What is PCOS (Polycystic Ovary Syndrome)?
PCOS is a common hormonal disorder that affects women of childbearing age. It’s a complicated condition that affects your overall health and fertility. It’s estimated that 8-13% of women who experience infertility have PCOS yet 70% of women with PCOS don’t even know they have it. These symptoms happen because your body produces excess male hormones called androgens
Living with PCOS is tough. It can affect your self-esteem and make it hard to get pregnant. The good news is PCOS can be managed. With the right care, you can feel better and reduce your risk of other health issues. If you think you may have PCOS don’t wait to get help—book in with your GP today to discuss your symptoms and get support.
PCOS Symptoms
- Irregular Periods: Your periods become unpredictable, with long gaps between periods or missing periods altogether. Women with PCOS have luteal phase deficiency. This is where the luteal phase (post-ovulation phase of the cycle) is shorter than normal and can affect fertility by impairing the uterus’s ability to maintain a pregnancy.
- Excess Hair Growth (Hirsutism): Excess hair growth on your face, chest or back, leading to more plucking or waxing to remove unwanted facial and body hair.
- Acne Breakouts: Acne breaks out, especially on your face, chest and back. You get more spots and oily skin even if you never had acne before.
- Weight Gain: Weight gain around your middle. Your clothes feel tighter around your waist.
- Hair Loss: Hair on your scalp starts to thin. You see more hair in your brush or notice your parting getting wider.
- Hyperpigmentation: Dark patches on your neck or under your arms. These areas are velvety and slightly raised.
- Infertility: You experience difficulty conceiving despite trying for several months.
- Mood swings and Anxiety: Mood swings and anxiety become more frequent. You feel irritable or worried for no reason.
- Skin Tags: Small, soft growths of extra skin appear, commonly on your neck or armpits.
- Cysts: Ovaries may appear larger or show multiple follicles (cysts) on ultrasound.
- Deepening of the voice: Elevated androgen levels in PCOS can cause male-like characteristics, including a deeper voice, by affecting the larynx.
- Decreased breast size: Increased androgens in PCOS can alter fat distribution, leading to reduced breast size due to hormonal imbalance.
- Dandruff: Higher androgen levels in PCOS increase skin oil production, which can trigger dandruff by promoting yeast growth on the scalp.
Struggling with PCOS symptoms? Guo Tai TCM offers personalised, holistic treatments designed to restore balance and improve your well-being. Our TCM physicians use time-tested TCM techniques to address the root cause of your symptoms.
Take the first step toward better health — schedule a consultation today and start your journey to feeling like yourself again.
When should I see my TCM Physician for PCOS?
Reach out to a TCM physician healthcare provider if you think you might have PCOS. Possible signs include:
- Irregular menstrual cycles, often longer than 40 days between periods.
- Excess hair growth, acne, or other symptoms of elevated androgen levels.
- Trouble conceiving.
Managing PCOS With TCM
Traditional Chinese Medicine (TCM) has a unique approach to managing Polycystic Ovary Syndrome (PCOS). TCM sees PCOS as an imbalance in your body’s energy flow, particularly in your reproductive system.
- Acupuncture: Utilises thin needles inserted into specific body points to restore energy flow, helping regulate periods and alleviate PCOS symptoms.
- Herbal Treatment: Key herbs include cinnamon bark, liquorice root, and peony root, which balance hormones and reduce insulin resistance associated with PCOS.
- Dietary Recommendations: Emphasis on warm foods to aid digestion; suggestions include adding ginger and cinnamon to meals, increasing cooked vegetables, and reducing dairy and raw foods.
- Lifestyle Changes: Encourages regular exercise to move Qi, stress reduction through meditation and sufficient sleep to maintain hormonal balance.
Looking for a natural approach to managing PCOS? At Guo Tai TCM, we specialise in holistic treatments tailored to your unique needs. Using acupuncture, herbal remedies, and personalised dietary advice, we aim to restore balance and improve symptoms like irregular periods, excess hair and insulin resistance. Our TCM physicians combine ancient wisdom with modern insights to help you regain control of your health.
Book your consultation today and start your journey to a more balanced life with TCM.
Am I at Risk of PCOS?
You may be at risk of PCOS if you have:
- Family history: If your mum or sister has PCOS, you may have it too.
