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PCOS can affect your<br />

hair and skin<br />

We often talk about PCOS in<br />

relation to periods, but the<br />

condition can affect your hair<br />

and skin as well. This is because<br />

women with PCOS have excess<br />

androgen – in other words higher<br />

levels of male hormones in your<br />

body, which can manifest in ways<br />

such as an increase in facial hair.<br />

Studies have shown PCOS can<br />

result in hair and skin problems,<br />

such as hair loss, acne, and<br />

seborrhea (a red itchy skin rash<br />

with white scales).<br />

People with PCOS are more<br />

likely to develop diabetes<br />

Insulin resistance is why PCOS<br />

is also linked to diabetes. A<br />

recent study published in Human<br />

Reproduction Open that followed<br />

women with PCOS showed that<br />

around 19% of participants went<br />

on to develop type 2 diabetes,<br />

compared to just 1% of the<br />

control group. While this means<br />

it’s certainly not inevitable, if<br />

you experience any symptoms of<br />

diabetes it’s really important to<br />

make an appointment to speak<br />

with your GP.<br />

We don’t know the<br />

exact cause of PCOS<br />

PCOS is thought to run in<br />

families, so you’re more likely<br />

to develop it if a close relative<br />

has PCOS, too. However, that<br />

doesn’t mean it’s simply genetic.<br />

Other factors are linked to PCOS<br />

as well, including high levels of<br />

insulin in the body.<br />

“People with PCOS are<br />

often insulin resistant, which<br />

means your body does not<br />

effectively utilise the insulin you<br />

produce,” explains nutritional<br />

therapist Michele Scarr. “The<br />

body may try to increase the<br />

levels of insulin it produces to<br />

keep your blood sugar levels<br />

normal. Higher levels of insulin<br />

can lead to an increase of<br />

testosterone, which may disrupt<br />

the hormonal balance and<br />

exacerbate PCOS symptoms.”<br />

PCOS can be linked to<br />

your mental health<br />

Like many long-term health<br />

conditions, PCOS can impact both<br />

your mental and physical health.<br />

A study by the University of<br />

Cardiff found women with PCOS<br />

were more likely to be diagnosed<br />

with mental health conditions<br />

such as depression, bipolar<br />

disorder, and anxiety. While<br />

another study in the Journal of<br />

Pharmacy & BioAllied Sciences<br />

showed that 40% of those with<br />

PCOS can experience depression.<br />

There are a few reasons why<br />

that may be. PCOS is driven<br />

by hormones, so the altered<br />

hormonal levels may impact<br />

mental health. It may also be due<br />

to the stress and worry of living<br />

with PCOS – the unpredictable<br />

nature of periods, or undergoing<br />

fertility treatment to conceive.<br />

Those with PCOS still need<br />

to use contraceptives<br />

While having an irregular cycle<br />

could make trying for a baby<br />

more tricky, those with PCOS can<br />

still fall pregnant – so if that’s not<br />

on your agenda, contraception<br />

is important. The contraceptive<br />

pill is often used as this can also<br />

help regulate cycles in those<br />

with PCOS, but it may take some<br />

experimenting to find one that<br />

works best for you.<br />

“There is evidence that<br />

combined pills are beneficial<br />

for women with PCOS due to the<br />

oestrogen, which counteracts high<br />

testosterone levels and improves<br />

symptoms such as acne,” explains<br />

GP and medical director of The<br />

Lowdown, Dr Frances Yarlett.<br />

“However the progestogen part of<br />

the combined pill can also help to<br />

improve symptoms.”<br />

76 | September <strong>2021</strong> | <strong>happiful</strong>.com

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