{"id":5521,"date":"2023-12-08T19:36:00","date_gmt":"2023-12-08T19:36:00","guid":{"rendered":"https:\/\/premom.com\/?p=5521"},"modified":"2026-04-10T12:31:32","modified_gmt":"2026-04-10T07:01:32","slug":"pcos-basics-with-dr-patti-haebe","status":"publish","type":"post","link":"https:\/\/premom.in\/te\/pcos-basics-with-dr-patti-haebe\/","title":{"rendered":"\u0c21\u0c3e\u0c15\u0c4d\u0c1f\u0c30\u0c4d \u0c2a\u0c1f\u0c4d\u0c1f\u0c3f \u0c39\u0c47\u0c2c\u0c47\u0c24\u0c4b PCOS \u0c2c\u0c47\u0c38\u0c3f\u0c15\u0c4d\u0c38\u0c4d"},"content":{"rendered":"<div class=\"gb-container gb-container-78deee9f\">\n\n<p class=\"wp-block-paragraph\"><strong>We\u2019re talking about PCOS today, polycystic ovarian syndrome.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This is one of the most common disorders of premenopausal women.\u00a0About 3 million people in the US have it.\u00a0I wouldn\u2019t be surprised if more than that do honestly.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What\u2019s interesting about PCOS is it tends to be a diagnosis of exclusion, after you eliminate any other secondary causes of anovulation or hyperandrogenism. A lot of times doctors are going to make sure you don\u2019t have a condition called hyperprolactinemia \u2013 where your brain is creating too much prolactin, hypercortisolism, late-onset congenital adrenal hyperplasia, Cushing\u2019s syndrome, thyroid disorders, or even adrenal androgen-producing neoplasms. So there\u2019s some investigation that can take place when you\u2019re not ovulating and having these irregular cycles. But typically, you end up kind of getting thrown in this PCOS category.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So talking about PCOS, you might have heard of the Rotterdam criteria for having PCOS. There\u2019s also an NIH (National Institute of Health) criteria. What it means is there\u2019s ovarian dysfunction. So, there\u2019s some sort of irregular or absent ovulation. And then there\u2019s clinical evidence of androgen excess. Androgen excess is high androgens, which are male dominant hormones. This is testosterone, DHEA and DHT and androstenedione\u2013 those are the main ones that cause symptoms such as hirsutism. And acne hirsutism is the growth of dark hairs, either on the upper lip, the chin, nipples. . . not the places that we typically see in women. Additionally, the criteria also include the presence of more than 12 follicles in each ovary, measuring two to nine millimeters in diameter. This doesn\u2019t have to be present to make the diagnosis of PCOS; it\u2019s just one of the criteria.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The NIH criteria is super similar. It\u2019s the presence of ovulatory dysfunction \u2014 menstrual cycles that are longer than 40 days \u2014 and mid-luteal serum progesterone of less than five nanograms per milliliter, which indicates that you\u2019re likely not ovulating.\u00a0That can also be present in people with a normal cycle. And in addition to that, hyperandrogenism: high testosterone, high DHEA\/DHT levels.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The above-mentioned is related to\u00a0insulin based PCOS. And that\u2019s the most common form: high testosterone levels, sometimes issues with insulin levels and hemoglobin A1C being off. And it can cause weight gain, depression, acne, hair loss, dark hair growth, and irregular periods.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">But I also see something adrenal-based \u2014 which is sort of a new term \u2014 and it doesn\u2019t technically have a terminology, I call it an adrenally-based PCOS, which stems more from an issue with the adrenal glands overreacting to stress and attempting to keep up with adequate cortisol production because you\u2019re chronically stressed. And that looks like this: people with irregular cycles that may not be overweight, have normal blood sugar levels, and maybe they don\u2019t have high testosterone, just high DHEA.