- Weight: Being overweight or obese can increase your risk.
- Insulin resistance: This can make you more likely to have PCOS.
Irregular periods are a common symptom of PCOS. If you notice any of these, talk to your GP:
- Periods under 21 days apart
- Periods over 35 days apart
- Missed periods
- Very heavy or light flow
Other risk factors are:
- Excess hair growth on your face, chest or back
- Acne or oily skin
- Thinning hair on your scalp
- Weight gain around your middle
Remember having these symptoms doesn’t mean you have PCOS. Many other conditions can cause similar symptoms.
Concerned you might be at risk for PCOS? Don’t wait to take action. At Guo Tai TCM, we offer personalised assessments and holistic treatments to help you manage symptoms like irregular periods, excess hair growth and weight gain.
Early intervention is key and our expert team can guide you through natural solutions tailored to your needs. Schedule a consultation today to take control of your health and restore balance to your body.
PCOS Causes
The exact cause of PCOS is not fully understood but several factors may contribute to it:
- Genetics: PCOS runs in families. If your mum or sister has it, you’re more likely to have it too.
- Hormonal imbalance: Your body may produce more androgens (male hormones) than normal. This can stop egg release and cause irregular periods. Specifically, Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH) are the culprits behind the hormonal imbalances in PCOS. In PCOS, women have high LH and low FSH, which disrupts ovulation. This imbalance causes irregular periods and fertility issues.
- Insulin resistance: Your body may not be using insulin properly. This can lead to high blood sugar and increased androgens.
- Weight gain: Being overweight can worsen insulin resistance and hormone imbalances. It’s often unclear if weight gain causes PCOS or if PCOS causes weight gain.
- Inflammation: Some women with PCOS have low-grade inflammation in their bodies. This may contribute to insulin resistance and high androgens.
- Environmental factors: Exposure to certain chemicals or toxins may be involved in PCOS but more research is needed.
Remember you may have PCOS even if you don’t have all these factors. It’s a complex condition that can affect women differently.
If you’re concerned about PCOS talk to your GP for proper diagnosis and treatment.
At Guo Tai TCM, we offer natural, personalised treatments to address the root causes like hormonal imbalance and insulin resistance. Take control of your health — schedule a consultation today!
Main PCOS Treatments Offered by Guo Tai TCM
95 Imperial Diaphoretic Herbal Therapy
This herbal therapy is a natural way to manage PCOS symptoms. It uses a blend of herbs to balance hormones and reduce inflammation.
The therapy uses herbs like cinnamon, liquorice root and saw palmetto. These ingredients may help regulate insulin levels and reduce excess androgens.
You may find this treatment helpful if you’re looking for a milder way to manage PCOS. Many women have reported improved menstrual regularity and fewer acne breakouts after trying this therapy.
Talk to your doctor before starting any herbal treatments. They can advise on how it may interact with other medications you’re taking.
Herbal King Moxibustion
Moxibustion is a traditional Chinese medicine technique that can help with PCOS symptoms. It involves burning dried mugwort near specific acupuncture points on your body.
This treatment aims to improve blood flow and balance hormones. Some women find it helpful for regulating their menstrual cycles and pain.
Each session last 30 minutes, during which you will lie down comfortably while the practitioner applies the treatment to the key areas of your body.
Many women feel relaxed during and after moxibustion. Some notice improvements in their PCOS symptoms over time.
Take a holistic approach to your health — book your consultation today and explore personalised treatments designed for lasting relief!
Other PCOS Treatments
Hormonal Birth Control
If you are not planning to get pregnant soon, you may consider birth control pills, patches, shots, vaginal rings or IUDs. These regulate your menstrual cycle and can improve acne and excess hair growth.
Insulin-Sensitizing Medicines
Metformin, used for diabetes, can help your body process insulin better. This may improve your menstrual cycle. If you are struggling with insulin resistance, it is worth discussing this option with your GP.
Anti-Androgen Medications
These drugs block androgens in your body. They can help with acne and hair growth. Talk to your doctor to see if they’re right for you.
Eflornithine (Vaniqa)
This is a skin cream that reduces unwanted facial hair in women or individuals assigned females at birth.
Spironolactone (Aldactone)
This medication blocks the effects of androgens on the skin, helping to reduce excess hair growth and acne. Since Spironolactone can cause birth defects, effective contraception is necessary while using it, and it’s not recommended for those who are pregnant or planning to conceive.
