Search
Close this search box.
Search
Close this search box.
Search
Close this search box.

About the Episode

Learn about PCOS and how to treat it to start feeling better!

Join integrative medicine-trained OB/GYN, Dr. Jennifer Rolands, as she breaks down PCOS symptoms, why they occur, and what we can do to alleviate them. She shares her years of experience specializing in PCOS, hormones, and gut health to give you actionable advice for your journey to better health.

Listen now and discover how to manage PCOS!

What We Discuss

PCOS (Polycystic Ovary Syndrome) is a complex disorder that goes beyond reproductive symptoms, involving metabolic issues, inflammation, insulin resistance, gut health, and more. That’s why it’s important to understand the holistic nature of PCOS and the need for personalized approaches to address its underlying causes.

Symptoms of PCOS

PCOS is a multifaceted condition with a wide range of symptoms that can significantly affect your health and well-being. Some of the hallmark symptoms of PCOS include irregular menstrual cycles and higher levels of androgens, useful hormones which, in large quantities, are often associated with acne, and unwanted hair growth in areas like the abdomen and face. These irregular cycles are a result of inconsistent ovulation, which can make it challenging for individuals with PCOS to conceive if they wish to do so.

In addition, PCOS can cause weight gain, food cravings, hair thinning or hair loss, immune function issues, and even skin problems like rashes. That’s why it’s not merely a reproductive concern but also a metabolic and systemic disorder that can impact many aspects of a person’s health.

It’s crucial to recognize less common symptoms and be proactive in seeking medical attention when something doesn’t feel right. Some people may experience irritable bowel syndrome (IBS), fibromyalgia, or migraines, which can be linked to the metabolic issues associated with PCOS. This underscores the importance of comprehensive evaluation and personalized treatment plans for those who suspect they may have PCOS or are living with the condition.

PCOS and Ovulation

Several key features of PCOS include irregular menstrual periods, elevated levels of androgens in the body, and the presence of small fluid-filled sacs (cysts) on the ovaries. One of the hallmark symptoms is anovulation, when the ovaries do not consistently release mature eggs during the menstrual cycle. This disrupted ovulation is a major contributor to infertility among women with PCOS, who may experience infrequent periods, or have long cycles without ovulation, making it challenging to conceive naturally.

Due to the ovulatory dysfunction associated with PCOS, women who are trying to get pregnant often require medical interventions, such as fertility medications, to induce ovulation. This can help regulate the menstrual cycle and increase the chances of successful conception. Additionally, lifestyle modifications, including dietary changes and regular exercise, are often recommended to manage PCOS symptoms and improve reproductive health.

Gut Health and PCOS

Gut health plays a significant role in everyone’s well-being and is also considered one of the drivers of PCOS symptoms. Many patients may experience gastrointestinal issues such as constipation, bloating, and irregular bowel movements, which are part of the larger picture of PCOS. Furthermore, the gut is involved in metabolizing hormones such as estrogen. So a compromised gut can lead to hormone imbalances that can worsen PCOS symptoms.

In an integrative medicine approach to PCOS, addressing gut health is crucial. A dysfunctional gut can lead to deconjugation of hormones, which can contribute to hormonal imbalances and exacerbate PCOS symptoms. These are just some of the many reasons why maintaining a healthy gut to support overall well-being and improve the management of PCOS is important.

PCOS Diagnosis and Treatment Methods

There’s no one single way to diagnose PCOS. Rotterdam criteria and androgen excess and PCOS society criteria are often used as diagnostics, but the two biggest hallmarks are irregular cycles from not ovulating consistently and evidence of higher androgen levels. There can be clinical signs like acne, unwanted hair in places like your face and abdomen, or lab abnormalities.

Lifestyle modifications, including dietary changes and exercise, are often recommended as the first line of treatment and can play a significant role in managing PCOS. Weight loss and regular physical activity can help improve insulin sensitivity, which is often impaired in PCOS.

Some women with PCOS also have insulin resistance, which can lead to elevated blood sugar and insulin levels, which affect many body functions, including the menstrual cycle. Insulin-sensitizing medications can improve insulin sensitivity, and can be particularly helpful for those with PCOS who have metabolic disturbances.

It’s important to note that the treatment for PCOS can vary depending on an individual’s specific symptoms and goals. Regular monitoring and follow-up with a healthcare provider are crucial to assess the effectiveness of treatment and make any necessary adjustments.

Listen now and start better managing PCOS today!

Guest Bio

Dr. Jennifer Rolands. is an integrative medicine-trained OB/GYN who specializes in PCOS, hormones, and gut health. She is also the SHEO of Well Woman MD, a virtual women’s health clinic founded on her passion for reimagining a more holistic approach to women’s healthcare.

