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PCOS And First Trimester Pregnancy Symptoms: How to Distinguish Between Overlapping Side Effects

Polycystic ovary syndrome (PCOS) is a condition that throws off hormonal balance—especially key reproductive hormones like estrogen, testosterone, and progesterone. And guess what? There’s another major life event that impacts these same hormones in a big way: pregnancy!

Because both pregnancy and PCOS can throw hormones out of balance, they share a lot of the same symptoms—making it tricky to tell the difference! This can lead some Cysters to miss the early signs of pregnancy, which may delay prenatal care, increase the risk of complications, or postpone important lifestyle changes to support a healthy pregnancy.

So, today I want to walk you through the distinct and overlapping symptoms of PCOS and pregnancy. Hopefully, this will help you better understand what’s happening in your body. That way, you’ll know when it’s time to do some PCOS symptom management and when it’s time to take a pregnancy test. 

pcos and first trimester pregnancy symptoms

PCOS And First Trimester Pregnancy Symptoms

When most women miss a period or experience some unusual pelvic pain, pregnancy is one of the first things they consider to be the cause! However, if you’ve been diagnosed with PCOS, irregular menstrual cycles and random cramping can just be a normal Tuesday. Because of this, it’s challenging for Cysters to recognize pregnancy in the first trimester! 

Here’s more on why:

can pcos mimic pregnancy symptoms

Can PCOS Mimic Pregnancy Symptoms?

Yes! Many of the common symptoms of PCOS mimic first-trimester pregnancy symptoms. PCOS hormonal imbalances of estrogen, testosterone, progesterone, luteinizing hormone (LH), follicle-stimulating hormone (FSH), and insulin lead to symptoms like missed or irregular periods, fatigue, mood swings, bloating, constipation, headaches, pelvic pain, cramping, lower back pain, and weight gain. Of course, all these are also first-trimester pregnancy symptoms! 

Because these symptoms are common for women with PCOS, they often don’t find out they’re pregnant until several weeks later than the average woman. Though it can be difficult, it’s a good idea to track your cycle, journal your symptoms, and be mindful of any symptom changes (even if they’re subtle). I also recommend keeping some pregnancy tests on hand to take a few days after your missed periods! That way, you can have extra confidence whether you’re dealing with PCOS or pregnancy. 

Of course, if you ever experience changes in your symptoms, but your pregnancy test is negative, you can get a blood test for insight into what might be happening in your body! Here’s more on how PCOS affects pregnancy even beyond the first trimester. 

What Are The Early Pregnancy Symptoms That Don’t Overlap with PCOS?

If you can’t rely on the standard tell-tale signs of pregnancy like missed periods, fatigue, mood swings, and weight gain, then how do you know when it’s time to take a pregnancy test? Luckily, not every symptom of pregnancy crossover to PCOS. So, below I’m going to break down other potential first-trimester symptoms to look out for! 

Nausea and Vomiting 

Here’s a common pregnancy symptom: morning sickness! This comes from the rapid increase of human chorionic gonadotropin (hCG), a hormone produced by the placenta that only happens during pregnancy. Other things that may contribute to nausea and vomiting are increased sensitivity to smells, changes in estrogen and progesterone, and blood sugar fluctuations. 

Breast Tenderness

Pregnant women often experience breast tenderness as changes in estrogen, prolactin, and progesterone levels prompt the growth of milk ducts and glands! Plus, the increased blood flow to the breasts and fluid retention that comes with pregnancy can cause swollen and tender breasts. 

Frequent Urination

Even though the fetus is very small in the first trimester, your uterus starts expanding right away. That means there’s less room for your bladder, and you’ll be making more trips to the bathroom! That spike in hCG will also increase blood flow to the pelvic area, stimulating the kidneys to produce more urine. Fluid retention plays a role, too!  

New Food Cravings and Aversions 

Intense cravings are super common with PCOS, especially for carbs and sweets, thanks to insulin resistance. But pregnancy cravings? They’re a whole different experience! While PCOS cravings are often tied to blood sugar imbalances, pregnancy cravings (and aversions) are triggered by hormonal shifts, increased nutritional needs, and heightened senses.

This means you might suddenly crave foods you never liked before, weird food combinations (pickles & ice cream, anyone?), or even non-food items like chalk or ice (a condition called pica, often linked to nutrient deficiencies). If you notice new and intense cravings that feel totally out of the ordinary, it could be a sign of pregnancy rather than just PCOS!

Dizziness or Lightheadedness

Increased blood volume, low blood sugar levels, chances in circulation, iron deficiencies, hormonal fluctuations, and even morning sickness during the first trimester of pregnancy can lead to feelings of dizziness or lightheadedness.

Spotting

A lot of changes are happening to the uterus during pregnancy, so even though you’re not experiencing periods, spotting isn’t uncommon. This can happen when the egg attaches to the uterine lining or due to increased sensitivity of your cervix.

Heightened Sense of Smell and Smell Aversions 

No one knows exactly why pregnancy heightens your sense of smell, but many experts believe it’s an evolutionary defense mechanism—helping pregnant women instinctively avoid harmful foods and substances. Others suggest it’s linked to rising hCG levels in early pregnancy. Whatever the cause, heightened smell sensitivity is a super common first-trimester symptom and can even contribute to food aversions and nausea!

early pregnancy symptoms that dont overlap with pcos

Increased Basal Body Temperature 

Tracking changes in basal body temperature (BBT) is one of the most reliable ways to monitor your menstrual cycle with PCOS. Normally, BBT rises by about 0.5°F to 1.0°F (0.3°C to 0.6°C) after ovulation due to progesterone. If you notice a consistent rise in temperature lasting more than 18 days, it could be an early sign of pregnancy!

Changes in Cervical Mucus 

The hormonal fluctuations that come with pregnancy can change cervical mucus. The mucus usually increases, becomes thick and stretchy, and has a milky white color. Seeing this change in cervical mucus could mean you’re pregnant. 

Leg Cramps

Increased blood volume can slow circulation and increase swelling in the legs, causing cramps. Pregnant women often experience these at night! Additionally, pregnant women require more fluids and daily nutrients. If a woman with PCOS doesn’t realize she’s pregnant and fails to meet these needs, leg cramps could be even more likely. 

Vivid Dreams 

Here’s a strange one, but it’s super common with pregnancy! Changes in progesterone and estrogen can alter brain activity and influence the way dreams are processed and remembered, which could contribute to vivid, crazy dreams. Pregnant women also experience more Rapid Eye Movement (REM) sleep than non-pregnant women, and this is where dreams happen. This can contribute to those wild dreams, too! 

Tallene and sirak sitting across each other talking and enjoying their meals
Know your pregnancy as soon as possible by differentiating between PCOS and pregnancy symptoms!

When you have PCOS, your body can feel totally out of control. Knowing what’s going on inside your own skin can feel impossible, but it’s so important for your personal well-being to be aware of changes happening in your body. There are a lot of overlapping symptoms of PCOS and pregnancy, but understanding the distinct side effects of pregnancy can help you identify the early signs, so you know when it’s time to test! 

Interested in how you can increase your chances of getting pregnant with PCOS and have a healthy PCOS pregnancy? Check out these other blog posts and podcast episodes:

What Causes PCOS (PMOS) Face Shape?

Polycystic ovary syndrome (PCOS), now known as polyendocrine metabolic ovarian syndrome (PMOS) is a hormonal condition that affects millions of women of reproductive age. Because symptoms can vary so much, PMOS 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 symptom that often flies under the radar? PMOS face shape. Yep, if you’ve noticed changes in your facial features, it could be linked to your hormones! But that’s not all. PMOS can also be behind weight gain, bloating, digestive problems, a weakened immune system, excessive hair growth, and more. And here’s the thing: many of these symptoms stem from the same root cause that contributes to PMOS face shape.

As a Registered Dietitian and woman with PMOS myself, I know what’s like to have a million questions swirling around without any specific answers. That’s why below, I’m talking about PMOS face shape, what causes these changes, and what you can do about it.

pcos face shape

What Causes PCOS (PMOS) Face Shape? 

Because PMOS 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.’

If you’re asking… “What Is PMOS Moon Face?“, you’re not alone! This is a common experience in women within the PMOS community and, honestly, it’s often misunderstood. Here’s what you need to know:

What is PCOS Moon Face?

What is PCOS (PMOS) Moon Face?