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We\u2019ll address this again below, but, understand that PCOS is a diagnosis \u2014 great. But what\u2019s important is what\u2019s going on in your body, hormonally, that can be fixed to get you where you need to be. The diagnosis is one piece of the pie, and whether you want to put a name on something or not, you can still look at imbalances and say what needs to be fixed \u2014 what\u2019s off.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What can I do to reduce facial hair? How do I lower my testosterone levels?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When we\u2019re looking at facial hair, this is a lot of times caused by something called the hormone DHT.\u00a0 DHT is created from testosterone and via something called the five alpha-reductase pathway. This is when your body has high levels of testosterone, and it\u2019s over-converting into DHT.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Unfortunately, the dark hairs that are there are there to stay. What is important to focus on is preventing more dark hairs from growing and making sure we\u2019re getting those testosterone levels under control as soon as possible. That being said, there are two answers to this question. The first is: if you already have those dark hairs present \u2014 and it\u2019s important to approach the root cause \u2014 but likely, you\u2019re going to need something like electrolysis or laser hair removal to permanently remove those dark hairs.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Now, the other side is the prevention of preventing more dark hairs from coming in: we want to diminish androgenic levels. Some prescriptions can help decrease testosterone levels, decrease the testosterone conversion. A lot of people sometimes take something called spironolactone \u2014 which was actually a diuretic that has anti-androgenic effects as a bonus \u2014 but also with herbs. There\u2019s one called Saw Palmetto, and it targets directly that five alpha-reductase pathway that converts testosterone to DHT. So, that herb does a good job in decreasing those kinds of icky androgenic side effects.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In addition to that \u2014 to decrease your testosterone levels \u2014 we need to make sure that we are addressing your blood sugar levels as well. I\u2019m going to explain how your blood sugar ties into testosterone because it seems kind of like a far stretch.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What is the difference between polycystic ovaries and PCOS?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It\u2019s exactly how it sounds. Polycystic ovarian syndrome is a combination of symptoms that cause this syndrome. You can have polycystic ovaries from different causes. But many times if you have polycystic ovaries, it\u2019s associated with polycystic ovarian syndrome. Basically, PCOS is a condition in which the egg may not develop as it should, or an egg may not be released in ovulation as it should, leaving polycystic ovaries.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Can you have a mild case of PCOS? If so, how can you tell?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There are a\u00a0couple of different kinds of PCOS, and just because you don\u2019t have that stamp diagnosis doesn\u2019t necessarily mean that things aren\u2019t going on and you\u2019re not noticing odd things with your cycle or conceiving. You only need one or two of these criteria to be technically diagnosed with this, but keep in mind: a diagnosis doesn\u2019t mean a cure. If you\u2019re having irregular cycles, that\u2019s your main thing. It\u2019s worthwhile investigating where your hormones are, where your blood sugar is, and just digging deeper to look for that cause. So yes, you absolutely can have a mild form.\u00a0 And, there are two different types of PCOS. You don\u2019t have to fit into a specific category necessarily.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Someone asked: \u201c I\u2019ve been diagnosed with PCOS and have insulin resistance and high testosterone type of PCOS. I also have low iron, so probably close to anemia, low vitamin D, but I am taking supplements.