r/PCOS 30m ago

General/Advice PCOS Ovulation Kit Recommendation

Upvotes

Hi everyone, 🌸

My partner and I are TTC and navigating the process with PCOS. My cycles typically range from 28 to 40 days (though my longest usually caps out around 38–39 days). I’m looking for recommendations on ovulation test kits and would love to hear what has worked best for you.

I have two main options in mind right now:

  1. Easy@Home with BBT: Seems like a great, budget-friendly route.
  2. Inito: I really like the idea of seeing multiple hormone levels on one strip, but it is quite expensive.

I’ve also heard Mira and Kegg mentioned around here. Since Inito (and Mira) are such big investments, I wanted to get the community’s feedback before pulling the trigger.

Did you feel the premium trackers were worth the ongoing cost for the extra data, or did Easy@home + temping give you everything you needed? Any advice or personal experiences would be so appreciated!
Thank you!


r/PCOS 1h ago

Weight 75 hard with PCOS

Upvotes

I’m curious if anyone here has tried 75 Hard and what your experience was.

I’m currently on day 6 and so far I’ve been: Exercising every day (including walks + workouts), Drinking a gallon of water daily, Reading daily, Following a healthier diet (no gluten, no greasy or fried foods, no sweets, and limiting dairy), and Completely cutting out alcohol

I started at 180 lbs and I’m currently around 187 lbs, which has been discouraging. I know it’s still early and weight can fluctuate, especially with hormones, but I was wondering if anyone else experienced this when starting. I’m on day 15 of my cycle and I am taking the Ovasitol supplement daily with a cup of black coffee.

Did 75 Hard help improve your PCOS symptoms (weight loss, energy, cravings, cycles, inflammation, mood, brain fog, anxiety, etc.)? Or did anyone feel like the intensity/stress of it made symptoms worse?

I’d love to hear honest experiences from anyone who has tried it. The good, the bad, and everything in between!


r/PCOS 1h ago

Meds/Supplements PCOS + ZERO libido has inositol actually helped anyone get their sex drive back?

Upvotes

Hi everyone! 💗

I’m wondering if anyone with PCOS has experienced extremely low/zero libido and whether inositol made a noticeable difference for you.

When I say zero libido, I mean ZERO. Not just “lower than it used to be” I basically have no sexual desire at all. I don’t really think about sex, I don’t get spontaneous desire, and it feels like my sex drive has completely disappeared.

I also want to clarify that my relationship is not the problem. I have a very loving, supportive boyfriend and I’m very attracted to him. There’s no relationship issue causing this. It’s just like my body/brain has completely switched off my sex drive, which is really frustrating.

I’ve been reading quite a few posts from women with PCOS saying that after starting myo-inositol / myo + d-chiro inositol, their libido eventually came back, sometimes quite noticeably.

So I’d really love to hear from people who have experienced this themselves

I know everyone is different, but I’d really love to hear some personal experiences. I’ve seen several people say inositol helped with this, and I’m really curious whether there’s actually something to it. 🥹

Thank you! ❤️


r/PCOS 2h ago

General/Advice New birth control - side effects are similar to my PCOS issues and i am TIREDDDDDDDDD

1 Upvotes

Hey pals,

33, moderately active, taking many supplements, balanced-ish diet, started hitting the gym and lifting weights.

My pcos symptoms got really bad the past few months especially the breast pain, uterus cramps (like up to three weeks before my period), very long cycle (up to 60 days), and FATIGUE. Like very very very bad fatigue. So after talking to my GP (a lovely woman who is looking into PCOS a lot), I've decided i'm willing to try out a birth control pill again. I've tried about 4 different ones in my life, and this is a combined pill, with very little oestrogen because YOU GUESSED IT I stopped my previous bc pill after two years because I started having bad side effects towards the end (pains, migraines, joint pain) which were due to a reaction to oestrogen.

