Does facial hair and irregular periods indicate PCOS/PMOS?

Hello,

Welcome to icliniq.com.

I understand your concern.

Based on your symptoms and lab values, PCOS (polycystic ovary syndrome), now known as PMOS (polyendocrine metabolic ovarian syndrome), is a possibility. Irregular menstrual periods, facial hair (hirsutism), and insulin resistance, characterized by high fasting insulin and a high homeostatic model assessment of insulin resistance, are common signs. Obesity can make insulin resistance worse, which then leads to increased production of male hormones (androgens), one of the main features of PCOS or PMOS.

While people often mention “estrogen dominance,” what usually happens in PCOS or PMOS is a hormonal imbalance where estrogen remains at a moderate level, and progesterone stays low due to the lack of regular ovulation. This imbalance can affect menstrual cycles and fertility.

For weight loss while trying to become pregnant, lifestyle changes are the first recommended step. Metformin is often used in PCOS/PMOS to improve insulin sensitivity and support ovulation. You can also take a myoinositol supplement, which helps improve insulin sensitivity and egg quality since you are trying to conceive.

So, for weight loss, I strongly recommend focusing on lifestyle changes with a healthy diet and regular exercise, as there is no quick solution for safe weight loss.

I suggest focusing on lifestyle changes and adding Metformin and Myoinositol to help improve insulin sensitivity, egg quality, and regulate menstrual cycles, which can also make weight loss easier.

I hope you are satisfied with my answer.

For further queries, you can consult me at iCliniq.

Thank you.