“Moon face” refers to some common facial features seen in women with PMOS. Often, women with this condition have rounder, fuller cheeks, puffy eyelids, double chins, and even excess facial hair growth (hirsutism). Of course, the way PMOS may affect your physical appearance isn’t the most important reason to want to get to the root drivers of your symptoms.

However, these facial features can be a sign of an underlying problem that may be contributing to a lot of your other chronic symptoms. Beyond that, those same concerns 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 PMOS healing journey. 

Not completely sure where to start? Take my free “What’s Your PMOS Type?” quiz, where you fill out a short questionnaire that helps you learn more about the root causes of your condition.

How Does PCOS (PMOS) Change Your Face Shape?

PMOS can change your face shape, as well as the rest of the body, due to its effect on inflammation, hormone imbalance, and insulin resistance. Here’s how each plays a role:

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 PMOS moon face. 

Learn more about insulin resistance by reading my guide, “How to Eat for Insulin Resistance & PCOS: A Beginner’s Guide.”

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 PMOS 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 PMOS moon face. Progesterone is a necessary hormone for digestion, and at low levels, our bodies have a tendency to retain water. Women with PMOS 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 PMOS facial feature changes. Let’s talk about androgens.

PCOS (PMOS) Facial Hair, Hair Loss, and Excess Hair Growth

Excess male hormones (androgens) in the 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. This is called hirsutism, which often causes excess hair growth in all of the places women typically don’t grow hair. Think: the jawline, upper lip, chest, back, abdomen, and sides of the cheeks.

At the same time, high androgen levels can cause hair thinning and loss, which people often refer to as “male-pattern baldness.” However, for women with PMOS, that hair loss looks a little different than traditional male-pattern baldness. High androgens, like testosterone, can convert into DHT and shrink hair follicles, leading to thinning along the part, crown, and top of the head. (Learn more by reading my guide, “Hair Loss with PMOS.”

Hair loss and hair growth at the same time? I know, it’s contradictory.

Though appearance isn’t the most important part of your healing journey, for many women, 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 or prevent PMOS moon face:

how to reduce pcos moon face

How To Reduce PCOS Moon Face

Reduce Stress

Reducing stress can be helpful when trying to reduce the appearance of PMOS moon face. Chronic stress can affect everything from sleep and appetite to the hormones involved in metabolism, which may make weight management feel that much harder.

But when I say “reducing stress,” I don’t just mean taking a bubble bath and calling it a day. (If only!) Research suggests that women with PMOS may experience differences in the way the body regulates cortisol (the stress hormone). Finding realistic ways to manage ongoing stress can be an important part of supporting your overall hormonal and metabolic health!

You can relieve stress with PMOS by spending time in nature, getting better sleep, cutting back on commitments, doing slow-weighted workouts, engaging in a hobby, and more. Figure out what helps you relax, and this may 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 PMOS face shape.

Specifically, having salt and processed food only 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 PMOS symptoms, including moon face! 

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

Maintain a Balanced Diet Overall

A balanced diet can play a meaningful role in a PMOS management plan. The goal is to make food our best friend and not our worst enemy. Remember, we can still have delicious food and our favorite meals with PMOS-friendly modifications.

I recommend trying an anti-inflammatory gluten- and dairy-free diet for 30 days to see how you feel. Many women with PMOS find this approach helpful because gluten and dairy can trigger inflammation, worsen insulin resistance, and disrupt hormone balance—all key drivers of symptoms.

Gluten may contribute to gut inflammation, which can lead to leaky gut and heightened immune responses, making PMOS 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.

If you need a place to start, check out my guides like:

Exercise Regularly 

Exercise is also great for your overall PMOS 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 PMOS 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 PMOS. 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 PMOS 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.

By prioritizing better sleep, you may begin to see improvements in root issues that play a role in PMOS face shape. (This includes insulin resistance, inflammation, and hormone balance.)

Take PMOS-Supportive Supplements

Even with a well-balanced PMOS-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 PMOS and can contribute to inflammation, insulin resistance, and even moon face. Your body may benefit the right nutrients to support hormone balance, reduce inflammation, and optimize metabolism. This is why supplementing can make a significant difference!

Inositol Complete 40:1 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 Metabolism Plus Daily Multi, can be another meaningful addition. It’s packed with dozens of essential nutrients that many women with PCOS are deficient in, helping give your body the full-spectrum support it needs to function at its best. When your body gets the nutrients it needs, it often has a ripple effect in symptoms.

Interested in finding more supplements that may complement your PMOS management routine? Explore Ovafit’s supplements, protein powder, herbal tea, and balanced bundles.

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 PMOS 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 PMOS, and works with you to find a treatment plan that feels right for you. They may suggest birth control, metformin, spironolactone, or other prescriptions. 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 PMOS journey.

How Long Does It Take to Reduce PMOS Moon Face?

There’s no set timeline for reducing what’s commonly called “PCOS moon face,” since facial fullness can have several underlying causes. If changes are related to weight, fluid retention, or metabolic factors associated with PMOS, improvements may happen gradually as you address those factors and support your overall health.

Is PMOS Moon Face Permanent?

No, facial fullness associated with PMOS isn’t necessarily permanent. Your face shape can change over time alongside changes in body composition, fluid retention, hormones, and other factors that may contribute to facial puffiness or fullness.

Can You Prevent Moon Face with PMOS?

There’s no guaranteed way to prevent facial changes with PMOS, especially because “moon face” isn’t a formal symptom of the condition. However, habits that support healthy blood sugar, stress management, sleep, movement, and overall metabolic health may also help address some of the factors that contribute to facial fullness.

Is Moon Face a Side Effect of Any PMOS Medications?

True moon face, or moon facies, is most strongly associated with long-term corticosteroid use rather than standard PMOS medications. (Or those doctors most commonly prescribe to women with PMOS.) If you notice a significant change in your face after starting any medication, talk with your healthcare provider rather than assuming PMOS itself is responsible to rule out any medical conditions.

How Do You Tell PMOS Moon Face Apart From Normal Weight Gain?

It can be difficult to tell based on appearance alone. Facial fullness that develops alongside overall weight gain may simply reflect changes in body composition. On the other hand, sudden or significant facial swelling or puffiness could have another cause and is worth discussing with your healthcare provider.

PCOS (PMOS) Face Shape and Moon Face: What to Know

Once you get a PMOS diagnosis, treatment for PCOS can feel limited . . . meanwhile, the symptoms can be overwhelming. But, don’t worry! There are so many ways to naturally reverse your PMOS and live symptom-free.

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!


Written by Tallene Hacatoryan, MS, RD, founder and formulator of OvaFit. Tallene is a Registered Dietitian who specializes in PCOS (now called PMOS) nutrition and has PCOS herself.

Medical disclaimer: This content is for informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making changes to your diet, supplements, or treatment plan.

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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

How PCOS Affects Egg Freezing: What Every Future Mom Needs to Know

It’s no secret that women with polycystic ovary syndrome (PCOS) often struggle to become pregnant. In fact, up to 80% of women with PCOS will experience infertility due to high levels of androgens and other hormonal dysregulation. On top of that, there’s often pressure to conceive before 35 for the best chances of a healthy pregnancy, making it seem like time isn’t on our side. But here’s the good news: there are ways to support your body and improve fertility naturally, giving you more options and flexibility on your journey.

Modern medicine has provided lots of new options for women needing fertility support. One of those options is egg freezing! If you’ve ever been curious about the process, you’re in the right place. Today, we’re diving into how PCOS can impact fertility treatments and what you can do to prepare your body for egg retrieval and freezing. Let’s break it all down together!

How PCOS Affects Egg Freezing

How PCOS Affects Egg Freezing: What Every Future Mom Needs to Know

Egg freezing is a process where healthy eggs are retrieved, frozen, and safely stored for future use—giving women the option to pause the fertility clock. But what about Cysters? Is egg freezing the right choice if you have PCOS?

Here’s what you should know:

How Does Egg Freezing Work?

Egg freezing is a complex process! However, it can be a great way to preserve your opportunities of becoming pregnant, even if you aren’t planning to at this time. Before deciding if egg freezing is the right choice for you, it’s important to fully understand the process. After all, being informed is the first step in making the best decision for your fertility journey!