\u201d She says she knows she ovulates, her luteal phase is about 15 days, but she\u2019s still not getting pregnant. Is there something else she should be considering or get tested?\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This is a great question. You\u2019re on the right track, but changes are going to take time. So, I would expect three to six months of consistent change to see improvements in your cycle in really moving the needle on those lab values that are off.\u00a0 \u00a0Additionally, this person said that they\u2019re taking supplements, but it\u2019s hard to know which ones\u00a0they are\u00a0taking. If they\u2019re just talking about iron and vitamin D \u2014 while they\u2019re super important for your health to have optimized \u2014 it doesn\u2019t necessarily relate directly to PCOS.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So, you need to make sure that you\u2019re doing things that are actually targeting it: are we decreasing testosterone levels? Are we balancing blood sugar? Are we supporting healthy ovulation? Just because you\u2019re taking a supplement doesn\u2019t necessarily fix something; you have to be using it at therapeutic levels to make the changes and help the body heal the way it should. &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0c26\u0c40\u0c28\u0c3f\u0c24\u0c4b \u0c2a\u0c3e\u0c1f\u0c41, \u0c2e\u0c40\u0c30\u0c41 LH \u0c38\u0c4d\u0c1f\u0c4d\u0c30\u0c3f\u0c2a\u0c4d\u0c38\u0c4d\u200c\u0c24\u0c4b \u0c2a\u0c3e\u0c1f\u0c41 \u0c2e\u0c40 \u0c2c\u0c47\u0c38\u0c32\u0c4d \u0c2c\u0c3e\u0c21\u0c40 \u0c09\u0c37\u0c4d\u0c23\u0c4b\u0c17\u0c4d\u0c30\u0c24\u0c28\u0c41 \u0c1f\u0c4d\u0c30\u0c3e\u0c15\u0c4d \u0c1a\u0c47\u0c38\u0c4d\u0c24\u0c41\u0c28\u0c4d\u0c28\u0c3e\u0c30\u0c3e? \u0c2e\u0c40\u0c30\u0c41 \u0c05\u0c02\u0c21\u0c4b\u0c24\u0c4d\u0c38\u0c30\u0c4d\u0c17\u0c2e\u0c41 \u0c1a\u0c47\u0c38\u0c4d\u0c24\u0c41\u0c28\u0c4d\u0c28\u0c3e\u0c30\u0c28\u0c3f \u0c2e\u0c3e\u0c15\u0c41 \u0c28\u0c3f\u0c1c\u0c02\u0c17\u0c3e \u0c24\u0c46\u0c32\u0c41\u0c38\u0c28\u0c3f \u0c2e\u0c47\u0c2e\u0c41 \u0c28\u0c3f\u0c30\u0c4d\u0c27\u0c3e\u0c30\u0c3f\u0c02\u0c1a\u0c41\u0c15\u0c4b\u0c35\u0c3e\u0c32\u0c3f. \u0c15\u0c3e\u0c2c\u0c1f\u0c4d\u0c1f\u0c3f \u0c06 \u0c05\u0c02\u0c1a\u0c28\u0c3e \u0c2e\u0c3e\u0c30\u0c4d\u0c17\u0c3e\u0c32\u0c28\u0c4d\u0c28\u0c3f\u0c02\u0c1f\u0c3f\u0c28\u0c40 \u0c24\u0c28\u0c3f\u0c16\u0c40 \u0c1a\u0c47\u0c2f\u0c21\u0c02 \u0c2e\u0c41\u0c16\u0c4d\u0c2f\u0c02. LH \u0c1f\u0c4d\u0c30\u0c3f\u0c2a\u0c4d\u0c2a\u0c41\u0c32\u0c41 \u0c2e\u0c30\u0c3f\u0c2f\u0c41 \u0c35\u0c3e\u0c1f\u0c3f \u0c2a\u0c4d\u0c30\u0c3e\u0c2e\u0c41\u0c16\u0c4d\u0c2f\u0c24 \u0c2e\u0c30\u0c3f\u0c2f\u0c41 \u0c35\u0c3f\u0c32\u0c41\u0c35 \u0c17\u0c41\u0c30\u0c3f\u0c02\u0c1a\u0c3f \u0c2e\u0c28\u0c02 \u0c2e\u0c3e\u0c1f\u0c4d\u0c32\u0c3e\u0c21\u0c41\u0c15\u0c41\u0c28\u0c4d\u0c28\u0c3e\u0c2e\u0c41. \u0c15\u0c3e\u0c28\u0c40 \u0c06 \u0c38\u0c4d\u0c2a\u0c48\u0c15\u0c4d\u200c\u0c28\u0c41 \u0c17\u0c41\u0c30\u0c4d\u0c24\u0c3f\u0c02\u0c1a\u0c21\u0c3e\u0c28\u0c3f\u0c15\u0c3f \u0c2c\u0c47\u0c38\u0c32\u0c4d \u0c2c\u0c3e\u0c21\u0c40 \u0c09\u0c37\u0c4d\u0c23\u0c4b\u0c17\u0c4d\u0c30\u0c24\u0c24\u0c4b \u0c15\u0c4a\u0c28\u0c38\u0c3e\u0c17\u0c21\u0c02, 21\u0c35 \u0c30\u0c4b\u0c1c\u0c41 (\u0c05\u0c02\u0c21\u0c4b\u0c24\u0c4d\u0c38\u0c30\u0c4d\u0c17\u0c2e\u0c41 \u0c24\u0c30\u0c4d\u0c35\u0c3e\u0c24 \u0c10\u0c26\u0c41 \u0c28\u0c41\u0c02\u0c21\u0c3f \u0c0f\u0c21\u0c41 \u0c30\u0c4b\u0c1c\u0c41\u0c32\u0c41) \u0c1a\u0c41\u0c1f\u0c4d\u0c1f\u0c42 \u0c2a\u0c4d\u0c30\u0c4a\u0c1c\u0c46\u0c38\u0c4d\u0c1f\u0c46\u0c30\u0c3e\u0c28\u0c4d \u0c2a\u0c30\u0c40\u0c15\u0c4d\u0c37 \u0c38\u0c4d\u0c1f\u0c4d\u0c30\u0c3f\u0c2a\u0c4d\u0c38\u0c4d \u0c1a\u0c47\u0c2f\u0c21\u0c02 \u0c15\u0c42\u0c21\u0c3e \u0c2e\u0c41\u0c16\u0c4d\u0c2f\u0c02, \u0c2e\u0c40\u0c30\u0c41 \u0c28\u0c3f\u0c1c\u0c02\u0c17\u0c3e \u0c05\u0c02\u0c21\u0c4b\u0c24\u0c4d\u0c38\u0c30\u0c4d\u0c17\u0c2e\u0c41 \u0c1a\u0c47\u0c38\u0c4d\u0c24\u0c41\u0c28\u0c4d\u0c28\u0c3e\u0c30\u0c28\u0c3f \u0c28\u0c3f\u0c30\u0c4d\u0c27\u0c3e\u0c30\u0c3f\u0c02\u0c1a\u0c41\u0c15\u0c4b\u0c35\u0c3e\u0c32\u0c3f.