Progestin therapy
Taking progestin for 10 to 14 days every 1 to 2 months can help regulate your menstrual cycle and reduce the risk of endometrial cancer. However, this therapy does not improve androgen levels or act as a contraceptive. If you want to prevent pregnancy, a progestin-only minipill or a progestin-containing intrauterine device would be a more suitable option.
Hair removal
Electrolysis and laser hair removal are two methods for removing unwanted hair. Electrolysis involves inserting a tiny needle into each hair follicle and delivering an electric current to damage and destroy the follicle. Laser hair removal uses a concentrated beam of light to target and remove hair. Both methods typically require multiple treatments. Other temporary options include shaving, plucking, or using hair-dissolving creams, though these may lead to hair growing back thicker.
Surgery
A surgical procedure can restore ovulation by removing androgen-producing tissue from the ovaries. However, with the availability of newer medications, this procedure is now rarely performed.
Ovulation Induction Drugs
If you’re trying to get pregnant, drugs like clomiphene and letrozole can induce ovulation. These are taken orally. Gonadotropins, which are injected into the body, are another option.
In Vitro Fertilisation (IVF)
When other options don’t work IVF may be an option for pregnancy. Your eggs are fertilised with sperm in a lab and then transferred to your uterus. It’s a more complex but effective treatment.
Gonadotropin-Releasing Hormone (GnRH) Agonists
GnRH agonists are used for PCOS, especially fertility symptoms. These medications work by initially increasing and then suppressing the release of LH and FSH from the pituitary gland, helping to regulate menstrual cycles and improve ovulation rates.
Oral Contraceptive Pill (OCP)
Commonly used to regulate menstrual cycles and reduce androgen levels, improving acne and excessive hair growth.
Metformin and Thiazolidinediones
These medications improve insulin sensitivity and may aid in managing weight, restoring ovulation, and regulating menstrual cycles.
At Guo Tai TCM, we take a holistic approach to PCOS treatment, not just symptom relief. Our treatments like Imperial Diaphoretic Herbal Therapy and Herbal King Moxibustion help to rebalance the body. In TCM we diagnose PCOS through tongue observation, pulse feeling and lifestyle discussion. We identify imbalances such as Kidney Yang deficiency or Liver Qi stagnation and tailor treatment with herbal remedies, acupuncture and dietary changes for long-term health.
Experience a more effective, gentle alternative — book your consultation today and take control of your PCOS naturally!
Types of PCOS
Non-hyperandrogenic PCOS (Type D)
You may have this type if you have irregular or absent menstrual periods and ovarian cysts. Your androgens are normal. This can affect ovulation and fertility.
Ovulatory PCOS (Type C)
With this type, you have higher androgens and ovarian cysts. Your ovulation may still be regular but the androgens can cause symptoms like excess hair growth or acne.
Non-PCO PCOS (Type B)
You have high androgens and ovulation problems. Your ovaries may look normal on ultrasound but the hormonal imbalance can still cause PCOS symptoms.
Full-blown PCOS (Type A)
This is the most common type. You have high androgens, ovulation problems and ovarian cysts. This combination can cause irregular periods, fertility issues and other PCOS symptoms.
Some doctors also describe PCOS by its causes or symptoms:
- Insulin-resistant PCOS: Your body can’t use insulin properly which can increase your risk of type 2 diabetes.
- Inflammatory PCOS: Low-level inflammation in your body can exacerbate PCOS symptoms.
- Post-pill PCOS: After stopping hormonal birth control you may have temporary PCOS symptoms.
PCOS Diagnosis Using TCM
Polycystic Ovary Syndrome (PCOS) is diagnosed by meeting at least two out of the following three criteria: oligo/anovulation (irregular or absent ovulation), clinical and/or biochemical signs of hyperandrogenism (excess male hormones), and polycystic ovaries seen on an ultrasound. If two of these criteria are excluded, a diagnosis may not be made.
Other PCOS Diagnosis and Tests
In most instances, your healthcare provider can diagnose PCOS with just a physical examination and a discussion of your symptoms.
They may also ask for some blood tests or a transvaginal ultrasound to aid in the diagnosis.
During your visit, your healthcare provider will:
- Discuss your symptoms and medical history.