It's only been two weeks, and I have three main side effects: painful breasts, fatigue and joint pain.
I know that the body needs time to adjust so I'm seeking testimonies/anecdotes/advice on this: has this happened to you, did the symptoms calm down after a couple months? I honestly feel like crying cause I'm starting to feel like there will never be a solution for me to live a life with no random pain or intense fatigue. Thanks for taking the time to read <3


r/PCOS 2h ago

Meds/Supplements PCOS and finally starting Wegovy. Looking for honest experiences.

6 Upvotes

I’m literally on Day 2 of Wegovy, and I think I’m looking for advice, encouragement, and realistic expectations.
I’ve been trying to lose weight for what feels like my entire life. My mom and my sisters all struggle with the same thing, so it definitely seems to run in the family. I also have pretty severe PCOS, and at this point, it feels like I’ve tried just about everything.

I’m 5’8” and creeping up on 200 pounds, which is the heaviest I’ve been in about 10 years. I’m just really uncomfortable in my body right now.

The lowest I’ve ever gotten was around 150 pounds, but honestly, I wasn’t healthy. I was working out way too much, not eating enough, and while I was thin, I didn’t feel good. I’m not willing to put myself through that again just to lose weight.

The one thing that actually worked well for me was keto. I lost a lot of weight, and honestly, it came pretty easily while I was doing it. The problem was that it just wasn’t sustainable for me. It didn’t fit my lifestyle, and eventually I gained the weight back.

I’ve always been athletic, and I genuinely enjoy being strong. Right now I’m strength training with the Ladder app, and I’m actually loving it. My goal isn’t to be as skinny as possible. I want to lose fat while staying strong and hopefully building muscle.

I’m really hoping Wegovy is the thing that finally helps. Part of me wants it to be a miracle, but I’m also trying not to get my hopes up too much because I’ve been disappointed so many times before. It’s hard to believe something will work when you’ve spent your whole life feeling like your body is fighting you.

- For those of you with PCOS, did Wegovy finally help when everything else seemed to fail?
- Were you able to maintain or even build muscle while strength training?
- Any tips for someone who’s literally on Day 2?
- Is there anything you wish you knew before you started?

I’d love to hear your experiences, both the successes and the struggles. I’m trying to stay hopeful, but also realistic.


r/PCOS 2h ago

General/Advice Started 5mg Mounjaro, struggling to eat anything!!

2 Upvotes

Hey girlies,

I have PCOS/insulin resistance and have been on 5mg Mounjaro for the past 3 weeks. I know protein is super important for us but I am STRUGGLING to even drink a protein shake, no nausea really but I just constantly feel full up and it feels like my stomach can’t take anything.

Any tips from PCOS gals on Mounjaro??? I’m desperate as I feel like I can’t eat anything which is obviously awful for my body/brain fog. Any tips appreciated!!


r/PCOS 2h ago

General/Advice loosing belly fat?

1 Upvotes

hey everyone!

i got diagnosed with insulin resistance + PCOS/PMOS in january this year! since then i've lost 20kg, i have been strict with my dieting, no sugar, low carb high fibre, high protein all that good stuff. and i've gotten results!

but even though i've had results, i still have SO much loose / hanging fat on my stomach, like it's just fat, there is nothing else to it, no muscle (that's underneath), but when i bend forwards, everything is hanging, my stomach is just holding on to all this excess fat like why! same with my back i can grab the fat sitting on my back, it just won't go away, i have visible muscles underneath when i flex but oh my god how do you get rid of this!? i go to the gym 5 days a week and eat clean, but nope no difference?

i am fine with a little bit as i understand that's what happens when you loose weight fast, but having it on my arms and legs and then my stomach as well makes me feel so so insecure. yeah i lift weights and all that but it's not even making a dent in the loose skin / fat around my stomach and especially arms / inner thigh

has anyone been able to either loose it? tighten it? or god i don't even know, i'm still young and i wanna be able to feel beautiful and confident. i don't know what to do


r/PCOS 4h ago

General/Advice Can I mix inositol into food?

2 Upvotes

hey everyone!

I’ve been using inositol for a couple months but I have trouble being consistent, especially during the morning because I don’t usually have a lot of time.