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In addition to this, if you think you are ovulating \u2014 you know you have these PCOS symptoms, but you are ovulating \u2014 and you\u2019re not getting pregnant. . . what else do we need to investigate?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Has your partner had a semen analysis yet? Have we investigated your thyroid? How\u2019s that working? Have you had a hysterosalpingogram?\u00a0Are your tubes open? Have you had an ultrasound? Does your uterus look good to go? Is it in a good position? Are there any fibroids or polyps or abnormal uterine positioning that might be preventing implantation?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I always say using the Premom app and tracking with the LH strips,\u00a0 basal\u00a0 body temperature, cervical mucus. . . these all give us clues to what\u2019s going on. If everything\u2019s looking perfect there, what other things could be causing an issue? It really lets us dig in and look for the root cause.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Can a woman with PCOS take ovulation tests, which are LH test strips?Why or why not?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Absolutely. But if you aren\u2019t ovulating, you are not going to see that LH spike. That being said, it\u2019s a good idea to always be testing with the LH strips. I know it\u2019s hard \u2014 especially when you have long cycles \u2014 you\u2019re taking those LH strips for so many days. But it gives you such good information on your LH so you can work with fertility awareness method instructors, and they can look at those LH strips and see: Are you spiking a little bit? Are we seeing your body trying to ovulate, and it\u2019s just not quite getting there? Are you getting a gradual spike, and a big one, and eventually ovulating? So, it\u2019s important to stay consistent and tracking with those LH strips. That\u2019s why I like the easy@home strips because they\u2019re affordable, and they\u2019re a lot easier to use for a lot of days in a row to get an idea of what\u2019s going on with your cycle.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In addition to that, checking your basal body temperature, cervical mucus and progesterone testing are also super important, just so we know what the heck is going on with your cycle. So the more data you can collect about what\u2019s going on with your body, the more information you have for figuring out what\u2019s going on.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What is considered high androgen levels? (Testosterone or DHEA is what they\u2019re looking at.)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you want numbers, we\u2019ll get nerdy, we\u2019ll talk numbers!\u00a0 DHEA levels: we\u2019re looking for levels more than 240 in females. That being said, DHEA is a super important hormone in your body, and that is a precursor to so many other hormones. That includes your male hormones, your female hormones, progesterone . . . it feeds into\u00a0and helps create cortisol; it\u2019s like a good precursor. I don\u2019t like to demonize it, but we do want it within normal levels, and if it\u2019s too elevated, a lot of times I\u2019m going to be looking at the adrenals and seeing how stressed out somebody is and see what\u2019s causing that rise. Testosterone levels typically should be between \u2013 free testosterone should be between 4 and 10 and total should be 40 to 100. So, if you\u2019re more than 100 \u2014 or more than 10 free testosterone \u2014 then we need to start looking into things, because those levels are important.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That being said, it\u2019s also important that we look into the hormone DHT, dihydrotestosterone, because this is that kind of nasty hormone that we get that causes not only dark hair growth around the lips, the chin, and the nipples, but it also causes male and female pattern baldness, so you can start losing hair around here. So DHT is another hormone that you\u2019d want to check out as well with PCOS that is not as commonly checked. That\u2019s a little doctor tip for today!