PCOS 7-Day Meal Plan

The PCOS Diet: Why

How to Reduce the Damaging Effects of PCOS on Fertility Through Diet and Herbs
Thank you so much for your help! Depending on the situation, I often ask my patients to eat a decent serving of rice or potatoes every single night. Seed oils include vegetable oil, soybean oil, canola oil, rapeseed oil, sunflower oil, safflower oil, and all other oils that come from seeds or nuts. I was currently diagnosed with pcos because I have elevated testosterone but refused to treat it throught them and have looked for my own cures. I just thought it was what it was. I had diarrhea all my life until I quit eating gluten.

What is PCOS?

Do You Have PCOS or Hypothalamic Amenorrhea—or Both?

Insulin signals the ovaries to secrete testosterone and inhibit hepatic sex-hormone binding globulin SHBG production which leads to an increased level of circulating testosterone. This is why many women with PCOS experience acne, facial hair growth and male pattern baldness hirsutism.

Excess insulin in the bloodstream also signals the ovaries to release more estrogen which can suppress ovulation, and can lead to excessive irregular periods. Low-grade Inflammation It has also been found that women with PCOS have low-grade inflammation, which may be a cause for insulin resistance. White blood cells produce substances to fight infection, this is known as inflammatory response.

In some predisposed people eating certain foods, or exposure to certain environmental factors may trigger an inflammatory response. When inflammatory response is triggered, white blood cells produce substances that may contribute to insulin resistance and atherosclerosis.

When PCOS was first discovered it was named Polycystic Ovarian Syndrome because of the presence of polycystic ovaries seen by ultrasound.

Over time doctors began to realize that PCOS was a complex array of health issues. To date there is a push by doctors to change the name of this condition. This led to certain criteria that must be recognized to be diagnosed with PCOS, rather than just the presence of polycystic ovaries. In fact some women with PCOS do not have polycystic ovaries.

In order to be diagnosed with PCOS the following should be evaluated by your healthcare practitioner: Endometrial Biopsy usually reserved for women 35 and older with menstrual irregularities or complete lack of menses for over 6 months Glucose Tolerance Test Thyroid Panel Blood Lipid Profile. Are you wondering what your test results mean?

Please talk to your doctor in detail about what your test results mean for your fertility. Some doctors may tell you that you have mild PCOS. Women may have some or all of the symptoms of PCOS, and some may have normal menstrual cycles and some may not. Testing is the best way to find out if you have PCOS for sure or not.

In very simple terms the hypothalamus produces GnRH gonadotrophin-releasing hormone which signals to the pituitary to produce LH luteinizing hormone and FSH follicle stimulating hormone. The release of GnRH is pulsatile in women with regular menstrual cycles.

The normal pulsatile release of GnRH signals some of the follicles in the ovary to begin maturing and for the ovaries to release estrogen and progesterone. As the follicles begin maturing they release and increase the hormone estrogen over time.

The rising estrogen level signals the pituitary gland to curb the release of FSH. This communication allows for ovulation to occur. In women with PCOS the menstrual cycle follows a different pattern of endocrine function and communication. In women with PCOS the menstrual cycle starts off irregular, with the hypothalamus releasing GnRH in a higher than normal pulsatile frequency.

This allows for increased LH and decreased FSH, which in turn leads to excessive production of the androgens androstenedione and testosterone. This causes the follicle to only mature some, but not enough to achieve full maturity in order to be released for ovulation. This also allows for continued increase of estrogen, primarily estrone. The higher levels of androgens and estrogen create a chronic state of low to very low progesterone and anovulatory cycles.

Classic polycystic ovaries are a result of chronic anovulation. Endocrine function is imbalanced from the very beginning of the menstrual cycle causing mild to severe hormonal imbalance, depending on the individual. Excessive levels of estrogen may also cause uterine hypertrophy, also known as endometrial hyperplasia.