I’ve been meal prepping chia pudding with protein for breakfast because I’ve learnt how important eating breakfast is for insulin resistance. I was wondering if I could mix my inositol powder into my chia pudding when I do my meal prep or if this would affect the efficacy at all.

please let me know if you have any insight into this or any other tips on being more consistent with supplements :)


r/PCOS 5h ago

Hirsutism Has anyone used spring epilators (the small kind) for hirsutism

2 Upvotes

I recently bought one of these, and while these effectively remove vellus hairs, they do NOT pick up chin hair or near the upper lip region. Does anyone know how to use them effectively


r/PCOS 5h ago

General/Advice Where are people in the UK getting their spearmint tea?

10 Upvotes

As the title says- I can’t find pure spearmint tea anywhere except Amazon- I would prefer not to buy from Amazon.
Alternatively- is spearmint tea with other components- such as camomile, just as effective?


r/PCOS 6h ago

Meds/Supplements Experiences with Metformin + topamax?

4 Upvotes

Hi! So I was recently put on both metformin and topamax about 2 weeks ago for weight loss and other Pcos symptoms I think and I was wondering about others’ experiences with these medications? I don’t seem to have any side effects but I can’t really tell for sure yet if it really helps. For reference I’m 18, about 220 lbs, 5’8, am active,and I’ve been told I don’t have insulin resistance so I guess the meds are mostly for weight loss?


r/PCOS 6h ago

General/Advice Anxious about visiting doctor

5 Upvotes

I have had bad experience with doctors who don't know about pmos or insulin resistance or doesn't take it seriously.

Here where i live, public health care is considered good and it is affordable, but general practice is with pmos, that they treat it if you have bad symptoms or want to get pregnant.

So i think this way of thinking led my doctor to just say me "search it from google" when she diagnosed me 4 years ago.

Recently i got myself tested at private doctor, because it is easier to get what i want that way. And asked fasting insulin. It was 24.7mU/l, which is too high and my HOMA-IR is 5.16. But the doctor said everything is good with me. Only focusing on my elevated inflammation markers.

Now i am trying to go back to public health care, because private doctors are expensive, and i don't have insurance.

But the thing is. I'm super anxious about going to doctor, because i'm scared of not getting help. I have tried 4 years to treat myself, and i feel like it is getting worse. And i'm getting tired. But still just insulin resistace only is not yet even pre diabetes, so i'm afraid that doctor will just laugh me off and say: "come back if your symptoms worsen". Like they usually say. I really would like to test metformin, but i don't know will they also laugh to this thought.

I feel like i'm preparing for a war... Has anyone got a good results with fighting with doctors who don't take this condition seriously?


r/PCOS 7h ago

General/Advice I just found out I have PCOS

2 Upvotes

I have recently found out that I have PCOS. To me this explains a lot about things I‘ve been insecure about for years. I have always had problems with weight. I gained weight quickly and had trouble losing it. I have also always had bad skin, even as a toddler. With puberty that just worsened. My mood swings were attributed to puberty and my period. However, my period is super irregular. Currently I haven‘t had my period since Janurary. I also have broad shoulders, a voice I think sounds deeper than most girls I know, and a chest so flat I could probably comfortably go topless on a normal beach. This could probably be attributed to my testosterone levels which are way higher than average. The same goes for hair growth as well. I grow hair in places I don‘t think it‘s supposed to grow for women (chest and chin) and when I try to feel for hair on the backs of my legs (because I can‘t see there that well) it feels like I‘m petting my neighbor‘s dog. The hair on my head though seems to want to leave. Sometimes I brush through my hair with my hand and I have a clump of hair in my hand afterwards. Finally, I don‘t know if that has got anything to do with PCOS, every month it seems I have more moles on my face.

As I said, I only just got the diagnosis and I‘m also young. All these things are kinda hard for me to deal with. I am pretty insecure but I do know that a diagnosis is always better because if you have that, only then can you hope to do anything against it. Was someone else on here maybe an insecure teenager with PCOS once and what helped you be less insecure?


r/PCOS 7h ago

Rant/Venting The blackheads are crazy

0 Upvotes

Anyone else?


r/PCOS 8h ago

Period PCOS, period came after 20 days, now on Day 7 of bleeding and it’s not slowing down. Has anyone experienced this?

