PCOS Types

PCOS can present in different ways in different people, which might influence your ability to get a correct diagnosis or impact what treatment options or lifestyle interventions are best suited to you. Read below for a quick rundown of Subtypes A thru D, but keep reading further for more functional/practical guidance!

PCOS Subtypes

Type A

High Androgens
Ovulation Problems
Ovarian "cysts" (high number of follicles shown on ultrasound)

Type B

High Androgens
Ovulation Problems
Normal ovarian ultrasound

Type C

High Androgens
Normal ovulation/menstrual cycles
Ovarian "cysts" (follicles)

Type D

Normal Androgens
Ovulation Problems
Ovarian "cysts" (follicles)

Functional Approach

I have found that the categories of PCOS "Type" mostly influence someone's ability to receive a proper PCOS diagnosis, but that digging deeper into how the body is functioning is more helpful in prioritizing treatment options. The slide deck below provides a few examples of common functional issues I see in PCOS. A weight-inclusive or HAES®-friendly approach can help you to manage PCOS no matter your size.

Insulin resistance

70% of PCOS patients experience insulin resistance, often linked to high androgens. Addressing this can significantly improve symptoms through strategies like nutrition, exercise, lifestyle changes, supplements, and medication. Personalized guidance can help you choose the right approach.