Unopposed estrogen may cause excessive cell proliferation of the endometrium. The endometrium is the innermost layer of the uterus that is shed during menstruation. Endometrial hyperplasia may cause heavy menstrual bleeding or prolonged bleeding during menstruation.

The uterus may become bulky and larger than normal. Endometrial hyperplasia can lead to uterine cancer. Other hormonal medications may be commonly used as well. This is determined by case. Clomid is commonly used for women with PCOS to stimulate the ovaries to ovulate.

Once again the problem we encounter here is that Clomid does not resolve PCOS, though it may help a woman to get pregnant. Ovarian drilling done by laparascopic surgery. This is done with the intent to stimulate ovulation. Long-term treatment with Metformin has been shown to cause malabsorption of vitamin B 12 in some patients. Before choosing to use this medication, talk to your doctor about the long-term goal and duration of treatment.

There are a variety of other medications prescribed depending on the symptoms of PCOS. There are medications for hirsutism or alopecia, weight gain and more. Your doctor can provide you with specific information on medications. It takes at least months of consistent lifestyle and diet changes, along with natural therapies to bring about real change in the body when living with PCOS.

In addition to eating the PCOS diet, supplements have shown to be effective in helping those with PCOS boost their fertility and give birth to healthy babies. The overall goal with PCOS is to balance blood sugar levels, maintain hormonal balance, promote healthy digestion for improved estrogen metabolism, while also working to promote regular ovulation and menses. Adaptogen herbs are also important, this is because adaptogens increase resistance to mind-body stress and enhance overall vitality and health through non-specific adrenal known as stress glands support.

Herbs and supplements are not meant to be a substitute for dietary and lifestyle changes! If diet and lifestyles changes specific to PCOS are not in place, herbs and supplements cannot aid the body properly! Whole Food Multivitamin A major part of decreasing the effects of PCOS on your health and preparing the uterine lining is to take a prenatal multivitamin.

Making sure your body has all of the nutrients necessary is a lot easier when you are taking a whole food multivitamin. Most foods contain very little chromium, so supplementation may need to be considered. Calcium and Vitamin D Both calcium and vitamin D play significant roles in the health of many parts of the body. Where PCOS is concerned, calcium protects cardiovascular health. Vitamin D plays a role in glucose metabolism. Studies have shown that people with type 2 diabetes are often deficient in Vitamin D.

A small study of 13 women with PCOS showed that 7 out of the 9 who had absent or irregular menstrual cycles, had a return of normal menstrual cycles within two months after being given 50, IU once or twice per week of vitamin D and 1, mg per day of calcium. This is a marked improvement! Of the 13 women, 5 were shown to be vitamin D deficient. Good food sources of vitamin D are cod liver oil, eggs, salmon, mackerel, tuna and whole fat yogurt or other dairy products.

Vitamin D can also be obtained for free by sitting out in the sun for 15 to 20 minutes per day. Forget using sunscreen because it will actually block the ultraviolet light that is needed to produce Vitamin D. The warm sun helps your skin to create Vitamin D 3 that is then transformed into the active hormone form of Vitamin D by the kidneys and the liver. Calcium can be found in kale, turnips, collards, mustard greens, kelp and wakame seaweed. Hiziki, a type of seaweed has 10 times more calcium than a glass of milk.

Herbs and supplements that promote hormonal balance and support regular ovulation: Eating omega-3 essential fatty acids can help to lose weight, balance hormones, and creates a healthy environment for conception.

Licorice root helps the body to maintain proper hormone production and release. Licorice also supports healthy insulin levels and liver health which is important for women with PCOS. Maca works to balance estrogen and progesterone in the body which may help to encourage a healthy menstrual cycle. Maca is an adaptogen and an incredible fertility superfood. It helps to balance the hormones but does not contain any hormones itself.