- Talk about your family’s medical background.
- Measure your weight and blood pressure.
- Conduct a physical exam, checking for signs such as excess facial hair, hair loss, acne, discoloured skin, and skin tags.
- Perform a pelvic exam to investigate any potential causes of abnormal bleeding.
- Order blood tests to assess hormone and glucose levels.
- Perform a pelvic ultrasound to examine your ovaries, evaluate the thickness of your uterine lining, and identify any other causes of abnormal bleeding.
PCOS Complications
- Type 2 diabetes: Your risk is higher due to insulin resistance.
- Heart disease: You may be more likely to have high blood pressure and high cholesterol.
- Endometrial cancer: Your risk is three times higher.
- Cardiovascular Disease: Women with PCOS should be screened for risk factors such as family history, smoking, IGT/T2DM, hypertension, dyslipidemia, sleep apnea, and obesity, particularly abdominal fat.
- Sleep apnea: This can cause breathing problems while you sleep especially if you’re overweight.
- Mood disorders: Depression and anxiety are more common with PCOS.
- Obesity: PCOS makes it harder to maintain a healthy weight.
- Fertility issues: Irregular periods can make it harder to get pregnant.
Have regular check-ups with your GP. They can screen for these complications:
- Blood sugar tests for diabetes
- Blood pressure checks
- Cholesterol level checks
- Mental health assessments
If you experience unexpected bleeding or spotting tell your doctor straight away. This could be a sign of endometrial problems.
PCOS complications can be scary. That is why Guo Tai TCM is here to offer treatments to help manage your symptoms and reduce the risk of issues like diabetes, heart disease and fertility problems. Our expert care focuses on balancing your body to prevent long-term health challenges.
Book a consultation today and take proactive steps toward better health!
PCOS Treatment Risks
- Weight gain: Some PCOS treatments may cause weight gain.
- Mood changes: You may experience mood swings or depression with some medications.
- Blood clots: Birth control pills used to manage PCOS can increase your risk of blood clots slightly.
- Gastrointestinal upset: You may experience nausea or stomach discomfort with some medicines.
- Headaches: Hormone therapies can cause headaches.
- Breast tenderness: Hormonal treatments can make your breasts feel sore.
- Allergic reactions: Rarely do you have an allergic reaction to PCOS medications.
- Acne flare-ups: Some treatments can make acne worse before it gets better.
- Preeclampsia: Women with PCOS are at higher risk for preeclampsia due to hormonal imbalances and insulin resistance, which can lead to complications during pregnancy.
- Cesarean Section: The likelihood of cesarean delivery is increased in women with PCOS, often due to factors such as obesity, macrosomia and complications related to gestational diabetes.
- Macrosomia: PCOS can lead to gestational diabetes, which increases the risk of macrosomia, or larger-than-normal birth weight, due to excess glucose affecting fetal growth.
Risks of PCOS can give you a very hard time. Don’t let these risks affect your life. Visit Guo Tai TCM and we’ll help you skip the weight gain, mood changes, and other unwanted effects — our personalised herbal therapies provide gentle, effective and relaxing relief.
PCOS Treatment Complications
- Nonalcoholic steatohepatitis: A serious liver inflammation resulting from fat accumulation in the liver.
- Fertility issues: Some treatments may temporarily affect your ability to get pregnant.
- Bone density loss: Long-term use of some treatments can affect your bone health.
- Insulin resistance: A few medications can increase your body’s insulin resistance.
- Excess hair growth: Some medicines can make excess hair growth worse in unwanted areas.
- Irregular bleeding: You may experience spotting or changes in your periods.
Guo Tai’s approach to PCOS therapy integrates Traditional Chinese Medicine principles to improve your body’s natural balance and qi flow. Using a drug-free, non-invasive approach, we carefully select herbs and address acupuncture points that specifically target hormonal imbalances, minimising the risk of such complications.
Schedule an appointment today to discuss how we can create a PCOS treatment plan for you.
PCOS Treatment Cost in Singapore
The cost of PCOS treatment in Singapore depends on the type of care you need. Many factors affect the price, the clinic you choose and the treatments required.
