Polycystic Ovary Syndrome (PCOS)

Etiology of PCOS in Chinese Medicine

In Chinese medicine, PCOS may correspond to several different gynecological diseases:

• Infertility
• Scanty periods
• No periods (amenorrhoea)
• Flooding and Trickling (Beng Lou)
• Irregular periods

Pathology of PCOS in Chinese Medicine

From a purely Chinese medicine perspective, the clinical manifestations of PCOS are:

• amenorrhoea or scanty periods
• irregular periods
• hirsutism
• obesity
• infertility

Identification of Patterns and Treatments in PCOS

The main patterns appearing in PCOS are:

• Damp-Phlegm: this obstructs the Uterus and ovaries and has a negative effect on the menstrual cycle
• Kidney deficiency: this leads to amenorrhoea or oligomenorrhea and may cause infertility
• Liver and Penetrating Vessel dysfunction: this causes an increase in LH and a relative increase in Yang, leading to Heat in the Liver and Penetrating Vessel

The treatment principles for PCOS in Chinese medicine include:

• Resolving Damp-Phlegm and regulating the menstrual cycle
• Nourishing Blood and tonifying the Kidneys
• Clearing Heat and regulating the Qi

Prognosis and Prevention of PCOS in Chinese Medicine

The prognosis for PCOS in Chinese medicine is generally good if the condition is treated early and consistently. Prevention methods include maintaining a healthy diet and lifestyle, avoiding excessive consumption of fatty and spicy foods, and managing stress levels.

Western Viewpoint on PCOS

From a Western medical perspective, the cause of PCOS is unknown, but it is thought to be related to hormonal imbalances and insulin resistance. Treatment typically includes medications to regulate hormones and ovulation, as well as lifestyle changes such as weight loss and exercise.