Pelvic PT And PCOS By Dr. Hailey Jackson

Polycystic ovarian syndrome (PCOS) is a diagnosis related to a set of symptoms related to hormonal imbalance. Women with PCOS usually have 2 of the following three signs/symptoms: 

• Absence of ovulation 

• High levels of androgens 

• Abnormal growths on one or more ovaries

It is estimated that 8-13% of women have PCOS, and is especially important as PCOS is the most common cause of anovulatory infertility. Women with PCOS are also at a higher risk for obstructive sleep apnea, insulin resistance, metabolic syndrome, type 2 diabetes, obesity, heart disease and hypertension, mood disorders, and endometrial hyperplasia. 

Symptoms related to PCOS include: menstrual irregularities, infertility, excess hair growth on the face, chest, belly, or upper thighs, severe acne, obesity or difficulty losing weight (especially around the waist), oily skin, and patches of thickened, dark, velvety skin. 

Researchers do not know exactly what causes PCOS but it is likely the result of genetic and environmental factors.  

To be diagnosed with PCOS two of the following three criteria must be met: 

Irregular ovulation, signs of increased androgen levels or a blood test confirming you have increased levels, and/or multiple cysts on the ovaries. The cysts on the ovaries are often said to have a string of pearls appearance. 

As far as treatment goes, each patient/case is different and should be treated as such, but general treatments for PCOS include acupuncture, yoga, dietary modifications (increased intake of protein), physical activity (greater than 150 minutes of moderate activity), sleep hygiene, management with medication and/or supplements. 

Studies have shown that there is an increased amount of androgen receptors in the pelvic floor muscles. Those with PCOS also might experience pelvic pain and pain with ovulation when it does occur. Which is where pelvic PT can help. For individuals with PCOS, goals for pelvic PT include pain management, with the goal of being able to increase activity for overall symptom reduction. 

If you are experiencing symptoms related to PCOS, we would love to help you. To join the waitlist, click here.