Here’s a rough guide to some PCOS treatment costs:
- Initial consultation: SGD 120-200
- Follow-up visits: SGD 80-150
- Ultrasound scan: SGD 150-300
- Blood tests: SGD 200-500
- Hormone therapy (per month): SGD 50-200
- Fertility treatments: SGD 1,000-15,000 per cycle
Some TCM options are available:
- 95 Imperial Herbal Diaphoretic Therapy: SGD 228
- Herbal King Moxibustion: SGD 149 (weekdays) and SGD 169 (weekends)
Please note that these are estimates. Prices may vary. Check with the clinics for exact pricing.
Many insurance plans cover PCOS treatments. Check with your provider to see what’s included in your policy. This can help reduce your out-of-pocket costs.
Are you ready to take the next steps towards a better health? Contact us today to schedule your consultation and start your journey toward managing PCOS with personalised TCM solutions at Guo Tai TCM!
Are There Subsidies for PCOS Treatment in Singapore?
PCOS treatment in Singapore can be expensive but there are ways to make it more affordable. The government has subsidies for some PCOS-related care at public hospitals and polyclinics.
If you’re a Singaporean citizen or permanent resident, you may be eligible for subsidised rates. These apply to consultations, blood tests and ultrasounds. The amount depends on your income and subsidy tier.
MediSave can also help cover PCOS treatment costs. You can use it for:
- Fertility treatments
- Hormone therapy
- Insulin-sensitising drugs
Private insurance may also cover some PCOS treatments. Check your policy to see what’s included. Some plans cover:
- Specialist visits
- Diagnostic tests
- Prescribed medications
Please note that subsidies and coverage vary. Best to speak with your doctor or financial counsellor. They can help you understand your options and find the most cost-effective treatment plan for you.
Why Choose Guo Tai TCM For PCOS Treatment?
- Google Review Ratings: 4.8-star average rating on Google reviews, reflecting high client satisfaction.
- Dr. Guo Pengchun’s Experience: Extensive background in pain management and PCOS, with prior experience in A&E at Guangdong General Hospital.
- Natural and Non-Invasive Treatments: At Guo Tai TCM, we focus on harnessing your body’s natural healing abilities without surgery or medication.
- Signature Treatment: Our 95 Herbal Imperial Diaphoretic Therapy combined with personalised lifestyle advice targets both symptoms and root causes of conditions like PCOS.
- Personalised Care: Each treatment plan is tailored to meet individual needs, ensuring a focused approach to health and wellness.
- Holistic Approach: Emphasis on total wellness through natural treatments and a holistic care strategy.
Book your appointment today, and let your journey to wellness begin – your body will thank you.
PCOS vs Endometriosis
PCOS (Polycystic Ovary Syndrome) and endometriosis are two separate conditions that affect people with vaginas, each with different causes and treatments despite some shared symptoms. PCOS is a hormonal imbalance where there are excessive male hormones causing symptoms like irregular periods, acne, excess hair, weight gain and fertility issues. Endometriosis is tissue that resembles the lining of the womb growing outside of it, causing severe pelvic pain, heavy periods, pain during sex and infertility.
The key difference is the pain and reproductive impact. Endometriosis is known for chronic pelvic pain, especially during menstruation, whereas PCOS doesn’t typically cause pain but can disrupt ovulation and fertility. Treatment for PCOS is symptom management and hormone regulation, possibly birth control pills or diabetes medications, whereas endometriosis treatments are to alleviate pain and preserve fertility through pain relievers, hormone therapy or surgery.
For those experiencing symptoms of either condition, consulting a doctor is crucial to obtain an accurate diagnosis and appropriate treatment plan.
PCOS vs Ovarian Cysts
PCOS and ovarian cysts might sound similar but they’re quite different conditions. You might be wondering how to tell them apart.
Ovarian cysts are fluid-filled sacs that can form on your ovaries. They’re often harmless and may go away on their own. You can have these cysts without having PCOS.
PCOS is a more complex condition. It affects your hormones and can cause multiple small cysts on your ovaries. However, not everyone with PCOS has cysts.
The main difference? PCOS causes a big hormonal imbalance, ovarian cysts usually don’t. This imbalance can cause irregular periods, acne and excess hair growth.
With PCOS you may have more than 12 small cysts on each ovary. These cysts contain immature eggs that don’t get released as they should.
You can have both conditions at once. But having ovarian cysts doesn’t mean you have PCOS. Your doctor can help you figure out which condition you have.