She partners with women to find out the root cause of their symptoms so they can have energy and predictability in their periods, weight, and fertility, and feel like themselves again.

She believes women helping women is the most incredible force in the universe! As a former sufferer of PCOS and hypothyroidism, she has been on the hormone roller coaster. From digestion issues to fatigue, hair loss, brain fog, and infertility, she has been there. Even as a doctor, she was blown off by doctors who said her labs were normal. She spent countless hours diving into nutrition and mind-body medicine. She learned how the gut is connected to hormone health. And medications like the birth control pill can wreak havoc on our bodies by depleting our bodies of nutrients and masking our symptoms but not actually treating the condition. She found out the CAUSE of her symptoms and used that information to focus on gut health, stress reduction, and the right exercise for her body. She was able to lose weight, clear her skin, wake up rested, have more energy, and ultimately get pregnant! Now, she is sharing her knowledge!

Links

https://www.facebook.com/drjenniferroelands
https://www.instagram.com/wellwomanmd/
https://www.youtube.com/channel/UCC16IWACsU9FPpkYlLENEjg
https://www.pinterest.com/jenniferroelandsmd/_created/
https://wellwomanmd.com/
https://wellwomanmd.com/podcast/
https://wellwomanmd.com/pcosquiz/

Related Episodes

Lose Weight By Improving Your Leptin Sensitivity, with Dr. Bindiya Gandhi
Get Pregnant and Stay Pregnant, with Kela Smith
Try Keto for Optimal Health, with Robert & Crystal Sikes
Leverage Ketosis and Fasting to Reverse Disease, with Ben Azadi
Food Freedom and Life Boundaries, with Melissa Urban
Get the Right Treatment for Complex Conditions, with Dr. Nafysa Parpia
Heal Leaky Gut, with Dr. Vincent Pedre
Heal the Gut-Brain Connection, with Dr. Will Cole

What is PCOS

WHY DO WE DO THIS TEST?

This test is comprehensive testing for Lyme disease and other tick-borne illnesses, helping clinicians accurately diagnose and treat these complex infections. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Blood, Urine, or Ticks

COST

may have a $200 copay

INSURANCE

Covered by most insurance.

What is PCOS

WHY DO WE DO THIS TEST?

Galleri® is a multi-cancer early detection test, a blood test that screens for many of the deadliest cancers before they become symptomatic,1,2,3 including those with no recommended screening tests today. Click here for more information.

LOCATION PERFORMED

At home or in lab.

SPECIMEN TYPE

Blood

COST

$999

INSURANCE

Depending on insurance coverage.

What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

This DNA test analyzes a person’s genetic markers to provide insights into their health and wellness price. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Swab

COST

$299

INSURANCE

Depending on insurance coverage.

What is PCOS

WHY DO WE DO THIS TEST?

This test is a key tool for assessing the impact of long-term exposure to environmental chemicals. By quantitatively measuring 14 select metabolites, this test helps determine an individual’s toxic burden, offering essential data to guide targeted nutritional and detoxification interventions for improved health outcomes. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Urine

COST

$129

INSURANCE

Depending on insurance coverage.

What is PCOS

WHY DO WE DO THIS TEST?

The Hormone and Urinary Metabolites Assessment Profile (HuMapTM) provides a comprehensive overview of steroid hormones, their metabolites, and the efficiency of the enzymes that metabolize these hormones. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Urine

COST

$199

INSURANCE

Depending on insurance coverage.

INSTRUCTIONS

What is PCOS

WHY DO WE DO THIS TEST?

This is a dried urine test for comprehensive hormones to help providers solve complex patient cases. DUTCH is a group of validated tests that provide a complete evaluation of sex and adrenal hormones, including metabolites. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Urine

COST

$300

INSURANCE

Depending on insurance coverage.

INSTRUCTIONS

What is PCOS

WHY DO WE DO THIS TEST?

This is a comprehensive stool test that relies on quantitative polymerase chain
reaction (qPCR) technology to detect parasites, bacteria, H. pylori, fungi, and more by targeting the specific DNA of the organisms tested. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Stool

COST

$399

INSURANCE

Depending on insurance coverage.

INSTRUCTIONS

What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

This is a comprehensive test that uses blood and urine to evaluate over 125 biomarkers. It provides recommendations for vitamins, minerals, amino acids, fatty acids, and digestive support. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Blood and Urine

COST

$179 – $439

INSURANCE

Depending on insurance coverage.

INSTRUCTIONS

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.
What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

Genova’s SIBO Profiles are non-invasive breath tests which capture exhaled hydrogen (H2) and methane (CH4) gases following patient ingestion of a lactulose solution to evaluate bacterial overgrowth of the small intestine

LOCATION PERFORMED

At home

SPECIMEN TYPE

Breath

COLLECTION INSTRUCTIONS

COST

$85-$225 depending on insurance coverage. 