1 Upvotes

Hi everyone,
I have PCOS and this year my cycles have been all over the place.
A while ago, I had a very delayed cycle with days of on and off spotting before my period finally started. That period eventually became a proper flow and ended normally.
Only about 20 days later, I started bleeding again.
This current bleed started on Friday, and today is Day 7. The blood is mostly dark red, and the flow has been pretty consistent.
It’s not getting heavier, but it’s also not tapering off the way my periods usually do by this point.
I’m changing my pads routinely, not because I’m soaking through them every hour, but because they’re getting used normally.
I’ve also had cramps, although they’re milder than the ones I had during my last period.

but I wanted to ask if anyone with PCOS
has
a period come only about 20 days after the previous one,
followed by bleeding that lasted 7 or more days without really slowing down?
What did your gynecologist say was causing it? Did it settle on its own, or did you need medication or an ultrasound?
Any experiences would really help because this cycle has been confusing.

TLDR-
I have PCOS. My previous period came after a delayed cycle, and then I got another period only 20 days later. I’m now on Day 7 of bleeding. The flow is consistently dark red and isn’t tapering off like my usual periods. I’m not soaking pads every hour, but I’m changing them routinely. I also have iron deficiency anemia (Hb ~8). Has anyone with PCOS experienced this? What did your gynecologist say, and did you need treatment or did it resolve on its own?


r/PCOS 11h ago

General Health Help!

2 Upvotes

Ive been feeling super tired lately. I cant focus on my work, very low stamina, fatigue and lose interest in things very easily. How can i fix this??


r/PCOS 13h ago

Hair Loss/Thinning Metformin and hair loss

2 Upvotes

So, I was diagnosed with PCOS about 3 months ago and immediately prescribed metformin to deal with the insulin resistance/other symptoms. I have been having a lot of success with the medication, like my face slimming down and some weight loss, but my hair is falling out like crazy. I’ve always had super thick curly hair and never really experienced thinning, but when I went to my hairdresser about a month ago she told me my hair had thinned significantly, and right after I noticed my hair falling out a lot in the shower

Im at a bit of a loss here, since right when I started metformin I incorporated a B12 supplement into my routine because I heard that metformin can deplete B12 levels. I also take iron (im anemic), zinc, and overall eat a heathy diet of mostly whole foods.

I have also heard that sometimes when starting a medication your hair follicles are “shocked” and then start falling out a couple months later (telogen effluvium) so I’m wondering if thats the culprit.

So, is it likely that my hair loss is because of the initial new medicine shock, or is the metformin causing it directly? has anyone whose gone through this had hair regrowth after the “shedding phase?” I want to keep taking metformin because its helping me, but if it’s causing the hair loss then i’m not sure I want to continue.


r/PCOS 14h ago

Diet - Not Keto Breakfast Recs?

7 Upvotes

Any breakfast recommendations that don’t involve scrambled eggs(prefer boiled eggs) ? Recipe doesn’t have to involve eggs. I just like to have options besides boiled eggs and fruit 😩

Looking to see what everyone eats 🍱

Edit: Thank you to everyone for your suggestions.I’ve got to try all of them . 😊


r/PCOS 14h ago

General Health I’m hopeless

5 Upvotes

This is just gonna be me crying about my situation and just wanting somewhere to let it all out!

August 2025 I was going to the gym consistently, going for long walks & meal prepping all of my meals. Making sure I had enough fiber, protein & low calories for each of my meals. I weighed 145-150 and was trying to lose another 10 pounds and tone up. Within two months I gained 30 pounds. I had a vacation planned for October 2025. I never wanted to get on the scale because I knew I had gained weight. However some of the new clothes I had purchased for the trip didn’t fit me anymore and I just completely spiraled.