It is able to do this by nourishing the endocrine system. There are numerous studies and testimonials of Vitex and its effects on the body. Vitex supports hormonal balance in the body by having an effect on the hypothalamic-pituitary-ovarian axis hormonal feedback loop , correcting the problem at the source.

I like your 21 day meal plan a lot. It has simplified my grocery shopping. Do you plan on doing more meal plans? I love your blogs! I was also diagnosed with PCOS 2 years ago. I was doing a bit well on the first year with my diet and exercise but now I just moved to a new country and stopped using BCP. Anyway, do you have an alternative meal for the one with prawns?

Hi Melissa, thanks for commenting! I started this meal plan to introduce women with PCOS to a low carb lifestyle. Once you are used to the recipes, you can follow my next meal plan here: For periods, I found that eating gluten-free, sugar-free and low carb were the biggest factors to getting my periods back.

But more importantly, exercise. I simply ride my bicycle everywhere and this helps me stay in shape. For the prawns, you can use any type of fish or meat you want. Cilantro lime chicken, or salmon is very good. Hi i m from india and i m vegetarian i dont even eat egg could u plz help me with similar plan i m searching it from a long time but i just get a non vegetarian version which i cant follow Anyways ur doing a great job.

Hi, thank you for your comment. Maybe in the future. I hope it helps you! This is an intro to a low carb lifestyle, if you want to try even more lower carbs, check out the 21 day meal plan that I have here: This is amazing — thank you so much for sharing this! So much work and detail — this will absolutely help many people. Hi, I wonder if there are substitutes on many of these items that you are mentioning. Not all females have access to plenty of those things.

I am not sure how to say what needs to be shared without sounding like something I am not, but please consider that there are those who do not have such items in their shopping areas or who do not have the finances for such hard to track down products.

It is my sincere expectancy to see a new line of meal ideas for pcos females that are lower than the minimum annual income and so on. Hopefully America would realize to educate their own would benefit America more than relying on other countries to come in and do the work for us. I buy everything in bulk and online. I make this lifestyle of mine work for me with the money I have on hand.

I have my student and credit card loans to pay off but manage to save money to get the things I need to eat healthy. I lost a several kilos, but I still was overweight about 80 kg. Last year I wanted to quit taking the Glucophage and try to reverse Insulin Resistance naturally and lose some weight. So I took a blood test again before I started with it — I still had insulin resistance glucose tolerance was good.

I quit using Glucophage from November. Then I skipped period for one month, but after that I had it again. My cycle is about days. In March, this year, I started a diet based on carbs cycling — I got a meal plan from nutritionist. I thought this diet is balanced, but maybe I miss something. For 2 months I lost about 8 kilos — and that is almost my ideal weight as my nutritionist said that for me 70 kg is ideal weight, I have 72 kg now. My height is cm. I have a meals per day, in every meal I have proteins and salad and carbs are varying from day to day.

Every day I eat some fruit low GI fruits like apples, oranges, kiwi, strawberries, etc. I am also taking magnesium, zinc and Vitamin C supplements. What should I do to recover my period but still take care of insulin resistance? Maybe my doctor missed something, so I want to check every possibility. You might not be eating enough carbohydrate to get a period. Most women need a minimum of grams of carbohydrate to be able to ovulate.

Sorry for the lengthy comment ive watched your website for almost a year and really would be ecstatic to hear from you on ANY of this. I have taken notes on everything however I cant find any information on my one big question. My first birth control method ever was the mirena 4 years which caused many symptoms for me my acne being the most identifiable.

I got a copper iud. My acne did not subside. I had that removed as well its been 5 months since that and I do have periods. Are you ovulating regularly? Because that can give some insights into why your acne persists. How old were you when you first had it put in? My husband and I have been trying to conceive our first child for a year. I am 26 and he is The original recommendation for birth control pills was due to heavy, irregular cycles. After coming off the BC pills, I have been taking a prenatal vitamin and fish oil supplement religiously.

