Rethinking PCOS: It’s More Than Hormones
PCOS Is More Than a Hormonal Disorder
Polycystic Ovary Syndrome (PCOS) is often seen as just a reproductive or hormonal issue. Irregular periods, cystic ovaries, and elevated testosterone are the “classic” signs most people associate with it.
But that’s only part of the picture.
New research shows PCOS isn’t simply about hormones or fertility—it’s a metabolic condition at its core. Symptoms like acne, irregular cycles, facial hair, and stubborn weight gain are downstream effects of a deeper imbalance.
Why Insulin Resistance Is at the Core of PCOS
One of the biggest drivers of PCOS is insulin resistance—even in women who are lean.
Insulin is the hormone that helps move glucose (sugar) into your cells. When your body becomes less sensitive to insulin, the pancreas pumps out more. That excess insulin can:
Trigger the ovaries to produce more androgens (like testosterone)
Disrupt ovulation
Contribute to hallmark PCOS symptoms
👉 Did you know? Up to 70% of women with PCOS show signs of insulin resistance—even if their blood sugar labs appear “normal.”
Symptoms Driven by Metabolic Dysfunction
When your cells don’t respond well to insulin, a chain reaction begins:
Ovarian function shifts: ovulation becomes irregular or stops altogether
Testosterone rises: leading to acne, hair thinning, or facial/body hair growth
Estrogen and progesterone become imbalanced: impacting mood, energy, and cycles
Weight gain follows: often around the midsection
Inflammation increases: worsening symptoms and creating a vicious cycle
In short, the hormonal symptoms are the result—not the root cause.
Modern PCOS Treatment Options That Work
If the root issue is metabolic, then treatment should go beyond regulating periods or suppressing testosterone. The most effective strategies include:
Nutrition tailored to blood sugar regulation (not extreme restriction)
Movement that supports metabolic flexibility and builds muscle mass
Hormonal support when appropriate, including ovulatory cycle restoration or progesterone therapy
GLP-1 or other medications to improve insulin sensitivity and body composition (when indicated)
Addressing lifestyle factors like sleep, stress, and gut health—all of which impact metabolic balance
📥 Free Resource: Want a step-by-step guide to understanding PCOS root causes, myths, and treatment strategies? Download our free guide: Navigating PCOS.
The PCOS Diagnosis Is Outdated—But Your Care Doesn’t Have to Be
Despite its name, you don’t have to have cysts to be diagnosed with PCOS. Current criteria are outdated and often lead to:
Missed or delayed diagnoses
Generic treatments like birth control or metformin
Patients feeling dismissed, frustrated, and stuck
At Age Well Hormone Health, we take a different approach.
We listen to your story
We review your symptoms in the context of your whole body
We design a care plan that addresses the root causes so you’re not just masking symptoms
5 Foods to Support Insulin Sensitivity in PCOS
Leafy Greens – Spinach, kale, arugula: packed with magnesium and blood sugar-friendly
Berries – Blueberries, raspberries, strawberries: antioxidant-rich, low in sugar
Protein-Rich Foods – Salmon, chicken, Greek yogurt: stabilize blood sugar and build muscle
Healthy Fats – Avocado, olive oil, nuts, seeds: support hormones and reduce inflammation
High-Fiber Carbs – Quinoa, lentils, beans: slow glucose release and improve satiety
✨ Pro tip: Pair protein + fiber + fat at every meal to keep blood sugar steady.
👉 Download the full checklist here.
Take the Next Step in Your PCOS Journey
You don’t have to navigate PCOS alone—or keep guessing at what your body needs. At Age Well Hormone Health, we uncover the root causes of PCOS and design personalized care plans that finally make sense.
✨ Choose the path that fits you best:
Book a Root-Cause PCOS Consultation – get labs, a full hormone review, and a tailored plan.
Join Our Metabolic Reset Program – a 12-week supervised program for weight, insulin resistance, and hormone balance.
Grab Your Free Checklist – 5 Foods to Support Insulin Sensitivity in PCOS (a simple way to start right now).