods, heavy flow, cramping, PMS, hair loss, weight gain, and insulin resistance. 

What about the Copper IUD?

There are two types of IUDs. The first one I’ll talk about is the copper IUD from Paragard. This is a non-hormonal option that can remain effective for up to 12 years! The copper in the IUD prevents pregnancy in two ways. First, it creates an inflammatory reaction in the uterine cavity that’s actually toxic to sperm and eggs. Second, the copper ions change the composition of the fluid in the fallopian tubes and uterus, preventing the sperm from swimming to the egg. 

These are often less favorable options for people with PCOS, because without the hormonal component, Cysters may not see change in their symptoms. Plus, it doesn’t have the period-regulation of hormonal IUDs. In fact, copper IUDs can worsen cramps, regularity, and flow. So, I’d steer clear of the copper IUD. Consult your doctor to see what the best choice is for you.

What Other Contraceptive Options Are There for PCOS?

If you’re unsure if an IUD is right for you, remember you have a few other options for contraceptives that don’t negatively impact your hormone balance. Consider one of these other options in your search:

IUDs can be a great choice for PCOS contraception! 

If you’re a Cyster in need of birth control, an IUD could be a good choice. Of course, talk to your doctor about your specific medical history to make the right decision for you. Just remember hormonal birth control is a temporary bandaid for our symptoms and it isn’t a cure for PCOS, but you can reverse your PCOS and heal your symptoms naturally! You can fix all your symptoms too, not just difficult periods, but everything from acne and excessive hair growth to mood swings and fatigue. Get all the details on the blog, on the app, and on the podcast

Castor Oil For Cysts In Ovaries With PCOS

Castor oil has been used as a traditional medicine for over 6,000 years. It’s actually a type of vegetable oil that comes from East Africa made from castor beans, but it has uses in Indian and Chinese medicine too. It’s usually used to help with things like constipation, hair growth, wound healing, and even labor induction.

However, castor oil has also been thought to be a treatment for ovarian cysts, one of the most common PCOS symptoms. So, I wanted to use this post to explore this idea and see if there’s any truth to the idea that castor oil can help dissolve ovarian cysts!  

Castor Oil For Cysts In Ovaries With PCOS

Castor Oil For Cysts In Ovaries With PCOS

Women with polycystic ovarian syndrome (PCOS), as the name suggests, often experience ovarian cysts. They’re painful, solid, or fluid-filled sacs that grow on the surface of ovaries. Usually, they go away on their own and are no big deal. But, in some cases, they can burst, become cancerous, or twist your ovary. Because of this risk, most Cysters try to do what they can to remedy cysts. 

If you’re a woman out there with PCOS, you’re likely cautious of ovarian cysts. (Though, it’s a myth that all women with polycystic ovarian syndrome experience cysts.) With that in mind, we’re going to look more into the ancient practice of utilizing castor oil for medicine. Here’s what you should know about castor oil for cysts:

Is Castor Oil Good For Cysts?

There are no definitive studies that prove castor oil helps with dissolving ovarian cysts or reducing ovarian cysts’ size. However, there are a few research studies and years of anecdotal data that suggest it might have benefits for women with PCOS. 

According to naturopathic doctors, topical use of castor oil can increase blood flow, reduce inflammation, and promote the healing of organs and tissues. Those naturally anti-inflammatory properties mean it can be a natural remedy for pain and swelling. Additionally, castor oil can stimulate lymphatic drainage, which causes detoxifying of the body. This can be great for your immune system and overall health! 

Here are some of the potential benefits of castor oil for women with polycystic ovary syndrome (PCOS):

castor oil benefits for PCOS

Castor Oil Benefits For PCOS

How to Use Castor Oil Packs for Cysts

How To Use Castor Oil Packs For Cysts

What You’ll Need:

Instructions:

Step 1: Cut Organic Fabric into squares.

Take your fabric and cut it into 3 squares, each one about 10×10 inches. When you’re done, place them in your lidded glass container. (It’s okay if you have to fold it or stuff it.) 

Step 2: Saturate fabric in castor oil. 