My first 3 periods were between day cycles. I have now undergone 3 cycles of Letrozole for cycle day with trigger shot for ovulation and progesterone supplements following ovulation, but no luck. I try to eat as clean as possible, and have considerably increased my water consumption.

Is there anything else that I can do to try and naturally encourage my body to regain some normality? My RE is not overly open to discussing evening primrose, maca root, or anything more holistic, so any suggestions you might have regarding how I can address the potential root cause of my problem would be more than appreciated!

Lara, I am so happy to have come across this wealth of information. Since stopping birth control pills three years ago, I have had cycles ranging from days.

But I still wondered—why the irregular cycles? My TSH was recently 4. My cycles are more regular, but still 60 days apart. I have always been an under-eater, which I NOW suspect is the cause of my underactive thyroid. Especially since I was negative for TPO antibodies.

I have a 2 year old, and when I had her the nurses kept commenting on my low heart rate—40 bpm at rest. They said it was very healthy, but I was always skeptical. Then a day after her birth my blood pressure skyrocketed, although the nurses had no idea why. I took medication for 6 weeks until it came back down. I started Vitex a couple days ago. Should I first fix my diet before trying Vitex or do both?

My period came back for two months and I started taking Vitex a month ago and now my period has stopped again? Could Vitex be messing up my cycle? Yes, vitex can disrupt cycles. Should I stop the Vitex? I am 30years old and have been on the pill Yasmin for 5 years, which i stopped in September , since then i have had a withdrawal bleed in December and light spotting in January and 2 days light spotting in February , since then nothing at all. My periods were normal before starting the pill and i have always suffered from occassional acne which has now become worse since i have stopped the pill.

I have had blood tests to check my hormone levels which came back normal and also had an ultrasound which found cysts and i was diagnosed with polycistic ovaries however the GP was unsure herself as my bloods are normal and never had any exessive hairgrowth im really worried as me and my husband wanted to start a family and now im all over the place and not even sure if im ovulating at all! Really need some advice in what to do, would you recommend starting a dose of vitex?

I hope this helps any advise would be very much appreciated. I have tried several Probiotics orally, but they always increase my symptoms: Why might the Probiotics be causing the bleeding and symptom increase? Would this be a symptoms of Histamine Intolerance? Thank you so much, I look forward to your opinion. I went off the pill in November I then had a withdrawal bleed as when on the pill. I then got a couple of days of light spotting early Jan Then nothing until march same two days light spotting.

Then nothing until December again two days light spotting. In this time I started a new job which was stressful. I also walked to Everest base camp. I am a fit person and was advised to slow down by my GP which I did from April to November , I disregarded this in December and have started training again as I enjoy it and dont feel stopping training helped.

On day 15 I started light bleeding for 4 days. I was hoping I would ovulate but not sure whats happening now. I have a retroverted uterus. Living in a remote area means we have a gynocologist clinic visit every 3 months, each time I go its someone new. The first doctor I saw said to get the hysterosalpingogram and my partners semen tested and then we would try letrozol as she was confident I have PCOS.

Recently finished your book and wanting so badly to get a consult in Australia but I live in the other side of the world. Im trying to figure this out. Both ovaries full of cysts in my last ultrasound done today. The only lab levels that seem to be a little out of control are done November After reading the book I put myself into the hidden category.

Any idea on this? Thank you for existing! How old are you? Please also refer again to the thyroid section in Chapter Wow, thank you so much for the answer.

Yes, polycystic in at least one in almost every ultrasound Ive had in my gyn appointments. They gave me pills but I stopped them about a year ago. Now Im looking for a baby and they prescribed me Provera which I didnt like , went to another doctor who prescribed natural progesterone, and then went to another doctor who prescribed Metmorfin. I just want to know WHY Im not ovulating and having long cycles ranging from days.