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In addition to sex hormones, it\u2019s important to look at that hemoglobin A1C; it\u2019s such an important component of PCOS. If your blood sugar is off and you develop insulin resistance, this is what can cause high testosterone levels. So, I always say, if your hemoglobin A1C is 5.6 or higher,\u00a0 we need to do some work on your diet and get those healthy insulin levels in check.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>If you have not been diagnosed and have no symptoms of PCOS, is it still possible you could have it?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. I\u2019m assuming this probably means this person has irregular cycles, and maybe their testosterone isn\u2019t sky-high. But could they still have PCOS? Yes, absolutely. And again, it comes down to \u201cDo you need the diagnosis to figure out what\u2019s going on?\u201d Not necessarily. Dig in. Let\u2019s figure out why you\u2019re having wonky cycles.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Do carbs and sugar really affect fertility for people with PCOS?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Yes, big, big, big, big time. Insulin resistance is the most widely understood explanation for PCOS to date. So women with polycystic ovarian syndrome possess selective resistance to insulin. Insulin has an action on the theca cells in the ovary. By being stimulated, excess androgens create these clinical signs of PCOS, and the testosterone that\u2019s created by the extra insulin triggering these theca cells making that extra testosterone stop follicular development, stops these eggs from forming. It also decreases the development of the endometrial lining in your uterus. So it\u2019s hugely important, in that insulin resistance and testosterone balance are super interconnected, and they create that chain reaction that does halt ovulation. Super important to keep carbs and sugar to a minimum. Really focusing on good whole foods. Paleolithic diets are really helpful. Really focusing on meats, veggies, and fruits that are low glycemic, staying away from things like bananas, mangoes, papayas \u2014 focusing on lower glycemic fruits like berries, and just really focusing on balancing that blood sugar.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">** Always talk to your doctor before making any dietary or lifestyle changes, this should not be misconstrued as medical advice.**<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What tests are conducted to determine if you have PCOS?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So, we already talked about this a moment ago: they\u2019re\u00a0going to\u00a0look at testosterone, DHA, hemoglobin A1C. They might look at just your serum insulin levels, serum glucose \u2014 as well as an ultrasound \u2014 to look for those multiple follicles or cysts in your ovaries.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What is the best way to track ovulation when you have PCOS?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Basal body temperature, luteinizing hormone strips, just like everybody else. You\u2019re just going to have to do it for longer than other people because you have longer cycles, and not every cycle you\u2019re going to be ovulating. So don\u2019t give up if it doesn\u2019t happen \u2014 one cycle, it could be you\u2019re skipping cycles, it could be every third, but keep tracking and getting that data months and months and months. The more information you have, the more answers you can find, especially when you work with an expert.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Myo-inositol \u2014 what does it do? And how much is recommended? D-chiro inositol \u2014 is it a good supplement to take for PCOS?