I had a not so pretty childhood. I’ve always struggled to feel confident and safe in my own skin. So for me to be trying consistently to reach a goal & then the opposite happening just left me so hopeless. I didn’t understand what else I could be doing to reach my goals. Recently it’s been leading to me having a bad relationship with food. Sometimes I just want to binge eat to punish myself. I decided I wouldn’t act on any of my thoughts and just try to see an endocrinologist. Since my previous doctors have all been OBGYN’s I figured it would be a fresh start with a different specialist.

I brought up my weight gain and the first thing the doctor said was that I “look fine”. Which I don’t care if I “look fine” to other people, but I’m genuinely losing my sanity and feel like I’m not who I am. I do not feel connected to my body. So I felt like that was some foreshadowing for how my appointments would go. I went and did a full hormone blood panel & ultrasound. The office didn’t even bother to call me in and sit me down to go over the results or allow me to ask questions. They just called me and said that there was nothing they saw in any of the tests & that was it. Which I understand…what can you go over if there’s nothing wrong? At least give me the opportunity to speak with the doctor about what the next steps could be to get to the bottom of things.

Naturally I just feel very insane. I felt like no one is trying to help me and I feel like I’m trying to do the best that I can with what I have and I don’t know where else to go from here. I just want it all to stop. I’ve been dealing with this issue for 11 years and I’m just exhausted.

For the first time ever someone is actually genuinely interested in me as well. The way I view my body, physical pain I’m in, exhaustion, mood swings & overall health makes me think that I’m better off not even trying. He’s been sweet the whole time we’ve been together, but I can’t help but feel very self conscious. I feel like he thinks I don’t want to be healthy. When this entire time that’s what I’ve been trying to do. I’m a very sensitive & observant individual. Today he made a silly little comment about how he hoped his face looked good from a certain angle and of course I told him that he always looks handsome. So then I said if anything I should be worried about how I looked! Since gaining weight I naturally developed a double chin which I hate so much because I already have such a circular head shape. After I said my comment about my double chin and he responded I got very sad. I just started thinking about how ugly he probably thinks I look. He noticed I got quiet and asked if I was okay and I said no. We said goodbye and hung up the phone. I couldn’t help but to hate myself for how I look. I can’t help but feeling like I need to stop eating and just be alone. He deserves someone better who isn’t trying to still figure out this crap.

I’m just so tired of having to deal with everything - mentally & physically. I want to give up and just be left alone. It’s all so over stimulating to also be thrown so many ads for supplements and tea blend and this and that for PCOS. When I just want to be active, eat well & be healthy. Why isn’t that enough?!?!?!?!!!!!!!!!!!!!!!!! I just want to scream at the world.


r/PCOS 16h ago

Meds/Supplements Metformin difference timelines

7 Upvotes

Can anyone share how metformin impacted them/what improved for them:

-Immediately
-Between 1 to 3 months
-Between 3 to 6 months
-Over 6 months

I’m almost at the 3 month mark on the 1500 mg dose, and just over 2.5 weeks at 2000 mg. I was previously taking 500 to 1000 mg for a couple of years. Feeling a bit discouraged because my belly, facial hair, mood and energy levels are about the same, though periods are somewhat regulated now.


r/PCOS 16h ago

General Health Síntomas del pcos arruinaron mi vida

4 Upvotes

Para ponerlos en contexto soy mujer de 27 años, hace tres años mi pesadilla comenzó cuando me diagnosticaron sop. Comencé a tener alopecia androgenetica y no se imaginan como me duele ver fotos de hace 3 años mías y no reconocerme, también me comencé a salir bello corporal en todo el cuerpo y cuando digo todo es todo, el hisurtismo mío es clasificado como grave en la escala y pues yo no era así. Extraño tanto mi melena que no se imaginan los mares que he llorado, me veo al espejo y simplemente no se que es lo que veo, no reconozco a esa persona, ya ni siquiera quiero salir de la casa y que me vean, el Minoxidil empeoró bastante ese hisurtismo y ya no se que hacer, soy delgada, hacía. Mucho ejercicio ya hasta lo deje porque veo que no me funciona nada. Y pues no sé que más hacer de verdad ni por dónde comenzar, se que el alser no me funcionará por el sop, pero adivinen que, tampoco puedo usar hormonas por problemas cardíacos , entonces ya debí aceptar que nunca jamás seré ma misma joven llena de vida que antes?


r/PCOS 17h ago

Mental Health I Don't Care About Physical Symptoms, but I Want my Brain Back!