Also my Glucose was in 94, which I believe is high? I have all these altered random values like TSH, glucose, androstenedione, prolactin, but none of them highly above the normal. I went to the gynecologist because of problems with bad acne and excessive hair growth. So the gynecologist took a bloodtest which showed an elevated level of male hormones and an ultrasound which showed black spots on my ovaries.

Sadly I started with birth control again to balance out the male hormones and to stop the acne. Do you have any advice for post-pill PCOS? I prioritize whole foods in my diet and eat lots of veggies. Have you noticed any HA patients struggling with sudden acne? The last period I got was about 3 weeks late. These past few months at the times that I should have gotten my period I am getting very little brown spotting but very very little, no blood.

Before this my period was fairly regular but I did sometimes have certain cycles that were 40 days and some cycles that would I eat fairly well although about a year ago I was vegan for 4 months.

I also lost my period a year after I first got it when I was 12 because of undereating. My LH is I enjoyed your book a lot! I also wanted to add that I got my testosterone levels checked and they were on the low side of normal.

My Dr never did any insulin testing, but I did have cysts and high testosterone. After going low carb while being vegetarian besides fish I saw no improvement in my periods. In fact, they seemed to get further and further apart the more restricted I became and the thinner I got. I had fasting insulin and an A1C test done more than a year after eating low carb and they both looked low.

Not high at all! So very long cycles up to 75 days and no sign of insulin resistance. Doctor still insists PCOS is always about insulin. So frustrating and not sure what to try next! Wow thank you for responding! Thank you thank you thank you! I am still struggling to figure out which type of PCOS I have, but this gives me something to think about diet wise. I just finished your book, which I found incredibly informative. I wish I had read it sooner! My husband and I have been TTC for over 2 years.

My period before going on the pill was regular from what I can remember — it was so long ago. I had one period after the pill and then never again until I started fertility treatments.

I had polycystic ovaries on an ultrasound and was not ovulating. I then proceeded to do a fresh transfer where I got pregnant, but lost the baby around 7 weeks.

I went through 3 more transfers and got pregnant 2 more times and lost those as well. I was on progesterone among other drugs and everything always looked fine. Now I am at the point where I just want my body to heal naturally. I just started taking Ovasitol and was looking into taking peony and licorice. I am also following gluten-free lifestyle and have cut down on sugar and have just decided to cut out dairy as well. I had an ultrasound recently and I no longer have polycystic ovaries.

I do, however still have a bit of excess hair on my chin and have noticed some acne, but nothing too bad. Hi Lara I just wanted to ask if the Berberine herb is beneficial for pill induced pcos acne? This is exactly what happened with me. I did a whole30 5 years ago and discovered paleo and unintentionally went very low carb. My weight, body fat and carb intake all dropped significantly.

My periods became irregular and then stopped for about 6 months. I went to my GP who did some blood tests and sent me for an ultrasound. I just thought it was what it was. I got periods back almost immediately albeit with a longer cycle but now have had day cycles for 6 months.

FSH ratio and elevated total testosterone everything else, including Free T and fasting insulin was normal. Any suggestions for transitioning off BC? I was planning on limiting sugar to a couple servings of fruit or dark chocolate but still keeping starches such as potatoes and rich.

I am going on vacation in a couple months and was wondering if a beer or two for a few days would set me back. I really want to get myself ovulating again to hopefully restore my hair to what it was before BC.

I took control over my health last April, after completing the Boston Marathon. I drastically cut back on exercise, put on some weight and have been working on stress reduction. She took one look at my blood work and referred me to a REI. Thanks for this interesting article. I struggled to get a proper diagnosis and doctors just told me to go on the pill.

Last year I was actually diagnosed with HA and around 6 months ago I started eating a lot more particularly more carbs and exercising less. When I had HA, all my hormone levels were low, particularly oestrogen, but my recent tests showed that my oestrogen has improved a lot but my LH is very high now 14 , and I know that a high LH is usually indicative of PCOS.

