PCOS Triggers

What Triggers PCOS?

It's important to note that PCOS can present differently in everyone, and the exact combination of factors contributing to the disorder can vary based on your environment. So, what’s your story? What events or situations trigger your PCOS.

What Triggers PCOS?

While the exact cause of PCOS is not fully understood, it is believed to result from a combination of factors. Here are some of the key factors that may play a role in the development of your PCOS:

  • Factor 1-Genetics: There is evidence to suggest that PCOS may have a genetic component, meaning that if your mother or sister has PCOS, you might have a higher risk of developing it as well. However, the specific genetic factors involved are still being researched. [1]
  • Factor 2- Hormonal Imbalances: PCOS is often characterized by hormonal imbalances, particularly higher levels of androgens (male hormones) such as testosterone. This can disrupt the normal functioning of the ovaries, leading to the formation of small cysts on the ovaries. [2]
  • Factor 3- Insulin Resistance: Many women with PCOS also have insulin resistance, which means their bodies have difficulty using insulin effectively to regulate blood sugar levels. This can lead to elevated insulin levels, which in turn can contribute to increased androgen production and disrupt the menstrual cycle. [3]
  • Factor 4- Inflammation: Chronic low-grade inflammation might be linked to PCOS. Inflammation can impact hormone regulation and contribute to insulin resistance. [4]
  • Factor 5- Lifestyle Factors: Obesity and a sedentary lifestyle can increase the risk of PCOS. Excess weight can exacerbate insulin resistance and hormonal imbalances, making the condition more severe. [5]
  • Factor 6- Environment: Exposure to certain environmental factors, such as endocrine-disrupting chemicals, may play a role in the development of PCOS. These chemicals can interfere with hormone regulation. [6]

It's important to note that PCOS can present differently in everyone, and the exact combination of factors contributing to the disorder can vary based on your environment. So, what’s your story? What events or situations trigger your PCOS.

Let’s take inventory. Here are 5 questions you can ask yourself every day to notice what brings on your POCS. It’s a helpful way to recognize patterns throughout your day.

  1. What PCOS symptoms have you experienced?
    • Irregular periods, heavy bleeding, Hirsutism, acne, weight gain, baldness, headaches
  2. What is your mood today?
    • Are you feeling calm, happy, energetic, mood swings, irritated, sad, anxious, depressed, low energy, very self-critical, confused, obsessive thoughts.
  3. What external factors are in your environment?
    • What challenges are you facing at home, work, school?
  4. What did you eat today?
    • Fruits, Vegetables, Protein, Carbs, Junk food
  5. What type of workout did you incorporate today?
    • Gym, yoga, aerobics & dancing, swimming, team sports, running, cycling, walking, I didn’t exercise.

Use the list of questions to find patterns in your life. Everyone’s PCOS story is different. Our triggers are not the same, but we share the same four letters together.

I noticed that when I travel for work, I can became a big ball of stress. There are so many things to do and people to see. My stress turns into poor eating. Then poor eating turns into becoming very self-critical. Finally, everything flares up from acne, hirsutism, sebum dermatitis, bloating, missed periods, and the list continues. What is the solution? I learned that we cannot control our environment, but we can control what we do in our environment. I found that when I go to the grocery store to fill my week with fruits,
[1] Khan MJ, Ullah A, Basit S. Genetic Basis of Polycystic Ovary Syndrome (PCOS): Current Perspectives. Appl Clin Genet. 2019 Dec 24;12:249-260. doi: 10.2147/TACG.S200341. PMID: 31920361; PMCID: PMC6935309.
[2] Zeng LH, Rana S, Hussain L, Asif M, Mehmood MH, Imran I, Younas A, Mahdy A, Al-Joufi FA, Abed SN. Polycystic Ovary Syndrome: A Disorder of Reproductive Age, Its Pathogenesis, and a Discussion on the Emerging Role of Herbal Remedies. Front Pharmacol. 2022 Jul 18;13:874914. doi: 10.3389/fphar.2022.874914. PMID: 35924049; PMCID: PMC9340349.
[3] Xu Y, Qiao J. Association of Insulin Resistance and Elevated Androgen Levels with Polycystic Ovarian Syndrome (PCOS): A Review of Literature. J Healthc Eng. 2022 Mar 21;2022:9240569. doi: 10.1155/2022/9240569. PMID: 35356614; PMCID: PMC8959968.
[4] Velez LM, Seldin M, Motta AB. Inflammation and reproductive function in women with polycystic ovary syndrome†. Biol Reprod. 2021 Jun 4;104(6):1205-1217. doi: 10.1093/biolre/ioab050. PMID: 33739372; PMCID: PMC8785941.
[5] Wang Z, Groen H, Cantineau AEP, van Elten TM, Karsten MDA, van Oers AM, Mol BWJ, Roseboom TJ, Hoek A. Effectiveness of a 6-Month Lifestyle Intervention on Diet, Physical Activity, Quality of Life, and Markers of Cardiometabolic Health in Women with PCOS and Obesity and Non-PCOS Obese Controls: One Size Fits All? Nutrients. 2021 Sep 28;13(10):3425. doi: 10.3390/nu13103425. PMID: 34684438; PMCID: PMC8538637.
[6] Kshetrimayum C, Sharma A, Mishra VV, Kumar S. Polycystic ovarian syndrome: Environmental/occupational, lifestyle factors; an overview. J Turk Ger Gynecol Assoc. 2019 Nov 28;20(4):255-263. doi: 10.4274/jtgga.galenos.2019.2018.0142. Epub 2019 Mar 1. PMID: 30821135; PMCID: PMC6883751.
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