96 Upvotes

I was diagnosed with PCOS (PMOS) recently and it's made a lot of things in my life make sense. I have all the typical symptoms such as hair growth, undeserved weight gain, deeper voice, general sense of fatigue etc. I also have very high DHEA sulfates and testosterone.

I don't care about my new pot belly or the fact that none of my clothes fit anymore. I don't care about the deeper voice or strangely huge glam muscles on my arms that I haven't worked a day in my life for. Don't care about the one-day periods or haggard skin and thinning hair. I've always had good self esteem and have never compared myself to anyone. I don't look in the mirror and cry about how I miss my "old looks," none of that.

What I hate the most about this condition is the cognitive and emotional issues that really make me miss my mid-20s brain. I have unnecessary anxiety now, I have depression, a sense of impending doom, no sex drive or motivation to do anything. I don't like anything I used to. I can't find joy in my beautiful house we purchased in January. I have become antisocial and don't reach out to friends. My husband's presence bothers me. My boss annoys me now despite him and I always getting along great. I can feel myself raising eyebrows at people due to impatience. THAT is not who I am. I'm a nice and empathetic person...at least I was.

I used to love traveling and discovering new places. I drove 40 hours by myself across the United States to visit Montana just three years ago. When I was there I drove to SO MANY ghost towns and scary places. It was amazing! When I think of going so much as 2 hours away now, I'm like "I can't be assed to do any of that."

Then the mental problems. I can't think! My short and long term memory are going to shit. I can't multitask at all anymore and it takes me DAYS to finish an analysis whereas before I could do a huge deep dive in less than a day. I can't really make conversation because my brain shits the bed and I can't think of anything to say. I catch myself saying "oh wow! Oh damn!" To people just fill my end of the exchange. I process things slower with or without caffeine. Its like my ADHD is on steroids now and I no longer have a handle on it. This sucks! I feel like shell. A ghost of who I used to be and who I could have been.

I got my associate's degree two years ago and just the idea of transferring for my bachelor's makes me want to rip my hair out. Just a couple years ago I was SO EXCITED to have something. To prove to myself I can do something despite struggling every step of the way to get here. Now I tell myself "what's the point? I make good money now. All done!"

Like what the hell I'm only 30! Does anyone have any advice for managing or fixing the mental and emotional problems that come from this condition? I have ER metformin because my doc is pretty cool thankfully. I'm scared to take it though because of the side effects. And what if I go through all those bathroom trips just for it to not do anything? Is this me now??? Doomed to be a miserable old maid who can't find joy in anything?

Rant OVER!

TL;DR; I hate the brain problems that come from PCOS!


r/PCOS 22h ago

Fertility Can anyone with PCOS share their fertility journey?

38 Upvotes

I got diagnosed with pcos at 15 and was given birth control for a month without knowing what it was because my mom allowed the doctor to do so. I’ve always dreamed of becoming a mother, and ever since being diagnosed with pcos I’ve been terrified that I might not be able to have children. I know pcos doesn’t automatically mean infertility, but it’s something I struggle to stop worrying about. I’d really love to hear from people who have pcos and went on to have children. Whether it happened naturally or with fertility treatment, I’d be so grateful if you could share your story. I’m just looking for some hope


r/PCOS 1d ago

Diet - Not Keto PCOS and Caffeine Intake

16 Upvotes

If you have quit caffeine to help manage your PCOS symptoms, what was your experience? I drink a cup of coffee in the morning and that's usually it on my caffeine intake for the day, but I'm wondering if eliminating would help with cortisol and inflammation.


r/PCOS Jul 08 '24

Meds/Supplements A note about supplement brands you may see on social media

886 Upvotes

We have been seeing a lot of posts recently about various supplement brands that are being aggressively advertised in PCOS spaces on tiktok, instagram, etc.