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">First of all, I\u2019m a doctor, but not your doctor. So everything we\u2019re talking about here today is education for you, and just make sure you chat with your doctor before making any changes or investigating anything. But I do want to talk about myo-inositol because it is studied very well in fertility. There are two forms of it: there\u2019s d-chiro and there\u2019s Myo-inositol. It\u2019s an isomer of a sugar alcohol, which is part of a B vitamin group. What Myo-inositol does is regulate the secretion of the pancreas and the ovaries. This is going to mediate the effect of insulin in PCOS patients and going to help decrease those androgen levels, it\u2019s going to help support ovulation. It\u2019s been studied and associated with good egg quality. And typically studies that I\u2019ve referenced have been 2000 to 4000 milligrams a day, usually 4000 milligrams in divided doses with minimum side effects. So it\u2019s definitely something to chat with your doctor about.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There was a study; it used myo-inositol compared to metformin, which is also an insulin-sensitizing drug.(which is a great one, and it\u2019s very effective). It compared 120 women who did 1500 milligrams a day of metformin, and four grams a day of myo-inositol. The metformin group \u2014 they had a 50%, spontaneous ovulation rate and had a 36.6% pregnancy rate, which is awesome. In the myo-inositol group, though, they had an even higher spontaneous ovulation at 65% and an even higher pregnancy rate of 48.4%. Kind of a cool way that nutrients can actually do a really good job and sometimes perform a little bit better, depending on the needs of other things. Also, I see myo-inositol and metformin used together in conjunction, when used under a doctor\u2019s supervision. Great question about myo-inositol.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Some people like d-chiro inositol; I like a little bit of d-chiro mixed in with myo-inositol. A lot of the research I\u2019ve seen supports primarily just myo-inositol, so there\u2019s your biochem lesson for the day. But that\u2019s a super good one for PCOS. And I do think it\u2019s gaining popularity. But again, when it comes to supplements, always talk to your doctor first and make sure you\u2019re being safe. Always buy from trusted sources to make sure you know what you\u2019re getting. It\u2019s just another important thing.<\/p>\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>We\u2019re talking about PCOS today, polycystic ovarian syndrome. This is one of the most common disorders of premenopausal women.\u00a0About 3 million people in the US have it.\u00a0I wouldn\u2019t be surprised if more than that do honestly. What\u2019s interesting about PCOS is it tends to be a diagnosis of exclusion, after you eliminate any other secondary \u2026 <a title=\"\u0c21\u0c3e\u0c15\u0c4d\u0c1f\u0c30\u0c4d \u0c2a\u0c1f\u0c4d\u0c1f\u0c3f \u0c39\u0c47\u0c2c\u0c47\u0c24\u0c4b PCOS \u0c2c\u0c47\u0c38\u0c3f\u0c15\u0c4d\u0c38\u0c4d\" class=\"read-more\" href=\"https:\/\/premom.in\/te\/pcos-basics-with-dr-patti-haebe\/\" aria-label=\"Read more about PCOS Basics with Dr. Patti Haebe\">Read more<\/a><\/p>","protected":false},"author":10,"featured_media":5522,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[111,38],"tags":[43,47,57],"class_list":["post-5521","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pcos","category-menstrual-cycle","tag-dealing-with-infertility","tag-hormone-tracking","tag-pcos"],"acf":{"premom_author_by_label":"By"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.0 (Yoast SEO v23.0) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>PCOS Basics with Dr. Patti Haebe - Premom India<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/premom.in\/te\/pcos-basics-with-dr-patti-haebe\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PCOS Basics with Dr. Patti Haebe\" \/>\n<meta property=\"og:description\" content=\"We&#8217;re talking about PCOS today, polycystic ovarian syndrome. 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