Here’s how egg freezing works: 

step by step process of egg freezing
Step-by-Step Process of Egg Freezing
  • Step 1: Consultation – Your first step is meeting with a fertility specialist or reproductive endocrinologist for a deep dive into your fertility journey. This is your chance to ask questions, discuss your medical history and goals, and get a clear understanding of the egg freezing process.
  • Step 2: Baseline Testing – To understand your full reproductive picture, you’ll get labs and ultrasounds done to check in on your hormonal balances, ovarian reserve, and overall reproductive health. 
  • Step 3: Hormone Injections – The doctors will stimulate your ovaries to produce multiple eggs via hormone injections. This usually takes a couple of weeks. 
  • Step 4: Monitoring – Doctors will now monitor the growth and development of the eggs via blood tests and ultrasounds. 
  • Step 5: Receive Trigger Shot – Once the egg is the right size, you’ll get a shot of human chorionic gonadotropin (hCG) that’s often called a “trigger shot.” This preps the eggs for retrieval. 
  • Step 6: Egg Retrieval Procedure – 36 hours after the trigger shot, you’ll undergo a minor surgical procedure to retrieve the eggs. Doctors use a thin needle to collect the eggs. 
  • Step 7: Recovery – The procedure itself takes about 30 minutes, and most women can head home the same day. Some mild discomfort and light bleeding are normal, but recovery is usually quick!
  • Step 8: Assessment of Eggs – The doctor will assess the eggs to determine their maturity and quality. 
  • Step 9: Vitrification (AKA Freezing) – The high-quality eggs are rapidly frozen using a process called vitrification, which helps preserve their viability by preventing ice crystal formation.
  • Step 10: Storage – The frozen eggs are carefully stored in liquid nitrogen at extremely low temperatures to maintain their quality and viability for future use.
  • Step 11: Thawing and Assessment – When you’re ready to use your eggs, doctors thaw the ones you want and re-assess for quality. 
  • Step 12: In Vitro Fertilization – Eggs are then fertilized and developed into embryos via in-vitro fertilization. 
  • Step 13: Embryo Transfer – Once the embryos are ready, they are transferred to your (or your surrogate’s) uterus!

Can Women With PCOS Freeze Their Eggs?

YES! Freezing eggs can be a really good option for women with polycystic ovarian syndrome (PCOS)! First of all, Cysters often produce a higher number of eggs, making the chances of successful egg retrieval actually higher with PCOS. But, more than that, egg freezing can give you control over your fertility. No matter the circumstance, freezing your eggs can give you flexibility in the timing of your pregnancy.

Hormonal dysregulation, inflammation, and insulin resistance (the three core issues leading to a bulk of PCOS symptoms) can make conceiving, staying pregnant, and having a healthy pregnancy challenging. Women with PCOS often experience irregular menstrual cycles, anovulation, reduced egg quality, ovarian cysts, high blood pressure, difficulty managing blood sugar, and low progesterone levels, which are all less than ideal for pregnancy.

The good news is, there are natural ways to improve these root issues and symptoms to have a successful pregnancy with PCOS. However, if you’re still working on healing your body to boost your fertility, egg freezing is an option to increase your reproductive age window.

Curious about when you should get pregnant with PCOS? Here’s the ideal age for getting pregnant with PCOS

how to prepare for egg freezing when you have pcos

How To Prepare For Egg Freezing When You Have PCOS

Start taking steps to improve your symptoms and heal your body. 

First of all, if you’ve decided to start the egg retrieval process, congratulations! A great way to begin your journey is by taking steps to improve your reproductive health and heal your body. Because once you are ready to get pregnant, you’ll want your body to be in optimal health. Regulated hormones, increased insulin sensitivity, and reduced inflammation will help increase your chances of sustaining a healthy pregnancy! 

Here are some lifestyle changes that can help you reverse your symptoms and get control over your PCOS:

– Change your diet:

A balanced diet can make all the difference when getting to the root issues of your PCOS symptoms. For PCOS I recommend you trying a gluten- and dairy-free anti-inflammatory diet for 30 days to see if this makes an impact on your symptoms and reducing inflammation. You can find recipes and meal plans on The Cysterhood app. To boost your fertility, here is a list of foods that I recommend!

– Exercise regularly:

Slow-weighted or meditative workouts can be a great tool for improving PCOS symptoms and reproductive health. You can also find PCOS-friendly workout routines on the app! Unlike high-intensity exercise, which can spike cortisol and disrupt hormones, strength training at a controlled pace helps regulate insulin, reduce inflammation, and improve blood flow to the ovaries. It also supports a healthy metabolism and minimizes stress on the body, creating an optimal environment for hormone regulation and reproductive health.

– Take fertility-boosting supplements:

Even with a strategic diet, it’s hard to get all the right vitamins and minerals to help your body thrive. To boost the effectiveness of all your fertility and healing efforts, I recommend high-quality, NSF-certified prenatal supplements like Purely Prenatal, which provides a pre-conception multivitamin for PCOS and coenzyme Q10 for egg quality.

– Get more sleep:

Sleep is essential for supporting a healthy metabolism, immune health, and adrenal system. Take steps to improve your sleep hygiene to get high-quality rest. 

– Stay hydrated:

Drinking plenty of water can help improve hormone regulation, uterine health, and plenty of other PCOS and fertility symptoms!  

Tallene and Sirak sitting across each other talking at the table with plates with food in their hands

Learn about the whole process of egg freezing. 

Learning about the process and hearing real stories from women who’ve been through it can help you feel more prepared, both physically and emotionally. No matter where you are in your fertility journey, you deserve to feel informed, supported, and empowered every step of the way.

Meet with a fertility specialist. 

I recommend seeing a fertility specialist for your next step! You’ll discuss things like your medical history, your PCOS symptoms, your long-term pregnancy plans, and more. The right specialist should really listen to you, answer all your questions, and make you feel hopeful about your journey! 

Get labs done to establish a baseline and evaluate your ovarian reserve. 

In order to establish a baseline and get a sense of your current health, your fertility specialist will have you undergo some testing. Blood tests will give you and your doctor vital information on your hormone levels while an ultrasound will assess your ovarian reserve. They may also do an X-ray to check the inside of your uterus and fallopian tubes for any problem areas. Here, you’ll find out what’s possible in your reproductive future!  

Make a plan to financially cover the egg-freezing process. 

It’s important to be aware that fertility treatments can be a big financial investment. Before diving in, it helps to have a game plan for covering costs so you can move forward with confidence. Check in on your employer benefits, explore your savings, and set a budget that aligns with your goals. Your specialist can walk you through the full breakdown, but expect costs to range from $10,000 to $15,000, plus an annual storage fee of $500 to $1,200 for your frozen eggs. Planning ahead can ease some of the stress, so you can focus on what truly matters—your fertility journey.

Start tracking your cycle the best you can. 

To map the best times to do your egg retrieval process, start tracking your cycle. I know this can be difficult for some of us who are still trying to work with our PCOS to get our period cycles regular. However, as you make those lifestyle changes to heal your symptoms, your period is likely to become more regular. For more guidance, here’s how to track ovulation with irregular periods

Prepare for hormone stimulation.

This next stage involves taking injections to encourage your ovaries to produce multiple eggs. To support your body through the process, now’s the time to double down on those key lifestyle shifts we talked about. Prioritize nourishing foods, stress reduction, and plenty of rest. It’s also a good idea to skip alcohol and follow any personalized recommendations from your doctor or fertility specialist. The more you support your body now, the better you’ll feel throughout your journey!

Monitor your side effects and report any concerning symptoms to your doctors. 

If at any time in the process, you experience concerning symptoms, make sure you communicate that to your fertility specialist. It’s important that you stay in the best health possible, so any negative side effects need to be quickly addressed to keep you on track. 

Additionally, it’s important you know that as a Cyster you’re at a higher risk of Ovarian Hyperstimulation Syndrome (OHSS), especially if you have high AMH levels or a large ovarian reserve. Essentially, this complication happens when your ovaries respond too strongly to the process, causing ovarian swelling, fluid leakage, abdominal pressure, weight gain, and hormonal imbalances.

In extreme cases, it can also affect kidney functioning and cardiovascular health.This is why it’s so important for us Cysters to find a healthcare provider who truly listens and understands the full picture of your PCOS journey. The right doctor will take all your symptoms into account and work with you to create a plan that supports your health and well-being. So if you needed a sign to seek another doctor…this is it!

Ensure you have a plan for post-op support. 

