Why do we get acne with PCOS?

In a UK-based study, over 50% of women with PCOS reported experiencing acne, and highlighting its effect on their overall wellbeing. This compares to only 21% of British women without PCOS stating that they suffer with acne.

If you have PCOS, this might not be coming as much of a surprise to you! So, why do we women with PCOS suffer more with our skin than the average British woman?

This comes down to our hormone balance again. PCOS is an endocrine (hormonal) condition, and we see that most women with PCOS have higher androgen (or ‘male’ hormone) levels than women without PCOS.   

The higher androgen levels in PCOS can stimulate overproduction of sebum in the skin which can clog pores causing spots to form. Additionally, the low-grade inflammation consistent with PCOS can make the acne worse and more painful, sometimes turning into cystic acne, the type of acne that causes deep, painful bumps. It also tends to flare up when stress is involved, or around the time of our periods. 

PCOS-related acne is often found in areas of the body that are more androgen-sensitive, such as around the jawline, chin, chest, and back. This is because these areas have a higher density of androgen receptors, which respond to the higher levels of androgens more intensely. This leads to excess sebum production, as well as increased keratin production in the skin, which can clog pores and foster acne. The back and chest are particularly rich in oil glands, hence why those areas can be especially problematic.

The good news is that any of the dietary changes you make with your PCOS to help reduce androgens will then, in turn, help reduce the prevalence of acne that you’re suffering with.

Check out my blog about how to eat healthily for your skin. And, if you’d like to chat further, why not book a call? One of our one-to-one targeted programmes could be right for you.

PCOS and Fertility

Polycystic Ovarian Syndrome (PCOS) is a complex condition that often casts a shadow over the dream of parenthood for many women. Amidst the myriad of symptoms and challenges, fertility struggles stand as a significant concern for those with PCOS. 

PCOS can bring about a range of symptoms, including irregular periods, elevated androgen levels, and ovarian cysts. Fertility struggles, often intertwined with these symptoms, can present a profound emotional toll on individuals and couples. 

The Link PCOS between and Fertility

The intricate interplay between PCOS and fertility involves a complex dance of hormones, ovulation, and reproductive health. Here are some of the factors:

• Ovulatory Disruptions: One of the defining features of PCOS is irregular or absent ovulation, a key factor in fertility. Hormonal imbalances can hinder the release of mature eggs, impacting the chances of conception.
• Insulin Resistance: Many individuals with PCOS experience insulin resistance, which can lead to elevated insulin levels. This, in turn, can stimulate the ovaries to produce excess androgens, further disrupting ovulation.
• Hormonal Imbalances: Elevated androgens and other hormonal irregularities can create an environment less conducive to successful conception and pregnancy.
• Anovulatory Cycles: Anovulation, the absence of ovulation, can lead to irregular menstrual cycles and difficulty in predicting fertile windows.
• Egg Quality: PCOS-related hormonal imbalances can potentially impact egg quality, affecting the chances of successful fertilization.

Managing PCOS for Improved Fertility Chances

Strategies aimed at addressing the unique challenges of PCOS-related fertility struggles can make a significant difference:

• Ovulation Tracking: Monitoring menstrual cycles and using ovulation prediction tools can help identify fertile periods and maximize chances of conception.
• Hormone-Friendly Diet: Opt for a balanced diet rich in nutrients that support hormonal balance and fertility, such as whole foods, healthy fats, and antioxidants.
• Regular Exercise: Engaging in regular physical activity can help manage insulin resistance, support hormonal equilibrium, and enhance fertility.
• Stress Management: Prioritize stress-reduction techniques to mitigate hormonal fluctuations and support a conducive reproductive environment.
• Professional Guidance: Consult with healthcare providers experienced in fertility and PCOS management for personalised recommendations, such as our team of Registered Nutritional Therapists.

Hope on the Horizon

While the road to fertility for individuals with PCOS may present challenges, it's important to remember that hope is far from lost. Understanding the complexities of the connection between PCOS and fertility helps us to take proactive steps toward achieving our parenthood goals. 

By addressing hormonal imbalances, adopting a healthy lifestyle, and seeking professional guidance, those of us navigating PCOS-related fertility struggles can move closer to our dream. 

If you’d like to discuss this further, why not book in a call with us to discuss further? Here’s the link to book a call.

Untangling the Connection: Acne and PCOS

Polycystic Ovarian Syndrome (PCOS) is a multifaceted condition that impacts the lives of countless women, characterized by a range of frustrating and distressing symptoms. Among these, acne often takes centre stage, causing not just physical discomfort but also affecting self-esteem and confidence. 

