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4 Types Of PCOS: Characteristics And Major Details


Polycystic Ovary Syndrome (PCOS):

Many women in adulthood suffer from polycystic ovarian syndrome (PCOS), a prevalent hormonal condition, and 4 types of PCOS are in common. A woman’s health, particularly her menstrual periods, reproduction, and metabolism, may be affected by a mix of signs and hormonal abnormalities characteristic of the condition. Identifying and adequately treating PCOS can be challenging because it is a complicated disorder with many underlying causes.

Menstrual irregularities or absence, an abundance of androgenic hormones (male hormones) in the human body, and several tiny growths on the ovaries are the main characteristics of PCOS. The diagnosis process is made more difficult by the fact that not all women with PCOS may exhibit the same features or develop ovarian cysts.

The specific diagnostic requirements, symptoms, and possible therapy choices for each kind of PCOS will be covered in depth in this article. Individuals or health professionals can better customize management techniques to cope with the condition and enhance the quality of life by being aware of the many kinds of PCOS.

Types Of PCOs:

Polycystic ovary syndrome has four types which are the following. Determination of each type among the 4 types of PCOS depends on the signs and symptoms in an individual.

4 Types Of PCOS:

4 types of PCOS are there which are:

1.     PCOS With Insulin Resistance:

The most prevalent kind of PCOS, insulin-resistant PCOS, is characterized by insulin resistance, or cells inside the body not reacting to insulin as well as they should. The hormone insulin helps to control the amount of sugar in the blood, but in people with insulin resistance, the cells do not adequately take in glucose via the blood supply. To make up for it, this raises insulin levels, which can encourage the ovaries to generate a more incredible amount of (male hormones) like testosterone. The manifestations of PCOS are exacerbated by excess androgen production, which interferes with the ovaries’ typical operation.


Signs and symptoms of resistance to insulin PCOS entail a variety of conditions, such as:

  •  Gaining weight or trouble shedding weight, especially in the abdomen.
  •  Abnormal hair growth (hirsutism), frequently in a man’s pattern, on the face, chest, belly, or back.
  •  Oily or acne-prone skin.
  • Unusually long or short periods can result in irregular periods for menstruation.
  •  Infertility or difficulties conceiving as a result of ovulation that is irregular.

Diagnosis of insulin-resistant PCOS can be made through blood tests to check the level of hormones in your body and ultrasound.

Prevention Options:

A mixture of lifestyle changes and, occasionally, medication is usually used to manage insulin-intolerant PCOS. The available therapies include:

  • Sustaining an appropriate weight, maintaining a balanced diet, and getting regular exercise are all crucial. In turn, this can lessen insulin resistance and increase insulin sensitivity.
  •  Losing extra pounds can significantly reduce insulin resistance and regulate hormones if necessary.
  •  Healthcare professionals may recommend drugs to control blood sugar levels and insulin when lifestyle changes alone are insufficient. One of these medicines is metformin, which helps improve the breakdown of glucose and reduce insulin levels.

2.    Post Pill PCOS:

Post-pill PCOS describes PCOS symptoms that appear after stopping the use of contraceptives taken by mouth, also referred to as contraception pills. Following the discontinuation of hormonal birth control, some women might experience symptoms similar to PCOS or hormonal problems. Although the precise diagnosis of post-pill PCOS is unknown, it is thought to be a transient reaction as the body adapts to the absence of artificial hormones.


The time of the appearance of symptoms after discontinuing oral contraceptives is used as the diagnostic factor for post-pill PCOS. The standards comprise:

  1. After stopping contraceptive pills, the onset of symptoms associated with PCOS, such as abnormal menstrual periods, hormonal problems, acne, or sexual dysfunction.
  1.  No signs of PCOS or hormonal dysfunction before starting an oral contraceptive regimen.

Although post-pill symptoms of PCOS may differ from individual to individual, the following are often mentioned symptoms:

  •  Irregular menstruation cycles: Similarly to other forms of PCOS, women with PCOS can experience rare or nonexistent periods.
  •  Changes in androgen (male hormone) amounts, for example, can cause symptoms like hirsutism (excessive hair production), acne, and other conditions.
  •  Additional PCOS-like signs may include mood changes, weight gain, and difficulties decreasing weight.
Options For Treatment:

Post-pill PCOS is typically a transient syndrome that disappears when the body returns to normal hormone levels. The following therapeutic alternatives, however, may be taken into consideration if symptoms continue or become severe:

  •  Eating right and exercising frequently can help you maintain an appropriate weight.
  •  Using stress-reduction strategies, such as dictation or counseling, may help maintain hormonal balance.
  •  When symptoms don’t disappear, medical professionals could suggest particular hormonal treatments to control your menstrual period and correct hormonal disorders.

