Pain Is Not a Symptom of PCOS

PCOS pain

According to a 2017 study, pain is the most frequently reported symptom of PCOS. Even though pain is not a symptom of PCOS!

The solution to this paradox is that both PCOS and period pain are common, so it’s easy to have both a PCOS diagnosis and period pain (including pain due to endometriosis).

That’s true whether the PCOS diagnosis is valid (i.e., there are symptoms of androgen excess) or invalid (i.e., the diagnosis was mistakenly based on an ultrasound finding).

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Ovulation Is the Main Event of the Menstrual Cycle

Anovulatory cycles and pill bleeds.A menstrual cycle is, by definition, an ovulatory cycle in which ovulation is the main event and progesterone is made. Any other kind of bleed is either an anovulatory bleed or a pill bleed—neither of which is a real menstrual cycle.

Furthermore, an ovulatory cycle is the only way to make progesterone, which is important for general health and not just for making a baby.  

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PCOS Cannot Be Diagnosed (or Ruled Out) by Ultrasound

Polycystic ovary syndrome (PCOS) cannot be diagnosed by ultrasound because polycystic ovaries are not cysts. They’re follicles or eggs which are normal for the ovary.

It’s normal for all women to sometimes have a higher number of follicles. It’s normal for young women to always have a higher number of follicles because young women have more eggs. That’s why PCOS cannot be diagnosed by ultrasound. At the same time, PCOS cannot be ruled out by ultrasound because it’s possible to have normal-appearing ovaries on ultrasound and still have the hormonal condition PCOS.

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How Phytoestrogens Can Lower Estrogen and Lighten Periods

Phytoestrogens are a special group of phytonutrients that occur naturally in most plant foods. The two major classes are isoflavones in soy, and lignans in seeds, whole grains, legumes, fruits, and vegetables.

They’re called phytoestrogens because they interact with estrogen receptors but they’re not estrogen. In fact, they bind so weakly to estrogen receptors that they effectively block estradiol and are therefore better categorized as anti-estrogen.

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