My TSH has also jumped from 1. Also, my hair has started falling out. Have you seen anything like this before? I am not sure where to begin. I had an on and off eating disorder starting at age 20 until about My eating has improved immensely and am at a healthy weight but still have yet to get my period back. I also had a bit of a workout obsession but that has also ceased and I am now keeping my workouts to yoga and walking which has been very hard for me.

I am now 34 and struggle with not only missed periods and ovulation but, obviously, infertility. I was blessed with twin girls in and another girl in thanks to the power of clomid and IUI. My husband and I are ready and really feel strongly about having one more but I really just wish I could get to the point where I can get my period back and do it on my own. I was secretly hoping that maybe it was my hormones kicking in and that I might have a period but I know better.

I have tried everything topical then decided to do a little research. Everything I read pointed me to PCOS for which I have never been diagnosed with but wonder if that could be an underlying issue to what is going on. I have very low estrogen and progesterone as well as no FSH. My fertility doctor always tells me that my brain is asleep. I am so tired of being a mystery to my doctors as well as myself. I have tried so many things… increased fats, zero exercise, no sugar, eat everything and anything, etc.

It is just a band-aid and I want to be healthy again. I want to play with my kids and grow old with my husband. Ok, I am done. That is my story and I sobbing just writing it down. Even if nothing comes from it, it was good for me to get it out. So, thanks for that. If there is anything you can suggest or do please, please let me know. I have wasted so much money and time trying to figure it out and I am just tired. I recently went to dr to find out that what I was hopeful were cramps were actually just cysts on my ovaries.

I just wanted to say that I admire your drive to keep trying, to keep going. Hi Lara, thank you so much for your informative book!

I thoroughly enjoyed it and have started to implement the dietary changes and supplements. I wonder what are your thoughts on organic blackstrap molasses for period pain? I am still having incredible cramping and pain on day one despite light and regular cycles. Any information would be greatly appreciated.

Hi Lara, just listened to your podcast on the Melissa Ambrosini show and all of the topics you covered are so relivent to me at the moment. I was on the pill from age with only one 7months break in between.

I am not over weight, I am not insulin resistant , I was exercising 5 days a week with weights and HIIT training but have been told to only walk and do yoga. I have cut wheat and dairy and taken all the herbal supplements under the sun. My skin and facial hair has improved.

We are now at the start of fertility treatments for ovulation to try to conceive but I am interested what you might think of my situation? When should I seek professional help? I never had regular periods. I had a very stressful childhood and adulthood although more recently I have been dealing and am MUCH calmer. I have gone from having no periods to staining every 2 weeks after my last baby , to regular cycles for 3 months and now again I lost my periods.

I am breastfeeding an 18 month old and have a relatively clean diet although I do snack in the evenings. My sugar levels are fine. My androgens are normal.

I tested my thyroid a couple of years ago and it came back with a low T4 but regular TSH at that time I was on a low carb diet. I added more carbs and last time I tested both levels were fine.

I sleep at least 7 hours a night and still need 2 coffees not to feel tired, but with 2 coffees I feel good. I also have joint pain , particularly in my knees. I read your book , but could not figure out where to start, any suggestions for a starting point? I scheduled a visit with an endocrinologist in 2 weeks and would greatly appreciate any suggestions. And some more info: I did very low calorie diets as a teen although I eat a sufficient number of calories now.

I have also always had and still have acne even if my diet is clean. Also, I am more of a cold type person especially my hands are always cold and I have trouble losing weight.

Although those 3 months that I had regular cycles I dropped 10 lbs it came right back plus an additional 5 lbs when I lost my cycles. When you had thyroid tests, did you have them early in the morning after fasting for hours? Also, were your thyroid antibodies tested?

Thank you so much for this blog, Lara! I have been following it for years, and it is a wealth of information. Would love to hear your thoughts! Did you think i still have the chance to naturally get pregnant?