3.    Inflammation Associated PCOS:

Long-term inflammation in the human system is a feature of the subtype of PCOS known as inflammatory PCOS. The body’s immunological reaction to injury, infection, or damaging stimuli is known as inflammation. Long-lasting inflammation in the context of inflammation-associated PCOS can influence the start and development of PCOS symptoms. It is unclear exactly how inflammation affects the ovarian cycle and hormone balance, although inflammation is thought to play a role in PCOS.

Diagnostic Conditions:

 Several standards must be met for the diagnosis of inflammation-related PCOS, such as:

 The existence of inflammatory substances related to chronic inflammation in one’s blood: The results of blood tests could identify elevated levels of allergic signs like CRP (C-reactive protein) or other indicators linked to inflammation.

Inflammation-related symptoms:

Females with inflammatory Polycystic ovary syndrome can experience sensations like pelvic pain, unpleasant or heavy periods, or other bodily indications of inflammation.

Treatment And Management:

Symptom management and inflammation reduction are the main goals of treatment for inflammatory PCOS. Options for treatment include:

●      Anti-Inflammatory Food:

Consuming a diet that is low in processed foods and high in fresh produce, nutritious fats, whole grains, and lean meats may assist the body fight inflammation.

●      Frequent Physical Activity:

It has been demonstrated that regular physical activity has anti-inflammatory properties and can help control PCOS symptoms.

●      Stress Reduction Methods:

Because prolonged stress can increase inflammation, stress reduction methods like yoga, mindfulness, or counseling may be helpful.

●      Anti-Inflammatory Drugs:

Medical professionals may recommend anti-inflammatory drugs to reduce discomfort and treat symptoms.

     4. Hidden-Cause PCOS:

Hidden cause polycystic ovaries describe a subset of situations in which an underlying problem or circumstance helps lead to the emergence of PCOS symptoms. The manifestations of PCOS are incidental in these situations to another fundamental cause or condition. The underlying cause must be found and treated to manage PCOS symptoms effectively.


Identifying the underlying medical condition or condition that triggers the onset of PCOS symptoms is necessary to identify hidden-cause PCOS. Among the diagnostic standards are:

  •  Analyzing the patient’s medical background and symptoms to find any underlying issues.
  •  Diagnostic testing to evaluate hormonal levels and the functioning of the ovaries and find any linked conditions, such as lab tests and imaging scans.
  •  Distinguishing PCOS symptoms from those that are unique to the underlying reason.

The underlying illness or factor causing the onset of PCOS symptoms must be treated to treat hidden-cause PCOS. Treatment choices could be:

  • When an underlying ailment causes hormonal imbalances, a treatment involving hormone replacement may be recommended to reestablish hormonal equilibrium.
  •  Particular drugs may treat the underlying problem or element causing PCOS symptoms.
  •  Adopting good lifestyle choices, such as eating a balanced diet, exercising frequently, and managing stress, can help treat both the root issue and signs and symptoms of PCOS.


In conclusion, knowing the 4 types of PCOS, namely insulin-resistant, post-pill, inflamed, and hidden-cause PCOS, can help you better appreciate how this complicated hormonal illness manifests itself differently. Healthcare providers can create individualized treatment plans to handle PCOS symptoms. Moreover, well-being is enhanced by identifying and addressing the unique characteristics of each kind.


1.    How can you tell what kind of PCOS you have?

A complete assessment by a medical practitioner is necessary to identify the particular form of PCOS. Your medical records, symptoms, and requests for blood tests to measure hormone levels will all be considered. For an accurate diagnosis, speaking with a healthcare professional specializing in endocrinology or reproductive health is essential.

2.    Do the different kinds of PCOS occasionally overlap?

Yes, it is attainable for various forms of PCOS to exist alongside one another or overlay in some circumstances. For instance, an individual’s symptoms could be caused by insulin-resistant PCOS, an underlying illness, or an adrenal condition. It draws attention to the complexities of PCOS and the demand for specialized evaluation and treatment methods.

3.    Do all forms of PCOS require treatment?

The intensity of signs and each person’s unique circumstances determine if medication is necessary. An ideal weight, regular physical activity, and an appropriate diet are some lifestyle changes that frequently dramatically reduce PCOS symptoms. However, the medicine may be administered to control insulin levels, regulate periods, or treat underlying disorders if they exist.

4.    Can Polycystic ovary syndrome be treated?

PCOS is a long-term condition for which there is not yet a recognized treatment. However, with the proper management techniques, symptoms can be controlled, and quality of life can be increased. People with PCOS can manage their condition and lower their risk of problems with the help of medicine, lifestyle changes, and regular checks.

5.    How might PCOS impact fertility?

Because of erratic periods and hormone imbalances, PCOS can affect fertility. With the proper care and lifestyle changes, many PCOS-affected women can get pregnant. For those having problems, fertility treatments, including ovulation-inducing drugs or enhanced reproductive methods, could be suggested.

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