PCOS is more than just “cysts on your ovaries.” It’s a complex endocrine and metabolic condition that affects approximately 1 in 10 women of reproductive age worldwide. Characterized by hormonal imbalances, irregular ovulation, and metabolic dysfunction, PCOS can also impact mood, energy, fertility, and self-esteem.
If you’ve been told you have PCOS, the next question should be: Which type? Understanding the root cause of your symptoms is the first step toward targeted healing.
The 4 Types of PCOS
1. Insulin-Resistant PCOS
This is the most common form of PCOS and is driven by insulin resistance, which leads the ovaries to produce excess androgens (male hormones like testosterone).
Common signs:
- Weight gain or difficulty losing weight
- Sugar and carb cravings
- Acne and excess facial/body hair
- Fatigue after meals
Why it matters: Chronically high insulin levels can disrupt ovulation and worsen hormonal imbalances. Over time, it increases the risk of developing type 2 diabetes and cardiovascular disease.
Supporting research:
A study published in Endocrine Reviews found that up to 70% of women with PCOS have some degree of insulin resistance, even those who are lean (Dunaif A., 1997).
2. Post-Pill PCOS
This type occurs after discontinuing oral contraceptives, especially those that suppress androgens like Yaz or Diane-35. When the pill is stopped, the ovaries may rebound by overproducing androgens.
Common signs:
- Irregular or absent periods
- Acne flare-ups
- Temporary return of PCOS symptoms
Why it matters: It’s often temporary and resolves within 6–12 months as the body recalibrates hormone production naturally.
Supporting research:
A 2020 review in Frontiers in Endocrinology noted that discontinuation of hormonal contraception may unmask latent PCOS or exacerbate androgen symptoms temporarily (Glintborg et al., 2020).
3. Inflammatory PCOS
Chronic low-grade inflammation disrupts hormone signaling and contributes to elevated androgens.
Common signs:
- Fatigue
- Brain fog
- Joint pain
- Digestive issues (bloating, IBS-like symptoms)
- Skin issues like eczema or adult acne
Why it matters: Inflammation can impair ovulation and increase insulin resistance, compounding PCOS symptoms.
Supporting research:
Elevated inflammatory markers like CRP (C-Reactive Protein) and IL-6 have been documented in women with PCOS, linking inflammation to both hormonal and metabolic dysfunction (González F., 2012).
4. Adrenal PCOS
Instead of high ovarian androgens, this type features elevated adrenal androgens, particularly DHEA-S, in response to chronic stress and elevated cortisol.
Common signs:
- Anxiety
- Sleep disruption
- Fatigue that doesn’t improve with rest
- Normal testosterone/insulin but high DHEA-S
Why it matters: Traditional PCOS testing may miss this type, making it crucial to check adrenal hormones, especially if stress is a major factor.
Supporting research:
A subset of PCOS patients (around 10–30%) present with elevated DHEA-S and normal ovarian androgens, suggesting adrenal-driven PCOS (Carmina et al., 2006).
Functional & Integrative Healing Approaches
A one-size-fits-all solution won’t work with PCOS. At Red Lotus Wellness Center, we use a personalized, root-cause strategy that includes:
- Advanced hormone testing (e.g., DUTCH test, fasting insulin, DHEA-S, SHBG)
- Nutrient repletion (including magnesium, inositol, zinc, B vitamins, and omega-3s)
- Blood sugar balance through personalized nutrition plans
- Herbal medicine and supplements to support ovulation and reduce androgens
- Gut-healing protocols to reduce inflammation, address leaky gut, and improve hormone clearance
- Stress reduction strategies including acupuncture, adaptogens, and mindfulness
Traditional Chinese Medicine (TCM) Approach: Treating the Root
From a TCM perspective, PCOS often reflects patterns such as:
- Phlegm-Damp Accumulation – causing cysts, weight gain, and sluggish digestion
- Liver Qi Stagnation – leading to mood swings, PMS, and cycle irregularities
- Spleen Qi Deficiency – contributing to fatigue, poor digestion, and weight gain
- Kidney Jing Deficiency – affecting fertility and hormonal aging
Treatment modalities include:
- Acupuncture to regulate ovulation, reduce stress, and balance the HPO axis
- Customized herbal formulas
- Moxibustion and cupping to support energy flow and reduce stagnation
- Diet therapy aligned with seasonal and constitutional needs
- LED/Red Light Therapy to manage inflammation, increase blood flow to uterus and ovaries
Results we often see:
- More regular menstrual cycles
- Improved ovulation
- Better energy, sleep and mood
- Reduction in acne, bloating, and cravings
You Can Heal. Here Are 3 Tips to Start Today:
- Balance Blood Sugar with Every Meal
- Pair protein + healthy fat + fiber with each meal.
- Example: Grilled salmon, roasted veggies, and quinoa or a handful of berries with chia pudding and nuts.
- This stabilizes insulin and reduces androgen spikes.
- Add Spearmint or Licorice Tea
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- Studies show spearmint may lower testosterone levels and improve symptoms like hirsutism and acne (Grant, 2010).
- Aim for 1cups a day, ideally away from meals.
- Schedule a Weekly “Nervous System Reset”
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- Schedule regular acupuncture sessions
- restorative yoga, Qi Gong, or even a 30-minute nature walk, anything that quiets the stress response.
- Cortisol management is critical, especially in adrenal-type PCOS.
You’re Not Alone on This Journey
Healing PCOS is absolutely possible and the results are worth it: improved cycles, better skin, renewed energy, and optimized fertility. You don’t have to figure it out alone.
Let’s find your type, treat the root, so you can finally start feeling amazing again.