Egg retrieval is a minor surgery, but it’s still a good idea to have someone to help you around the house for at least 24 hours post-op. You’ll be told to get rest and avoid any strenuous activity plus, you’ll be recovering from anesthesia, and it’s always a good idea to have someone monitor you after that. The process can also be an emotional process, so don’t hesitate to ask your loved ones to be there for you during this time. 

Tallene and Sirak sitting next to their counter facing each other with plates of food
Egg freezing is an option available for women with PCOS!

Egg freezing can offer peace of mind when it comes to your fertility. PCOS can be overwhelming, and the added stress of conceiving “right now” doesn’t help your reproductive health and overall PCOS journey. So, if you need more time before you’re ready physically, emotionally, or mentally to have a baby, egg freezing is a great option for women with PCOS!

For more on managing your PCOS and boosting fertility, check out the PCOS Weight Loss blog and the A Cyster and Her Mister podcast! We discuss everything from losing weight with PCOS to navigating birth control, all to help you through this whole process. We can do this together!

How To Increase Milk Supply With PCOS

Polycystic ovarian syndrome (PCOS) is a common hormonal condition that’s best known for its impact on the female reproductive system. Initially, cysts on the ovaries and irregular periods were some of the only symptoms attributed to this disorder. However, after years of additional research and investigating, we’ve realized PCOS affects a lot more than just our menstrual cycles, and not everyone with PCOS develops cysts. 

All that being said, PCOS does have a significant impact on our reproductive health! Getting pregnant with PCOS can be difficult, but it’s not at all impossible (especially when you’re healing your PCOS naturally). Once a woman with PCOS conceives, there are still challenges they may face during pregnancy, including high blood pressure, gestational diabetes, large birth weight, premature birth, and problems breastfeeding. 

You can read more about PCOS and pregnancy here, but in this post, I’m going to focus specifically on PCOS and breastfeeding! If you’re a Cyster and plan to breastfeed your baby, this post is a must-read to help you stay well-informed on keeping your chances of success high and those early weeks as stress-free as possible. 

how to increase milk supply with pcos

How To Increase Milk Supply With PCOS

Women of all ages and sizes can face challenges with pregnancy and breastfeeding! However, it can be particularly challenging for women with PCOS. But, what is the connection between lactation struggles and polycystic ovary syndrome (PCOS)? That’s what I’ll get into next:

does pcos affect breastmilk supply

Does PCOS Affect Breast Milk Supply?

It can! Not every woman with PCOS will experience breast milk supply issues, depending on the type of PCOS you have, but lactation problems aren’t uncommon. The issues stem from two main root causes associated with PCOS: insulin resistance and high androgens. 

Insulin Resistance and Milk Supply

Insulin resistance is when your body doesn’t correctly process glucose. Instead of transforming sugar into energy, it stores it as fat and absorbs it into the bloodstream. Up to 80% of women with PCOS have insulin resistance and it causes a lot of chronic symptoms including fatigue, cravings, and weight gain. It can also cause lactation issues. 

Insulin is a hormone, so when your insulin levels are high, it can domino into other problematic hormonal imbalances too. High insulin levels can disrupt the synthesis of prolactin and oxytocin, which are essential for milk production. Milk production can also be delayed or negatively impacted by the reduction of glandular tissue in the breasts due to high insulin levels. Lastly, insulin resistance can lead to a delay in the onset of lactogenesis II (activation secretion), which is the transition from colostrum production to the production of mature breast milk a few days after birth. 

High Androgens and Milk Supply

Another thing many women with PCOS deal with is high androgen levels (male sex hormones). When androgens like testosterone are elevated in a woman, it can result in symptoms like infertility, menstrual irregularity, acne, hirsutism, hair loss, mood issues, and more. It can also cause problems with the production of milk. 

This is because high androgens stunt breast growth and the development of mammary glands, which is important for milk production, of course! Like high insulin levels, high androgens also reduce prolactin levels and impair lactogenesis II. These two common underlying issues of PCOS, insulin resistance and high androgens, are both problematic for successful lactation. 

To learn more, read “PMOS (PCOS) And Breastfeeding.”

How To Increase Breast Milk Supply With PCOS

Balanced PCOS Diet

To help improve your milk supply, you need to focus on regulating your hormones (specifically, lowering testosterone) and increasing your insulin sensitivity. The best way to do that naturally is by being intentional about what you eat. I recommend an anti-inflammatory gluten- and dairy-free diet to balance hormones and control our insulin levels. For meal plans and PCOS-friendly recipes that’ll help you conquer your goals, download The Cysterhood app! 

plate with noodles, salmon, and mushrooms

Stress Reduction 

Stress in our bodies manifests as the hormone cortisol! When we get stressed, our cortisol levels rise, putting our body into emergency mode. It triggers insulin resistance and other hormonal imbalances like high androgens that can have a big impact on your ability to produce milk. Try reducing stress by getting out in nature, meditating, exercising, improving your sleep routine, and more!

Slow-Weighted Exercise

Exercise is another way you can naturally lower your insulin resistance! However, you want to do the right kind of exercises. High-intensity workouts can raise your heart rate and cortisol levels, taking you right back to elevated insulin and androgen levels. I recommend slow-weighted workouts that you can find on The Cysterhood app! Another bonus tip is to take 1-minute breaks in between your sets to help balance out your cortisol levels.

How to Workout for PCOS Weight Loss

Hydration 

Staying hydrated is essential to produce milk, PERIOD. However, it’s especially important for women with PCOS! It helps increase energy levels, support hormone function, and increase blood volume, all of which are important for a breastfeeding mother. Carry a BPA-free, glass, or stainless-steel reusable water bottle to avoid hormone-disrupting toxins, and remind yourself to stay hydrated throughout the day. Hydration also supports hormone regulation, reduces cravings, and improves energy levels for PCOS management!

Improved Sleep 

Sleep and hormone balance go hand-in-hand. When we don’t get enough sleep, our body doesn’t carry out hormone synthesis correctly. You’ll wake up with elevated cortisol, testosterone, and insulin none of which is good for breast tissue development or milk production. Here’s how to get better sleep with PCOS

Supplements 

Taking supplements that target insulin resistance is another way to target one of the root causes of low milk production. Some of the best supplements for that include:

You can get all of these in a formula specialized for PCOS from Ovafit

PCOS Supplements

Herbal Tea

Herbs have been thought to be helpful for medicine for centuries . . . and now we have research to back it up! Herbs like spearmint, lemon balm, orange peel, chamomile, rosehip, peppermint, cinnamon, nettle, lavender, and calendula have all been shown to help lower androgen levels, which in turn can help with milk production. Rather than drinking a dozen different herbal teas, get them all in this PCOS-friendly blend called Testosterone Relief Tea

Skin-to-skin contact and Frequent Nursing

If your baby is already here and you want to increase milk supply, skin-to-skin contact and frequent nursing/pumping have also been shown to trigger more milk production! 

how to increase milk supply with pcos

Regular Breast Massage

Doing regular breast massages can be a great natural way of increasing milk supply when done in conjunction with these other tips! They can stimulate milk flow, increase blood circulation, prevent blockage, reduce stress, and promote the release of milk-producing hormones like oxytocin. 

Lactation Consultant 

If you’re still having issues producing milk, don’t hesitate to see a lactation consultant. We all know that the longer we go without producing, the harder it will be to up the volume again. These lactation consultants will have invaluable insight to help you reach your goals. Plus, many have support groups and other resources for new moms! 

To increase milk supply with PCOS, focus on reducing insulin resistance and androgen levels! 

PCOS can cause a lot of difficult symptoms, especially for moms trying to breastfeed. If you’re experiencing a low milk supply, try these tips to stimulate production and increase your chances of breastfeeding successfully.

For more PCOS healing tips and insight, browse the PCOS Weight Loss blog and listen to the A Cyster and Her Mister Podcast. With the right know-how, we can reverse your PCOS and help you live symptom-free!

Does PCOS Cause Vaginal Dryness?

When you find out you have polycystic ovary syndrome (PCOS), a lot of questionable symptoms suddenly make sense. Since it’s a hormonal disorder that impacts the whole body, PCOS often explains the cause of many of your chronic issues! There are obvious PCOS symptoms including irregular periods, weight gain, infertility, facial and body hair growth, and acne. However, your diagnosis may have you wondering if other problems you’ve been having could be linked to polycystic ovarian syndrome (PCOS), too.