Here are some tell-tale signs that PCOS and acne may be intertwined:

• Hormonal Breakouts: Acne that worsens before or during menstruation may indicate the influence of hormonal imbalances, a hallmark of PCOS.
• Persistent Acne: Acne that lingers beyond the teenage years and continues into adulthood may be linked to underlying hormonal disruptions.
• Androgen-Related Acne: Acne that is characterized by deep, cystic lesions on the chin, jawline, and upper neck may be associated with elevated androgens seen in PCOS.

How PCOS Triggers Acne

A combination of hormonal and metabolic factors can be factors in the severity of acne in women with PCOS, such as:

• Androgen Overload: PCOS often leads to elevated androgen levels, which can stimulate the sebaceous glands to produce excess oil, clogging pores and leading to acne.
• Insulin Resistance: Insulin resistance, a hallmark of PCOS, can trigger the release of insulin-like growth factor-1 (IGF-1), which further stimulates oil production and contributes to acne.
• Inflammation: Chronic inflammation, common in PCOS, can exacerbate skin inflammation and contribute to the development of acne.
• Hormonal Fluctuations: The hormonal imbalances inherent in PCOS can lead to irregular menstrual cycles and fluctuating hormone levels, which can influence the onset of acne.

Managing Acne in PCOS

Strategies aimed at addressing the underlying hormonal imbalances and supporting skin health can make a huge difference in alleviating acne symptoms:

• Hormone-Friendly Diet: Opt for a balanced diet rich in antioxidants, whole foods, and anti-inflammatory nutrients to support hormonal balance and skin health.
• Skincare Routine: Establish a consistent skincare routine that includes gentle cleansing, exfoliation, and non-comedogenic products to manage acne-prone skin.
• Stress Reduction: Practice stress-reduction techniques like mindfulness, meditation, and yoga to mitigate stress-related hormonal fluctuations.
• Professional Guidance: Talk to one of our team of Registered Nutritional Therapists who are experienced in treating PCOS-related acne for personalized recommendations.

By addressing hormonal imbalances through dietary choices, skincare practices, stress reduction, and seeking professional guidance, individuals with PCOS can navigate the challenges of acne more effectively. Remember, managing acne isn't solely about achieving clear skin – it's about fostering overall health, enhancing self-confidence, and taking proactive steps toward feeling your best inside and out. 

Would you like to know more? Why not book a free call with one of our team – just click here to book.

Navigating Weight Gain and PCOS

Among the challenges faced by us ladies with PCOS, unexplained weight gain stands out as a significant concern for many of us. Despite huge efforts to maintain a healthy lifestyle, weight gain may persist, especially around our middles. And trying to lose weight becomes a formidable challenge, often requiring loads more effort compared to those without PCOS.

Why is it so difficult to lose weight with PCOS?

It’s a complex condition, and there are several reasons why this might be the case:

• Insulin Resistance: Many women with PCOS have insulin resistance, which means their cells do not respond effectively to insulin, a hormone that regulates blood sugar levels. Insulin resistance can lead to higher levels of insulin in the body, which in turn promotes fat storage and makes it harder to lose weight.
• Hormonal Imbalances: PCOS is characterized by imbalances in hormones such as insulin, androgens (male hormones), and luteinizing hormone (LH). These imbalances can affect metabolism, appetite regulation, and fat storage, making weight loss more challenging.
• Increased Fat Storage: Insulin resistance and hormonal imbalances can lead to increased fat storage, particularly around the abdominal area. This type of fat, called visceral fat, is associated with higher health risks and can be stubborn to lose.
• Appetite Regulation: Hormonal imbalances can impact appetite regulation, leading to increased hunger and cravings, which can make it harder to stick to a calorie-restricted diet.
• Stress and Emotional Factors: Dealing with the challenges of PCOS, including its effects on fertility and physical appearance, can lead to stress and emotional eating, which can contribute to weight gain or hinder weight loss efforts.
• Difficulty with Exercise: Some women with PCOS may experience fatigue, joint pain, or other symptoms that make regular exercise more challenging. 
• Medications: Some medications commonly prescribed to manage PCOS symptoms, such as birth control pills or certain insulin-sensitizing medications, can also impact weight loss efforts.

Managing Weight Gain in PCOS

Strategies to address weight gain and promote overall wellbeing can make a significant difference in alleviating symptoms:

• Balanced Diet: Prioritize nutrient-dense, balanced diet rich in whole foods, fibre, lean proteins, and healthy fats.
• Regular Exercise: Engage in regular physical activity particularly strength training to support insulin sensitivity.
• Stress Management: Practice stress-reduction techniques like mindfulness, meditation, and yoga to mitigate stress-related weight gain.
• Hormone-Friendly Lifestyle: Focus on sleep quality, manage stress, and avoid xenoestrogens to support hormonal balance and weight management.
• Professional Guidance: Consult with one of our team of Registered Nutritional Therapists for personalised guidance.

If you are struggling with weight due to PCOS, why not come and chat to one of our team about what’s going on for you and how we can support you. Click here for a free call.