Pour castor oil over the fabric until it’s saturated, but not dripping wet. 

Step 3: Cover one side of the fabric with protective layer. 

Take your fabric squares and put a protective layer of additional fabric on the side not facing your body. (This will prevent some of the castor oil from getting on all of your clothes.) An alternative option is using an organic cotton castor oil pack!

Step 4: Get your heating pad ready!

Simply warm up your rice or flaxseed heating pad in the microwave, or plug in your electric heating pad!

Step 5: Relax with a castor oil heating pad.

Now, lay down and place the castor oil pack oil-side down on one ovary for 45-60 minutes with the heating pad layered on top! (The castor oil can stain fabrics, so wear clothes and use blankets you don’t mind getting oil-stained.) 

Step 6: Store it for later. 

You can actually reuse this pack for a while! Just put it in your container and into the fridge, and break it out whenever you need it again! 

Castor oil may help get rid of ovarian cysts!

If you’re a Cyster struggling with ovarian cysts, know that there are real solutions out there! While castor oil is often recommended, there’s little research to support its effectiveness as a primary treatment. Instead, the best approach is to identify and address the root cause of your cysts. I break this down in detail in our podcast episode (A Cyster and Her Mister) called “Ovarian Cysts + Follicles: Understanding the Root Cause + Exploring Treatment.” Plus, if you’re considering ovary removal to prevent cysts, here’s what you need to know—pros and cons of removing your ovaries.

For more tips on naturally healing your PCOS, browse my blog! I have lots of information that’ll help you manage your symptoms using diet, exercise, lifestyle, and mindset changes. Plus, you can join a community of women embarking on the same journey as you when you download The Cysterhood App. Beyond community, it’s also full of PCOS-friendly recipes, slow-weight workout videos, guides that teach you more about your PCOS body and more. Remember, there is hope for reversing your symptoms and having a lifestyle where you thrive with PCOS! 

Are There Problems With PCOS And IUD Use?

For many women with PCOS, oral contraceptives are commonly prescribed to help manage symptoms and regulate hormones. However, if you’ve tried the pill and haven’t found relief, you’re not alone. While birth control can help alleviate certain PCOS symptoms, it doesn’t always work for everyone—and for some, it may even come with unwanted side effects. Namely, the pill can raise insulin resistance, contributing to weight gain, fatigue, skin problems, and the increased risk of developing type 2 diabetes. If you’ve struggled with side effects or feel like your birth control is only masking symptoms, exploring natural solutions could be a great next step– and we are here to help!

Polycystic ovarian syndrome (PCOS) is a common hormonal condition that leads to a variety of uncomfortable symptoms like irregular periods, excess hair growth on the face and body, head hair loss, headaches, mood swings, headaches, high blood pressure, fatigue, troubles losing weight, skin issues, and more. Many of these symptoms are due to hormonal dysregulation, which is why oral contraceptives are often prescribed as a first-line treatment! 

Birth control pills often contain estrogen and progestin, which can help manage certain PCOS symptoms for some women. However, they don’t address the root causes of PCOS, meaning symptoms may return once you stop taking them. Plus, for those dealing with insulin resistance, the pill may sometimes contribute to further symptoms. Every body is different, but if you’ve experienced this, know that there are other ways to support your hormones and feel your best!

So, what are your options? Luckily, there are other hormonal birth control options and non-hormonal birth control options that can help ease symptoms without the long list of side effects. Intrauterine devices (IUDs) are a common form of contraception that checks these boxes. In this post, I’ll break down the pros and cons of IUDs and help you decide which type of IUD may be right for you! 

Are There Problems With PCOS And IUD Use?

Are There Problems With PCOS And IUD Use?

All in all, there may be a few problems with PCOS and IUDs, but it’s a good choice for reliable contraception that likely won’t worsen your symptoms or PCOS journey. This is due to the fact that there are non-hormonal options and the hormonal options only include progestin, not estrogen, which is usually the culprit for certain PCOS symptoms. Progestin-only IUDs also haven’t been shown to have a significant impact on insulin resistance. This means when Cysters are looking for a contraceptive, IUDs might be something you’d like to consider! 

does iud help with pcos

Does IUD Help With PCOS?