As I mentioned . . . because PCOS leads to hormonal imbalance, inflammation, and insulin resistance, it can cause side effects all over the body. One of the more unusual (but not uncommon) symptoms of PCOS a Cyster like you may encounter is vaginal dryness! 

Today, I’m going to explain what vaginal dryness is, how PCOS causes it, and what you can do about it. Here’s what you need to know:

does pcos cause vaginal dryness

Does PCOS Cause Vaginal Dryness?

Often women with PCOS have imbalanced sex hormones, which is why so many of the well-known symptoms have to do with menstruation and fertility. Because of this, PCOS can also cause problems with sexual health like low libido, pain during sex, difficulty reaching orgasm, and vaginal dryness. We’re talking vaginal dryness today! And, for more on PCOS and your sex life, listen to this episode of A Cyster and Her Mister podcast

What is Vaginal Dryness?

Vaginal dryness is when the tissues in the vagina become thin, dry, and less elastic because of low estrogen levels. This can affect your sex life because it can make sexual intercourse painful and lower your sexual desire. Still, it can also cause general discomfort, itching, and burning when urinating, exercising, or even just sitting. It’s nothing any woman should have to deal with and it definitely shouldn’t be ignored! 

what does vaginal dryness feel like

What Does Vaginal Dryness Feel Like?

If you’re not positive if you’re experiencing vaginal dryness, look at these common sensations to see if any of them sound familiar: 

  • Your vagina feels dry and there’s a lack of natural lubrication. 
  • You have a persistent or recurring itching sensation in and around the vagina. 
  • Your vagina burns, especially when peeing. 
  • Your vagina feels tight
  • Throughout the day you feel pain and discomfort in and around the vagina, especially when sitting, exercising, or during sexual activity. 

Can PCOS Cause Vaginal Dryness?

Yes! It’s not at all uncommon for Cysters to experience vaginal dryness. Estrogen is responsible for maintaining the health and elasticity of vaginal tissues by promoting blood flow and the production of natural lubricants. However, often with PCOS, these female hormones are low.

Beyond low estrogen, high androgens (male sex hormones) also contribute to vaginal dryness! These high male hormone levels counteract the effects of estrogen, further reducing the production of estrogen and natural vaginal lubricants necessary for a healthy vagina. 

How To Treat Vaginal Dryness When You Have PCOS

Cut out estrogen disruptors. 

Estrogen disruptors, AKA endocrine-disrupting chemicals (EDCS) are substances that we consume or come into contact with that can actually mimic estrogen and block its normal functioning in our bodies. So, the estrogen we do have can’t do its job to maintain our sexual and reproductive health. 

The solution? Try to avoid estrogen disruptors! They’re often found in things like plastic bottles, plastic wraps, cosmetics, beauty products, household cleaners, pesticides, flame retardants, and nonstick cookware. To cut them out, opt for glass, stainless steel, and ceramic materials over plastic. And for cleaning supplies, look for natural cleaners without synthetic fragrances. When buying food, look for organic, fresh food without plastic packaging. Try to make small changes every day and you’ll likely see a difference in your symptoms long-term! 

For more on this, listen to the episode of A Cyster and Her Mister called How to Remove PCOS Endocrine Disruptors

Take helpful supplements. 

It’s also a good idea to take supplements (once you’ve discussed them with your doctor) that can help raise estrogen, lower testosterone, and promote overall hormone balance. Here are some of the best supplements to do just that:

This might sound like a tall order, but don’t stress by heading straight to the vitamin aisle at the pharmacy! My Ovafit supplement line makes it easy to get everything you need to target PCOS symptoms like vaginal dryness. You can also simply sign up for regular deliveries of Inositol Complete and Metabolism Plus bundle to get all of these beneficial nutrients and more to support hormone balance and PCOS management!

metabolism plus supplements

Reduce stress levels. 

When we’re stressed, it’s not just a mental experience, it’s actually a physiological one! As you experience stress, your body goes into emergency mode and your cortisol levels rise. Cortisol is also known as the stress hormone for this reason. Our body raises these cortisol levels to protect us from the perceived “emergency/survival” situation we’re facing . . . even if we’re just stressing about a job interview or what to cook for dinner. 

As cortisol levels rise, it throws several other hormones off balance. Stress interferes with the production and metabolism of estrogen, lowering your estrogen levels and reducing its functioning. Additionally, stress can hinder the communication between your brain and your endocrine system, causing your androgen levels to rise. So, basically, stress can make all things with PCOS feel worse. 

Focus on lowering stress hormones by doing low-impact exercises, getting out in nature, meditating, practicing self-care, and reducing your mental load. Your mind and body will thank you! 

Drink herbal tea and prioritize certain herbs. 

Herbs have been used for thousands of years to help with a variety of hormonal struggles. But, this is more than ancient medicine. Research also backs up the health benefits of some herbs for many symptoms of women’s health! A good place to start is with my Testosterone Relief Tea, which is an herbal tea blend that combines the health benefits of many herbs to lower testosterone levels! 

herbal tea

Other herbs that can help balance estrogen and testosterone include:

  • Saw palmetto
  • Chinese peony
  • Black cohosh
  • Licorice root
  • CInnamon
  • Chaste tree 
how to treat vaginal dryness when you have pcos

Try an anti-inflammatory, gluten- and dairy-free diet. 

Diet has a huge impact on your hormone levels, so to combat vaginal dryness and other symptoms of low estrogen and high androgens, start making changes in the kitchen. Opting for an anti-inflammatory, gluten- and dairy-free diet can help reduce inflammation and insulin resistance that worsens hormonal imbalances while supporting overall adrenal health. Trying it for 30 days is a great way to see if works well for your body!

You can find PCOS-friendly recipes and meal plans on The Cysterhood app . . . and, I promise, you don’t have to give up your favorite foods! 

PCOS diet

Do slow-weighted, low-impact exercises. 

As I already mentioned, exercise is great for stress relief, but it’s actually great for overall hormone health, too! It can directly improve insulin sensitivity and high androgen levels, which is great for sexual and reproductive health including vaginal dryness. Plus, it can have indirect effects on estrogen by supporting overall hormone health and stress reduction.  

It is important to do the right type of workouts when you have PCOS. I recommend low-impact, slow-weighted workouts to achieve your goals because they help to target the root causes of our hormonal imbalances. You can find tons of PCOS workout videos to follow on the app

 low-impact exercises

Get better sleep. 

When we sleep, our body does all sorts of things to maintain our health. This is why we feel like crap if we don’t sleep well, right? One of the primary processes our body does while we sleep is to manage the production and metabolism of hormones. So, when we don’t sleep well, we’re more likely to have even more imbalanced hormones, specifically high androgens, high cortisol, and low estrogen. 

I know getting a good night’s sleep can be hard with PCOS, but work on improving your sleep hygiene to get a more restful 8 hours. You’ll likely see big changes in your hormone health and sex life!  

Seek the help of a medical professional. 

If you aren’t seeing improvements in your vaginal dryness or other PCOS symptoms after about 30 days of making these small lifestyle changes, don’t hesitate to bring that up with your doctor to discuss treatment options. 

PCOS can cause vaginal dryness, but a few lifestyle changes can reverse this symptom and others, too! 

Living with PCOS can be difficult. The list of chronic symptoms is LONG and often doctors don’t give us many hopeful options. Though there is no cure for PCOS medically, there is plenty you can do to naturally heal your body and reverse your symptoms. 

You can find out all about how to start thriving with PCOS on the PCOS Weight Loss blog. If you need a good place to start, read this post on How to Lower Testosterone! Let’s take back your life and health, Cyster! 

11 Vitamins To Lower Testosterone In Women with PCOS

Polycystic ovary syndrome (PCOS) is a common hormone condition that impacts women of reproductive age. It affects several hormones, including androgens, estrogen, progesterone, luteinizing hormone (LH), follicle-stimulating hormone (FSH), insulin, cortisol, and more. The imbalances of these hormones all come with side effects that make up the long list of chronic symptoms women with PCOS deal with every day! 

The hormone I want to talk about today is testosterone, which is a type of androgen and is a male sex hormone. In Cysters like us, testosterone is often elevated and can trigger the imbalance of other hormones, contribute to the development of insulin resistance, and lead to persistence of inflammation. Needless to say, when healing PCOS, lowering elevated testosterone levels is a must for reversing symptoms! 

vitamins to lower testosterone in females with pcos

11 Vitamins To Lower Testosterone In Women with PCOS

There are lots of ways to lower testosterone with PCOS effectively, but it always takes a holistic approach to do it naturally and without side effects! A balanced diet, the right kind of exercise, high-quality sleep, and high-quality supplements are all key components. 