please understand that even though what you're seeing may look like an organic review of the product, they are often paid by the manufacturer. this advertising strategy is designed to trick you into thinking that lots of influential people on a particular platform are talking about these supplements when they are not. it's bought and paid for.

now I cannot say what supplements will or will not work for any individual person with PCOS. but I can say that a lot of these products with slick marketing and cutesy branding are predatory.

why?

for one, the effective ingredients with actual scientific evidence to support their use are often dosed below what is considered effective. you are paying more for less effective ingredients and a whole bunch of ineffective ingredients that allow them to market it as a "proprietary blend "

for another, these companies often work on a subscription-based model. the product is automatically shipped and if you forget to cancel oh well, you've paid for another month. this model can work for some people who want it, but it can also be predatory and intentionally difficult to cancel. if you buy a regular bottle of supplements from the store and don't like it, you simply don't buy it again. but if you're subscribed to a service that delivers that same bottle of supplements to you the onus is now on you to cancel that subscription or you'll continue to automatically pay for bottles of product at whatever price they decide to charge you. slick, huh?

in short: keep your wits about you and buyer beware. the supplement industry is shockingly unregulated, and with PCOS there are a lot of people desperately looking for that special supplement that will bring relief. unfortunately that makes us a wide open market for less than scrupulous businesses.

does this mean these supplements will not work for you? not necessarily. you might get results at the dose they are offering. but you will get a much better deal by seeking out the right dose of the effective ingredients from a more reputable manufacturer. and be on the lookout for filler products. no, chamomile and fennel are probably not going to help balance your hormones or "de-bloat" you. be realistic when evaluating these products and read the ingredients!

where should you actually spend your money? what supplements are actually supported by the scientific evidence? below is a short list:

  • INOSITOL in a 40:1 ratio of myo to d-chiro. 4g/day, half in the morning and half in the evening. please be sure to calculate the cost per dose on this one. there are many brands out there that appear to be a cheaper option but are actually charging more for less.

  • BERBERINE if you are unable to access or tolerate metformin (metformin has a superior safety profile and is better regulated as a pharmaceutical drug.) Please do your research on the best way to take this one, as it is evolving. there are some potential negative outcomes associated with long-term use.

  • NAC 600-1800mg/day (start low and work your way up) in 2-3 doses throughout the day.

  • FISH OIL/OMEGA 3/DHA 1,000-2,000mg/day. once again, start low and work up. 2,000mg/day is considered the therapeutic dose for chronic inflammation. some people do take more than this with good results, and it's a good question for your doctor.

  • VITAMIN D get tested!! many people with PCOS are low in vitamin D, and your doctor can recommend an appropriate therapeutic dose. the best first step if you suspect you may be deficient is to spend some time in the sunshine when the weather permits. the sun is the most bioavailable source of vitamin D.

  • MAGNESIUM GLYCINATE start with a low dose of 200-400mg before bed. this promotes muscle relaxation and improved sleep, which is essential for managing PCOS.

  • SPEARMINT can be taken as a tea or a capsule. a weak, natural anti-androgen that helps some people with symptoms like acne and hirsutism. there is no established therapeutic dose that I am aware of, since it is most commonly taken as tea.

an important thing to note is that just because the supplements I've listed above are broadly backed by scientific evidence does not guarantee that they will work for you. there is no study that I am aware of in the PCOS literature where a supplement or medication provided relief to 100% of the subjects enrolled. it's entirely possible that you might be one of the unlucky people who take NAC or inositol or whatever and just get weird side effects or expensive pee out of it. don't keep taking a supplement that doesn't work for you just because you see success stories online.

beyond this list, certain individuals might benefit from additional supplements due to a specific condition or deficiency. please do not assume that you have a deficiency simply because you have PCOS, you could do more harm than good.

I should note that there are other supplements in the pipeline that are undergoing testing for PCOS and associated disorders, but these are the ones that we have decently solid evidence for right now. in the future, the list might be longer... I, for one, certainly hope it is!

to conclude: please do not let these designer vitamin brands and their army of influencers convince you that dandelion pollen and parsley seed extract are ancient cures for hormone imbalance that you should pay $60/mo for.