What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

This test evaluates the presence of harmful mycotoxins (toxins produced by molds).

LOCATION PERFORMED

At Home

SPECIMEN TYPE

Urine

COLLECTION INSTRUCTIONS

SPECIAL INSTRUCTIONS

Glutathione for 1 week, then bath or sauna.

COST

$699

INSURANCE

Fully covered by Medicare. Repeat test prices $249

What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

This test evaluates the genetic profile for multiple health indicators. Click here for more information.

LOCATION PERFORMED

At home

SPECIMEN TYPE

Blood Spot

COST

$319

INSURANCE

No insurance accepted

COLLECTION INSTRUCTIONS

What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

This company can test for lyme, babesia, bartonella and additional tick-borne illnesses. Click here for more information.

LOCATION PERFORMED

In office

SPECIMEN TYPE

Blood

COST

around $1600 (depends on panel selected)

INSURANCE

Fully covered by Medicare. May be reimbursed with PPO plans.
What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

This test evaluates the presence of harmful mycotoxins (toxins produced by molds).

LOCATION PERFORMED

At home

BLOOD FLUID

Urine

SPECIAL INSTRUCTIONS

Glutathione for 1 week, then bath or sauna.

COST

$310

INSURANCE

No insurance accepted
What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

This test evaluates a wide range of environmental toxins that may be leading to harmful health effects.

LOCATION PERFORMED

At home

BLOOD FLUID

Urine

SPECIAL INSTRUCTIONS

Glutathione for 1 week, then bath or sauna.

COST

$199

INSURANCE

No insurance accepted $30 discount given if done with mycotoxins.
What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

Blood work for blood count, urinalysis and vitamin levels.

LOCATION PERFORMED

BLOOD FLUID

Blood

NOTES

You often have to fast for these tests-please check your providers notes.

COST

Depending on the test, deductible or copay may apply.

INSURANCE

Depends on insurance coverage, deductible or copay may apply.
What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

Glyphosate (“Round Up”) is a pesticide that is widely used and this test indicates the body’s levels.

LOCATION PERFORMED

At home

BLOOD FLUID

Urine

SPECIAL INSTRUCTIONS

Glutathione for 1 week, then bath or sauna.

COST

$99 ($69 if performed with mycotoxins or environmental toxins).

INSURANCE

No insurance accepted $30 discount given if done with mycotoxins or GPL Tox.
What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

This test evaluates many measures including micronutrients, antioxidants, minerals, detox, overview of gut function, omegas and toxic exposure. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Urine

COST

$150 – $329

INSURANCE

Depending on insurance coverage. Fully covered by Medicare.

INSTRUCTIONS

What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

This test evaluates the gut function and indicates microbiome balance, overgrowth, infection, inflammation, parasites and digestive efficacy. Click here for more information.

LOCATION PERFORMED

At home

SPECIMEN TYPE

Stool

COST

$179-$439 depending on insurance coverage.

INSURANCE

Depending on insurance coverage. Fully covered by Medicare.

SPECIAL INSTRUCTIONS

No probiotics for one week.

VIDEO INSTRUCTIONS

What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

This test evaluates the full menstrual cycle, female hormones, and adrenal profile.

LOCATION PERFORMED

At home

BLOOD FLUID

Urine

COST

$160-$329

INSURANCE

Depending on insurance coverage. Fully covered by Medicare.

NOTES

Must be off hormones in order to do the testing.
What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

This test is specifically for a tick-borne illness called “Bartonella”.

LOCATION PERFORMED

In office

BLOOD FLUID

Blood

COST

$260

INSURANCE

No insurance accepted
What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

This test evaluates the presence of potentially harmful heavy metals stored in the body.  Click here for more information.

LOCATION PERFORMED

At home

SPECIMEN TYPE

Urine

COST

Testing: $79 x2 paid to Doctor’s Data
DMSA: $38 paid to Johnson’s Compounding Pharmacy

INSURANCE

Not covered by Insurance
What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

This test measures saliva cortisol testing throughout the course of one day and informs us where there might be an adrenal imbalance.

LOCATION PERFORMED

At home

BLOOD FLUID

Saliva

COST

$80

INSURANCE

No insurance coverage

What is PCOS
What is PCOS

WHY DO WE DO THIS TEST?

This test is designed to look at food sensitivities (IgG immune responses). It is available in both a 99 or 184 panel. Click here for more information.

LOCATION PERFORMED

In office

SPECIMEN TYPE

Blood

COST

$129-238

INSURANCE

No insurance accepted