Vitamins and minerals are a great place to start when you begin the process of lowering testosterone because they can give your body the support it needs to correct the problem and start healing your metabolic condition. Below, I’ll break down the supplements I recommend for lowering testosterone! 

What Does Testosterone Do In Females?

Yes, testosterone is a “male sex hormone.” However, testosterone is an essential part of a female’s adrenal balance! The three main sex hormones are estrogen, progesterone, and testosterone. When in perfect balance, each one has its role and helps maintain a healthy body. 

Here’s all that testosterone does for you when at healthy levels:

  • Promotes normal libido 
  • Contributes to maturation and release of eggs during ovulation
  • Promotes the production of cervical mucus 
  • Maintains bone density and strength
  • Supports muscle mass and strength 
  • Reduces fatigue 
  • Improves mood
  • Maintains healthy vaginal tissues 
  • Converts to estrogen to promote proper hormone production

What Is Considered High Testosterone?

Normal testosterone hormone levels for women over 19 years old are between 15 to 70 ng/dL (nanograms per deciliter.) So, anything higher than that would be considered high! Most women with PCOS typically have elevated testosterone levels around 48 to 150 ng/dL. This means that naturally, a Cyster’s testosterone levels are too high and are contributing to negative symptoms. 

What Can Cause High Testosterone Levels?

Of course, we know that PCOS can cause high testosterone, but how? First of all, insulin resistance, which is common in PCOS, stimulates the ovaries to produce more testosterone. Additionally, elevated levels of luteinizing hormone (LH) and general ovarian dysfunction from PCOS can cause spikes in androgen levels like testosterone. Lastly, high insulin levels can result in low levels of sex hormone-binding globulin (SHBG), which is a protein that binds to testosterone to deliver it to various organs and tissues, which can allow free testosterone levels to rise! 

Outside of PCOS, there are other issues that may cause high testosterone in females. Adrenal gland disorders, pituitary gland disorders, ovarian tumors, and various medications can all cause a rise in androgens. 

what happens if testosterone is high in females

What Happens If Testosterone Is High In Women?

Hyperandrogenism, or high testosterone, in women is no joke! It can cause a lot of health issues and chronic symptoms that can lower your quality of life. Here are the common symptoms of high testosterone levels in women:

Beyond these symptoms, high testosterone can also contribute to concerning health problems and root issues like insulin resistance, high cholesterol levels, high blood pressure, and thyroid issues. Some of these root problems can snowball into long-term health conditions and complications like type 2 diabetes, heart disease, sleep apnea, depression, endometrial cancer, and more. 

5 Vitamins To Help Lower Testosterone In Females

Vitamin D

Vitamin D, the sunshine vitamin, is not just great for our bones, it supports healthy hormone balance. It helps regulate overall hormone balance by improving insulin sensitivity and reducing inflammation. Here’s more on the benefits of vitamin D for PCOS

Vitamin E

Vitamin E, like vitamin D, doesn’t have a direct effect on testosterone, but supports testosterone levels by reducing insulin resistance and inflammation. Additionally, the natural antioxidant properties of vitamin E help your body maintain hormone balance with lower levels of oxidative stress. 

Vitamin B6

Vitamin B6 supports the production of neurotransmitters and can help our brains regulate hormone levels and manage metabolism. Additionally, women with polycystic ovary syndrome (PCOS) often have elevated levels of homocysteine, which is an amino acid that can worsen inflammation and hormonal imbalances. Vitamin B6 luckily breaks down homocysteine! 

Magnesium

Sleep is one of the number one ways our body naturally balances and manages hormone production. When we get bad sleep, which is common with PCOS, we’ll experience all sorts of hormonal imbalances. A magnesium supplement can help improve sleep which also influences our hormone balance! Additionally, magnesium can reduce insulin resistance and inflammation for better adrenal health. Here’s more on the benefits of magnesium for PCOS

Zinc

Zinc is one of the most powerful supplements to combat high testosterone levels! In fact, zinc inhibits the enzyme 5α-reductase, which converts testosterone into dihydrotestosterone (DHT), which is a more potent androgen that can cause worsened symptoms. So, by reducing the conversion of DHT, zinc lowers testosterone! To learn more, you can dive deeper into how zinc helps lower testosterone here

vitamins to help lower testosterone in females

6 Supplements to Lower Androgens

Omega-3 Fatty Acids

Omega-3 fatty acids (AKA fish oil) influence the production and metabolism of hormones to keep them from being too low or too high! It also can help reduce inflammation and improve insulin sensitivity to ensure those testosterone levels don’t spike as a result of those issues. Here are more reasons to take omega-3 for PCOS.

Inositol Complete 40:1

Inositol Complete 40:1 is one of my favorite supplements for PCOS, because it can have such a big impact on hormone balance! Ovafit’s inositol supplement is a 40:1 ratio of myo-inositol and d-chiro-inositol and it has anti-androgen effects! Plus, it can improve insulin sensitivity to decrease the production of testosterone in the ovaries. 

Testosterone Relief Tea

Supplements are great for lowering testosterone, and so are herbal teas! You may have heard of drinking spearmint tea, peppermint tea, lemon balm tea, chamomile tea, rosehip tea, and other herbal teas to improve testosterone levels . . . however, who has time to drink half a dozen teas in a day? My Testosterone Relief Tea includes all of these and can help you reduce those androgens naturally! 

two glasses of Testosterone Relief tea

Licorice Root Tea

Licorice root tea is another helpful PCOS supplement for battling androgen activity. It helps lower testosterone by slowing down how much your body makes and helping your body clear out the excess. Licorice root can also affect blood sugar and potassium levels, so it’s recommended that you use this supplement short-term or cycle it with other herbal teas. 

Flaxseed Powder

Flaxseeds are rich in plant compounds called lignans. These nutrients bind to free testosterone in the bloodstream, making it less active. When androgens are less active, they’re less likely to trigger symptoms. Flaxseed powder also supports liver detoxification and healthy estrogen metabolism, helping the body clear excess hormones more efficiently.

Flaxseed powder has a mild, slightly nutty flavor, which makes it easy to mix into everyday foods. It blends well into smoothies, oatmeal, chia pudding, and even salads. You can find plenty of PCOS-friendly recipes using flaxseeds on The Cysterhood app.

Diindolylmethane

DIM, or diindolylmethane, is a compound derived from cruciferous vegetables like broccoli, cauliflower, and Brussels sprouts. It can help balance sex hormone levels by supporting the liver as it breaks down estrogen. As estrogen metabolism improves, the body naturally produces more sex hormone–binding globulin (SHBG). And what does SHBG do? It binds to free testosterone, rendering it inactive. Because of this, DIM is a great supplement choice!

Foods that Lower Testosterone Levels
  • Flaxseeds (ground or flaxseed powder)
  • Soy foods (tofu, tempeh, edamame)
  • Cruciferous vegetables (broccoli, cauliflower, Brussels sprouts, cabbage)
  • Green tea or matcha
  • Almonds and walnuts
  • Berries
  • High-fiber foods (oats, lentils, beans)

How to Lower Testosterone in Women Naturally

Practice healthy stress-management techniques. 

Stress drives up cortisol levels, and high cortisol tells the ovaries to produce more testosterone. So, by reducing stress and incorporating self-care into your daily routine, you can also bring those testosterone levels down. Some good stress-management techniques include getting outside, doing yoga, practicing mediation, and cutting back your mental load. 

Adopt a gluten- and dairy-free anti-inflammatory diet. 

So many PCOS symptoms and root issues are driven by what we do and do not eat—high androgen levels included. To reduce testosterone levels and bring your hormones into balance, try a gluten- and dairy-free anti-inflammatory diet that prioritizes protein, healthy fats, fiber, and other nutrient-dense foods. 

Do regular, slow-weighted workouts. 

Certain kinds of exercise have been proven to reduce testosterone levels in women with PCOS. Instead of high-intensity, high-impact exercises like kickboxing, sprinting, and CrossFit, try slow-weighted workouts. This kind of mindful movement builds muscle without spiking adrenaline and cortisol levels—which is great for hormone balance. 

Get 7-9 hours of good quality sleep. 

