What kinds of PCOS are there, and what makes them happen? PCOS affects between 2.5% and 11.9% of women, and there are four different types, each with a different reason; 

Insulin Resistant PCOS

This is by far the most regular type. Up to 70% of people with PCOS have this type. It works similarly to what was said above. Your cells don’t know that insulin is in your body, which causes insulin levels to rise over time and cause the usual PCOS symptoms, such as irregular periods, problems getting pregnant, hair growth that is out of control, and more. 

Inflammatory PCOS

This type is caused by inflammation that lasts a long time. Studies have shown that it can raise CRP levels, a sign of inflammation linked to diabetes and heart disease. The cause is thought to be a mix of genes, stress, toxins in the surroundings, and foods that make inflammation worse. When the immune structure tries to fight off unwanted chemicals, this is called inflammation. Sometimes the body’s reaction to inflammation goes too far and hurts good cells, causing PCOS signs. 

Adrenal PCOS

This kind is caused by worry and leads to higher amounts of DHEA, an androgen hormone made by the adrenal gland. In this type of PCOS, the ovaries make too much androgen, leading to problems with the adrenal glands. One study examined how the adrenal glands of 38 people with PCOS worked and found that 15 made more adrenal hormones than normal and had smaller adrenal glands than usual. Hence, higher PCOS symptoms result from more adrenal hormones and more stress.

Post-Pill PCOS

Some people may temporarily have PCOS-like symptoms when they stop taking birth control. This could be the instance for you if you had normal cycles before taking the pill, gained weight, got pimples, lost hair, or had trouble getting pregnant after you stopped. This is a result of your body responding to the hormone change. 

Are the signs of PCOS the same for everyone?

You might determine which type of PCOS you have based on your signs. Watch out for the following:

Insulin Resistant PCOS: 

The most likely sign is putting on weight. You may also have acne, hair growth or loss, periods that come and go, and problems with your mood and sleep. 

PCOS with inflammation: 

You will most likely feel tired but may also have trouble digesting food or be sensitive to certain foods. You may also have skin problems, headaches, or joint pain. It would be best if you also were careful about symptoms of diabetes and cardiovascular disease since research found that persons with PCOS were more likely to develop these conditions.

Adrenal PCOS: 

You’ll likely gain weight, but you might also get acne, grow or lose hair, or have periods that don’t come on time. Adrenal PCOS could be the cause of your stress, mood swings, tiredness, and trouble sleeping. 

Post-Pill PCOS: 

This type has the same signs as Insulin-Resistant PCOS, but they only show up when you stop taking birth control. 

What transpires in Insulin Resistant PCOS?

Insulin-Resistant PCOS is pretty easy to figure out and treat if your signs are clear. Your doctor may check your testosterone, insulin, fasting blood sugar, and DHEA levels, and they may recommend medicine to lower your insulin levels and improve your blood sugar. Some doctors give insulinoma patients medicine that is usually given to people with diabetes. This is normal since both diseases involve insulin. You might get better if you eat a low- to moderate-carb diet, work out daily with different exercises, and get enough sleep.

What is the result of having Inflammatory PCOS?

If your doctor thinks you have Inflammatory PCOS, they may test your CRP, DHEA, and vitamin D to see if you don’t get enough. You can try a diet that reduces inflammation, limits exposure to toxins in the surroundings, and look for ways to deal with stress. Studies have shown that inflammatory markers in people with PCOS improved after eating a Mediterranean-style anti-inflammatory diet for 3 months.

How does adrenal PCOS reveal itself?

Between 20% and 30% of people with PCOS have the type with too much adrenal androgen, which is mostly shown by high DHEA levels. Your doctor may first check your prolactin levels to rule out other problems. Then, they may check your testosterone, DHEA, cortisol, and insulin resistance. Think about changing your life, like eating less sugar and junk food, getting less stressed, and sleeping more. 

What happens when you have PCOS after taking the pill?

Before diagnosing you with this type of PCOS, your medical professional will probably check your luteinizing hormone (LH) and the hormone that stimulates follicles (FSH). This is because stopping birth control pills can make these hormones less active, which can cause symptoms. This is fairly typical, and most doctors will tell you to wait a few months for the symptoms to disappear.