Though IUDs are a wise contraception choice and can positively impact a handful of PCOS symptoms, they’re not a remedy or treatment for PCOS. IUDs would only really help with period-related PCOS symptoms, like irregular menstrual cycles, heavy period bleeding, and painful period cramps. 

Will other symptoms of PCOS be affected? Probably not. Additionally, once the IUD is removed, those who previously had irregular, heavy, and painful periods may experience them again. However, the good news is that you can actually prepare your body to alleviate these beforehand symptoms if you plan on getting your IUD removed. I recommend while you have an IUD, to start making strategic lifestyle changes to get to the root of your PCOS symptoms. If you can make lifestyle adjustments that target hormonal regulation, insulin sensitivity, and inflammation reduction, getting regular periods and living symptom-free is totally possible! This way, even when you’re off contraceptives, your PCOS journey just continues without the return of difficult period symptoms. 

What Are IUD Side Effects?

There are a few potential side effects of IUD insertion you should know about as well! Cramping and pelvic pain right after insertion are normal, but definitely talk to your doctor if it persists. Additionally, hormonal IUDs can sometimes cause missed periods and spotting, whereas non-hormonal IUDs may increase your flow. Lastly, IUDs can cause ovarian cysts, so if you’re a Cyster with a medical history of cysts on your ovaries, don’t hesitate to discuss your concerns with your doctor to see if another contraceptive may be a better choice for you!

Although rare, potential side effects of IUDs can include infection, ectopic pregnancy, expulsion, and perforation. It’s always best to discuss with your doctor whether an IUD is the right choice for you. Our goal is to equip you with the information you need to become your own best health advocate, while your doctor can help guide and support you along the way!

Which IUD Is Best For PCOS?

The best IUD for PCOS really depends on your goals. The most important thing to remember is that the primary purpose of an IUD is contraception. Having one will not treat PCOS and won’t have the same impact on your symptoms as lifestyle changes will. So, what type of IUD is best for PCOS? Let’s look into some below!

Mirena 

Mirena is a type of hormonal IUD that uses only progestin. Once inserted, it can be left in and remains effective for 8 years, which is great for family planning if you don’t plan on conceiving any time soon. It’s been known to relieve heavy periods, menstrual pain, and period irregularity. Plus, it’s been shown to lower the risk of endometrial cancer, which can be a long-term complication of PCOS

Kyleena

Kyleena is another hormonal IUD that uses progestin! This one is effective for up to 5 years, which can make it a better option if you’re looking for something in the middle of short-term and long-term. It can help make periods more regular or even stop them altogether for some people. It can lighten heavy bleeding as well!

which iud is best for pcos

Liletta

Liletta is very similar to Mirena, being that it’s a hormonal progestin-only IUD that’s effective for up to 8 years. Also like Mirena, it can lighten periods, regulate periods, relieve menstrual pain, and reduce the risk of endometrial cancer. 

Skyla

If you’re looking for a short-term contraceptive plan, Skyla is a hormonal progestin-only IUD that’s effective for just 3 years. It can help reduce period pain, regulate periods, and relieve heavy bleeding. 

ParaGard  

The ParaGard IUD, also known as the copper IUD, doesn’t use any hormones to be effective! It can stay inserted for up to 10 years, making it the most long-term contraceptive IUD on the market. ParaGard hasn’t been shown to alleviate period symptoms, so its benefit is purely in its prevention of pregnancy. 

The IUD is a generally safe and wise contraceptive choice for women with PCOS. 

The hormonal birth control pill has been used as a catch-all for women’s health problems for decades. Though it has plenty of useful applications, it’s not the only option for women with PCOS. (You can learn more about PCOS and hormonal birth control here.) However, IUDs can be another option for preventing pregnancy and relieving some PCOS symptoms while you embark on creating a lifestyle that allows you to thrive with PCOS!

For more on living with PCOS and naturally managing your symptoms, head over to the PCOS Weight Loss blog and download The Cysterhood app!