Our bodies need sleep to balance hormones. In fact, all of our hormone-balancing efforts can fall flat if we aren’t sleeping enough. Overnight, the body goes through specific cycles that regulate hormones—including androgens and cortisol. That’s why practicing good sleep hygiene and consistently getting 7–9 hours of sleep is essential.

Take strategic vitamins and supplements. 

Of course, taking the right vitamins and supplements can be a huge help. These research-backed tools can help our bodies function at their best and balance hormones. I know I talked about a lot of different ones in this post, but to start out, consider the Metabolism Plus bundle, Inositol Complete 40:1, and Testosterone Relief Tea. Each one of these supplements is NSF-certified and specifically formulated for women with PCOS.

High testosterone contributes to many PCOS symptoms, so find ways to naturally lower those levels! 

Lowering testosterone using natural supplements is a great start to PCOS healing! However, you don’t want to grab just any supplement off the shelf. You want something third-party tested, high-quality, and specifically made for a PCOS body. Everything from the dosage to the type of vitamins matters! 

That’s why I created Ovafit, which is a research-backed, third-party tested supplement line made for PCOS. There, you can find the MetaMulti, which includes zinc and vitamin D, E, and B6. You’ll also find an omega-3 supplement and Inositol Complete 40:1! Everything you need to support your healing journey is right in one place! 

Can a Miscarriage Cause PCOS?

If you’re a woman who has experienced a miscarriage, I first want to say that I am deeply sorry for your loss. Losing a baby and struggling with infertility are two of the most difficult symptoms a woman faces with polycystic ovary syndrome (PCOS). 

Since PCOS is a condition that negatively impacts the balance of reproductive hormones, it makes sense that Cysters experience reproductive-related symptoms like infertility, irregular menstrual cycles, and/or recurrent miscarriages. In fact, the miscarriage rate for women with PCOS is between 30% – 50%, which is higher compared to women without PCOS. 

What can make this even more difficult is that many women are diagnosed with PCOS in the middle of their fertility journey, meaning not only do these Cysters have to mentally deal with the struggles of trying to conceive, but they also have to figure out a treatment plan for their condition. It can be a lot to handle! 

If this is you, know that all of us in The Cysterhood are here for you. But more than that, I want you to know that there is hope for naturally healing your PCOS symptoms and carrying a healthy pregnancy to term! 

Here’s what you need to know about miscarriages and PCOS:

Can a Miscarriage Cause PCOS?

Can a Miscarriage Cause PCOS?

The short answer is no. Miscarriages of any kind, whether recurrent miscarriages, missed miscarriages, early pregnancy loss, late pregnancy loss, or another type of miscarriage, don’t trigger any long-term hormonal imbalances that would cause PCOS. 

However, as mentioned, a lot of Cysters first realize they have PCOS during their fertility journey, which may make miscarriage seem like the cause of their metabolic condition. However you can think of it this way: PCOS usually happens first, and infertility is second. Once a woman starts looking at the symptoms of PCOS beyond fertility, they usually realize they’ve had warning signs and chronic symptoms for years. Some common symptoms of PCOS include weight gain, acne, mood swings, fatigue, irregular periods, and hair loss. 

All that being said, I want to provide you with some hope… many Cysters have had successful PCOS pregnancies! I’ve witnessed it myself in our private interactive group of The Cysterhood app. It’s truly one of the most inspiring updates we read daily and I love when the Cysters all gather online in the comments to share love and support. Here’s more on how PCOS affects pregnancy, and we’ll jump into how to avoid miscarriage and high-risk pregnancies with PCOS:

factor raising miscarriage risk with pcos

Things That Increase Risk Of Miscarriage with PCOS

  • Obesity
  • Stress
  • Poor nutrition 
  • Smoking, excessive alcohol consumption, drug use, etc. 
  • Advanced age
  • Elevated insulin levels
  • Elevated testosterone levels 
  • Other imbalanced reproductive hormones
  • Autoimmune disorders 

How To Support Your Pregnancy With PCOS

Maintain a healthy weight.

Being overweight or obese is one factor that can increase miscarriage risk. However, I know firsthand that when you have PCOS, losing weight can be really difficult! This is because women with PCOS have insulin resistance, which is when your body doesn’t process glucose properly. Instead of converting the sugar to energy, your body stores it as fat and absorbs it into the bloodstream. 

Insulin resistance makes weight loss difficult and raises your blood sugar levels, which increases your risk of gestational diabetes mellitus. Gestational diabetes can lead to pregnancy complications and increase your risk of miscarriage, but the right strategies can help you maintain your weight levels appropriate for pregnancy and lower your high blood sugar levels. Remember that this is a hormonal and metabolic disorder, so targeting the root causes of weight gain through small lifestyle changes can help you maintain a healthy weight in each stage of pregnancy. Be sure to talk to your doctor about healthy weight goals throughout your journey.

Eat 3-5 times a day.

You and your baby need fuel to get through the pregnancy! What you eat now will help your baby grow and develop as healthy as possible, to give them a great start to their life. I recommend you eat regularly, meaning 3 main meals and a snack or two in between, if necessary. Follow recipes from the app and prioritize foods that are rich in fiber, protein, iron, calcium, and healthy fats. 

While we recommend an anti-inflammatory, gluten-free and dairy-free diet for most women with PCOS, be sure to talk to your doctor if this is something you can continue during your pregnancy. You can always get back to this lifestyle after you give birth and we will help you every step of the way!

PCOS diet

Avoid drinking too much caffeine. 

Excessive amounts of caffeine have been linked to some pregnancy complications. Plus, caffeine with PCOS can worsen hormonal imbalance (such as high cortisol and androgen levels) and insulin resistance. So, it’s best to avoid consuming caffeine or at least opting for decaf options in moderation.

Stay hydrated. 

Drinking lots of water during pregnancy is very important. It prevents dehydration, supports adequate amniotic fluid levels, reduces uterine irritability, and promotes blood circulation. All of this is good for a healthy and successful pregnancy! 

Get plenty of sleep. 

Good sleep is essential for all aspects of health! So, of course, it can help you maintain a healthy pregnancy, too. Improving sleep hygiene can help reduce stress, promote balanced hormone levels, improve immune functions, increase healthy blood flow, and overall reduce the risk of pregnancy complications. And, yes, I know good sleep can be difficult with PCOS, but try these tips to get better sleep with PCOS!

Continue with gentle exercise. 

Of course, we don’t want you to be doing any vigorous, intense exercises when you’re pregnant. Regular, pregnancy-safe exercises can be hugely beneficial for your body! (And, truthfully, high-intensity workouts aren’t good for PCOS bodies whether pregnant or not.) Staying active by doing slow-weighted workouts, yoga, walking, etc. for 150 minutes a week can help reduce your risk of complications like gestational diabetes while balancing hormones, reducing inflammation, and increasing insulin sensitivity.  

PCOS gentle exercise

Reduce your stress levels. 

High stress levels can worsen reproductive hormone balance, weaken the immune system, lower insulin sensitivity, and increase inflammation, which can all increase the risk of miscarriage and worsen your PCOS symptoms. So, to foster a healthy pregnancy, do your best to reduce stress. Some daily self-care, regular exercise, time in nature, morning meditation, and other lifestyle changes can have a big impact on your stress levels and help you improve your stress management techniques for a healthier body and pregnancy. 

how to support your pregnancy with PCOS

Take supplements advised by a healthcare professional. 

Most pregnant women with PCOS or without are told to get a high-quality multivitamin or prenatal vitamin for pregnancy support. Other supplements like curcumin, omega-3 fatty acids, and Ovasitol have also been shown to be beneficial for pregnancy and overall PCOS health. So, talk with your doctor about taking NSF-certified supplements like mine from Ovafit to give your body tons of extra nutritional support to maintain your pregnancy. 

Metabolism Plus

Avoid harmful substances and discuss medications with your doctor. 

When pregnant, you should avoid all harmful substances like alcohol and any kind of non-prescription drugs. If you struggle with any of these, see a healthcare professional right away. Additionally, if you take any prescription drugs, you need to discuss with your doctor of potential risk factors of taking that drug and whether it’s safe for your pregnancy. Certain medications can be potentially harmful. 

Miscarriage does not cause PCOS, and there are ways you can promote a healthy pregnancy even with PCOS!

Growing a family is an incredible part of anyone’s life journey, and if you’re a Cyster, you are worthy of this milestone too! Despite setbacks from PCOS, there are plenty of ways you can improve your condition naturally to give you a higher chance of having a healthy pregnancy.