PCOS Prevention
There is no proven way to prevent PCOS but you can manage it once diagnosed. To manage your PCOS symptoms at home, you can use these tips:
- Balance your diet: Eat whole foods, lean proteins and plenty of vegetables. Cut back on sugary and processed foods.
- Get moving: Aim for 30 minutes of moderate exercise most days of the week. Try activities you enjoy like swimming or dancing.
- Maintain a healthy weight and BMI (body mass index): Even a 5-10% weight loss can improve your symptoms significantly. A healthy BMI will reduce symptoms of insulin resistance, hormonal imbalances and irregular periods. Eating and exercising to achieve and maintain a healthy weight will reduce the risk of getting type 2 diabetes and cardiovascular disease, both common in women with PCOS.
- Stay hydrated: Drink plenty of water throughout the day to support your body’s functions.
- Manage stress: Practice relaxation techniques like yoga or meditation to reduce stress.
- Get enough sleep: Aim for 7-9 hours of quality sleep each night to support hormone balance.
- Taking Folic Acid: Folic acid can help with PCOS by supporting ovarian function, regulating menstrual cycles, and reducing the risk of neural tube defects during pregnancy.
- Consider supplements: Talk to your GP about supplements that may help, inositol or omega-3 fatty acids.
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FAQs
Yes, you can have PCOS without symptoms. Some women only find out they have it when trying to conceive or experiencing unexplained weight gain.
PCOS can be mild with subtle signs that are easy to miss. Your body may be affected without you realising it.
If you’re concerned, speak to your GP. They can assess your risk and advise on what to do next.
PCOS is quite prevalent, affecting up to 15% of women and individuals assigned female at birth (AFAB) of reproductive age.
PCOS is a lifelong condition with no cure. You’ll need to manage it long-term. But don’t worry, symptoms can improve with treatment. Weight loss and lifestyle changes can help balance your hormones. Your doctor can help you alleviate your symptoms.
PCOS doesn’t get worse with age but its symptoms can change. You may notice changes in your menstrual cycle, hair growth and weight as you get older. Keep an eye on these changes and talk to your doctor about managing them.
PCOS can start at any time after puberty. You may notice symptoms in your teens or early 20s. Some women don’t notice symptoms until they try to get pregnant in their 30s.
It’s hard to pinpoint an exact age as PCOS affects everyone differently. Your doctor can help identify early signs and guide you through what to do next.
PCOS doesn’t shorten your life expectancy. With management, you can live as long as someone without PCOS. Regular check-ups and a healthy lifestyle are key to staying well.
Yes, you can get pregnant with PCOS. Many women with this condition conceive naturally.
Your fertility may be affected but there are ways to increase your chances. Weight loss and blood sugar balance can help.
Fertility treatments like ovulation-inducing medications or IVF may be an option if needed. Talk to your doctor about what’s best for you.
PCOS can increase your risk of miscarriage. If you have PCOS you’re 30-50% more likely to have a miscarriage compared to 10-15% for women without PCOS. That’s 3 times higher.
Yes, you can have PCOS during menopause. PCOS doesn’t go away when you reach menopause but its symptoms may change.
Your irregular periods may become more regular as you approach menopause. Women with PCOS tend to enter menopause about 2 years later than those without it.
PCOS runs in families but it’s not solely genetic. Research shows 20-40% of people with PCOS have a family member with the condition.
Your genes may make you more prone to PCOS but lifestyle factors play a role too.
No single gene causes PCOS. Scientists think several genes are involved. More research is needed to understand the genetic links fully.
PCOS disrupts your hormone balance. It makes your body produce too much androgen, a male hormone. This causes irregular periods and trouble getting pregnant.
Insulin may also be high. This can make your body produce more androgens. High insulin can also cause weight gain.
Medical References
Hoeger, Kathleen M., et al. “Update on PCOS: Consequences, Challenges, and Guiding Treatment.” The Journal of Clinical Endocrinology & Metabolism, vol. 106, no. 3, Nov. 2020, pp. e1071–83, doi:10.1210/clinem/dgaa839.
Wild, Robert A. “Long-term Health Consequences of PCOS.” Human Reproduction Update, vol. 8, no. 3, May 2002, pp. 231–41, doi:10.1093/humupd/8.3.231.
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