Have you ever tried vitex? Some of us had long histories of trying to get pregnant without success. Also one of those times I took it wrong, I got my cycle the day after I stopped it, which was almost 2 weeks too early. I have always had success with it my 1st cycle when I took it correctly, but it did take a few cycles in my 40s which I suspect is because I was in premenopause at that point. You may want to start using bioidentical progesterone cream too if you are not already.

It could help prevent a miscarriage if you do conceive. If your cycle is different than a 28 day cycle with a day 14 ovulation, then use it according to YOUR cycle. Some say week 12 is enough, but since you are counted as 2 weeks further along than you really are, I stop at 14 weeks to be on the safe side.

They also have one with peppermint oil in it, but you should not use any essential oils when pregnant, especially in the 1st trimester some are copnsidered safe after that. Its been exactly one year with no period.

I have no idea if I have pcos but the last two times I got blood taken within the last year my fasting glucose was actually low. I hardly ever eat sugar. But I am one who binges on dates. Indeed, androgenic alopecia was diagnosed by my doctor. Apologies if this comment should be in a different blog post. I have been on co-cyprindiol as an oral contraceptive for many years — probably over 15 years — and for the last 2 years I have been losing the hair on my head.

I initially put this down to temporarily stopping the co-cyprindiol for a month or two, 2 years ago now, and out of anxiety restarted it. The hair loss has not slowed down since then.

My dilemma is this: I want to stop taking the pill but am very anxious that it will cause more hair loss. I am at my wits end and the hair loss is impacting on all areas of my life. I am 37 years old. Unfortunately, yes, you could get some hair loss coming off cyproterone.

All I can say is what I say to them: To get through the withdrawal shedding period, you can think about taking zinc and iron and natural progesterone. I am pretty sure I had PCOS — I had an ultrasound that showed all of the cysts in the ovaries, and I also had irregular periods and the hirsutism. I went paleo in , lost about 40 lbs and the PCOS resolved.

Diabetes is a hereditary condition in my family and if I had not stuck with the changes from paleo I would still struggle with insulin resistance. Another nice thing about paleo is that I learned so much about how my body responds and to pay attention to that now, because symptoms will crop up if I stay off the wagon for too long.

I ve been off the pill for 7 months, with acne starting 2 months ago. Tests showed high testosterone and DHEA, for which I started taking zinc picolinate, drink licorice tea everyday plus miositiol and a good probiotic. Am I doing smth wrong because I can see only small improvments overall, or should I keep going with those?

Greeting all the way from Bucharest! Post-pill acne typically starts after 3 or 4 months off the pill. And then peaks about 6 months off the pill. Please do be careful to avoid all sugar including dates, smoothies, fruit juice, honey etc. My androgen levels were all normal. My fasting glucose is 84, fasting insulin 4. I also had binge eating disorder for 7 years where I would binge, restrict, binge, restrict.

I ovulated and had a period in October, and then again last week! It was a 98 day cycle which is really good for me. I started seeing a new reproductive endocrinologist and just yesterday he switched me to Nature Throid. Hi Trisha, thanks so much for sharing your story.

Could you consider copying and pasting it as a comment under my post: I have long cycles days, however, I do think that I ovulate I can some signs days before I bleed. I did have hypothalamic amenorrhoea during my teens due to lots of exercise, stress and not eating enough but recovered by eating a lot more, including more meat and gaining a small amount of body fat years ago. My doctor has suggested that the long cycles now may be due to PCOS. I have some very slight signs of hirsutism but not enough to convince me he is right.

I was wondering whether these long and slightly irregular cycles may be due to the fact that I am recovering post amenorrhoea or whether you think my doc might be right. Or could this just be how i am? Or could it just be that I still need to eat more and reduce stress levels. I have tracked what I eat via an app and it seems to be sufficient.

I am on the small side — my BMI is Obviously, I do a lot of sport due to my job but now work with a coach to make sure the training is well balanced with rest.

Signs, Symptoms and Health Risks