For more ways to support your body, reverse PCOS, and conquer infertility, head over to the PCOS Weight Loss blog and listen to the A Cyster and Her Mister podcast. There is hope for all your health goals! 

10 PCOS Symptoms In Teenagers to Look Out For

Polycystic ovary syndrome (PCOS) is a hormonal condition that impacts women of reproductive age, and has been linked to causing health complications including high blood pressure, heart disease, and even infertility. Generally, we probably think of “reproductive age” as being 20-30, but scientifically, reproductive age actually starts as early as puberty. This means that PCOS can show up as soon as a girl gets her first period! Though many women with PCOS don’t get diagnosed until WAY later (if at all), most will tell you there were signs in adolescence. 

PCOS can be hard to diagnose, and a lot of doctors aren’t even sure how to look for it in young women. So, it’s super important to know the symptoms so that you can look out for them in your teens and help advocate for proper testing if necessary! Small lifestyle changes can make a big impact on your PCOS, and it’s best to learn to manage it young to help prevent any chronic symptoms or long-term complications

So, today I’m talking about some common PCOS red flags in teenagers! Here are the symptoms you should look out for: 

pcos symptoms in teenagers to look out for

10 PCOS Symptoms In Teenagers to Look Out For

If you have PCOS, it goes without saying that you’re being highly aware of PCOS symptoms in your adolescent daughter. PCOS does run in families, and the sooner a diagnosis is given, the better. But, you know all too well how difficult it can be to get that official diagnosis. When you know what early signs to look for, you’ll know when it’s time to push for the right blood tests to help your daughter get the resources and support she needs!

what are the first sign of pcos in teenagers

What Are The First Signs of PCOS In Teenagers?

One of the first symptoms of PCOS you’ll identify in a teenager is irregular periods. Before other health problems or symptoms arise, you’ll probably notice that your teen’s periods are sporadic or sometimes even absent. It’s common, too, that these periods are painful and heavy, even from the start! Keep open communication with your adolescent daughter about their period to monitor if anything potentially unusual is occurring. 

Teens are typically offered birth control as a treatment for PCOS and irregular periods. Unfortunately, many doctors make it seem like this is the only option. Teens end up taking birth control for years, through their 20’s, ignoring PCOS altogether as symptoms are being masked by birth control. Although some symptoms may be masked, like irregular periods, other symptoms may run rampant, like insulin resistance, sometimes even leading to diabetes. It’s important to manage PCOS through diet and lifestyle changes whether or not you decide to take birth control.

PCOS is a hormonal condition and the first line approach for it is diet and lifestyle changes…so I’m glad you’re here. There are many blog posts to sift through about what you can do to reverse PCOS symptoms and thrive.

10 Symptoms of PCOS in Teenagers 

Heavy, Painful, and Irregular Periods

As mentioned, irregular or missed periods that are heavy and painful can be a sign of PCOS. Polycystic ovarian syndrome (PCOS) impacts the reproductive hormones, which directly influences the menstrual cycle! 

The average menstrual cycle is 28 days. However, high testosterone, high estrogen, and low progesterone can lead to periods being between 21-40 days apart, or totally absent. Additionally, women with PCOS may experience an overgrowth of the uterine lining during their menstrual cycle due to these imbalances, which can cause twice as much bleeding as the average woman and lots of additional pain. Here’s more on what periods are like with PCOS.

Hirsutism 

It’s obviously not uncommon for girls in puberty to develop body hair and some hair on the face. That’s normal for everyone! However, high levels of androgens (male hormones) can take that to the extreme. If you see your teen dealing with excessive hair growth on the face and body that’s more similar to what a male should experience, this could be a sign of PCOS. 

common PCOS red flags in teenagers

Thinning Hair

Like the growth of body hair, some hair loss on the head is normal. However, you shouldn’t see more than some strands on the shower floor or on her pillow. If she’s developing visible bald spots, that’s definitely a sign of a hormonal imbalance beyond the usual puberty changes. 

Acne

I know what you’re thinking: You’re just naming normal puberty symptoms! I totally get the frustration, because this is one of the reasons it’s so hard to identify PCOS early. So, yes, it’s normal for a teen to develop acne, but if the hormonal, cystic acne gets excessive and painful and seems like it can’t be treated with any of the usual skincare remedies, it may be a sign of a deeper issue. 

Excessive Weight Gain

Another potential sign of PCOS in teens is excessive and rapid weight gain. One of the most common root issues of PCOS is insulin resistance. This means the body stops converting glucose to energy like it’s supposed to, and instead, stores that sugar as fat and absorbs it into the bloodstream. This means, that even without too many diet changes from before puberty, your teen may gain a lot of weight. 

Efforts to lose weight are often met with weak results because those insulin levels are just off! Here’s where you really want to be vigilant, because extreme body changes and inefficient attempts to lose weight can not only lead to long-term complications like type 2 diabetes, but they can also lead to the development of eating disorders or other mental health struggles

symptoms of pcos in teenagers

Ovarian Cysts 

Polycystic Ovarian Syndrome (PCOS) is honestly poorly named. Cystic ovaries are just one part of the PCOS experience and there are plenty of Cysters that never even develop cysts, despite the name. That being said, cysts or follicles on the ovaries can appear because of problems with the menstrual cycle. Basically, your eggs don’t shed properly when you skip ovulation or have long periods, and those follicles continue to grow, becoming painful cysts. 

If your teen experiences a lot of pelvic pain and lower back pain throughout their menstrual cycle, as well as bloating and painful bowel movements, they may have a cyst. Most cysts go away on their own, but sometimes they continue to grow until they burst, which can be extremely painful. So, if you think your teen may have a cyst, take them to an OBGYN to have it checked out. Here’s more on ovarian cysts and treatment options

Depression and Anxiety

The truth is, many women after years of struggling with the chronic symptoms of PCOS like fatigue, weight gain, and infertility, experience depression, anxiety, and other mental health issues. However, depression and anxiety don’t just come from negative experiences. The hormonal imbalances of your body actually contribute too, so even young people with PCOS can experience mood issues

The main contributing hormones are high cortisol, high testosterone, high estrogen, and low progesterone. If you see your teen becoming more irritable, exhibiting mood swings, or showing signs of depression or anxiety, don’t hesitate to see a doctor and start making changes using The Cysterhood app. Working on lifestyle changes to help balance hormones and seeing a mental health professional can make all the difference to ensure those teen years are as joyful as they should be! 

Headaches and Migraines 

Fluctuations in estrogen, testosterone, and cortisol can trigger migraines and tension headaches. If your teen is drinking plenty of water and isn’t experiencing a lot of stress, but is still having chronic headaches and migraines, it could be a sign of PCOS. Try to rule out other causes first, but headaches and migraines are common with PCOS hormonal imbalance.  

PCOS signs in teens

Sleep Problems 

Trouble sleeping is common with PCOS, which is unfortunate because poor sleep can worsen hormonal imbalances, stress, mood problems, and other PCOS symptoms and root issues. Of course, teenagers don’t always practice great sleeping habits, but if your teen expresses problems falling asleep followed by excessive daytime sleepiness, it could be due to PCOS. Support them in making good sleep hygiene choices, but if problems persist, it may be time to talk to your doctor about PCOS. 

Fatigue 

Speaking of excessive daytime sleepiness, chronic fatigue can stem from insulin resistance and those pesky hormonal imbalances…not to mention poor sleep! If your teen is constantly sleepy during the day or struggles to get out of bed even after a decent night’s sleep, it could be a result of PCOS. It’s important to remember that teenagers should only need 8-10 hours of sleep to perform at their best! 

PCOS can show up in teens, so it’s important to know the signs! 

Even before a diagnosis, a woman who realizes she has PCOS can take steps to treat the symptoms and prevent them from getting worse. Making important lifestyle changes when you’re young to manage your PCOS can be super beneficial for your future and prevent some symptoms from becoming chronic. 

Visit the blog for more helpful resources:

I hope this post helped you get a better understanding of the early signs of PCOS so you can help the young woman in your life who may be struggling. And, if a PCOS diagnosis does happen, don’t worry! I’ve worked with Cysters who were able to heal their symptoms even before getting a diagnosis. You never have to wait to start creating a healthy lifestyle designed for you and your teen’s bodies. You can download The Cysterhood app for all the resources and support you need to get your teen through the journey.