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Polycystic Ovary Syndrome (PCOS)

Woman lying in bed

Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects people with ovaries, typically during reproductive years. It impacts ovulation and hormone balance, often leading to symptoms like irregular periods, excess androgen (male hormone) levels, and ovarian cysts.

 

What Is PCOS?

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Core Features:

  1. Irregular or absent periods – due to infrequent or absent ovulation.

  2. Hyperandrogenism – elevated levels of androgens, which may cause acne, excess hair growth, or hair thinning.

  3. Polycystic ovaries – ovaries may appear enlarged with many small follicles (immature eggs).

 

Associated Symptoms:

  • Weight gain or difficulty losing weight

  • Insulin resistance or type 2 diabetes

  • Infertility

  • Mood swings or depression

  • Fatigue

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Root Causes Are Complex: Often a combination of genetic, hormonal, and lifestyle factors.

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How PCOS Is Viewed in Traditional Chinese Medicine (TCM)

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In TCM, PCOS isn’t described by the same biomedical terms, but it corresponds to patterns like:

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  • Kidney Yang Deficiency – linked to low metabolism and irregular ovulation.

  • Phlegm-Damp Accumulation – associated with weight gain, cysts, and sluggish circulation.

  • Liver Qi Stagnation – often caused by stress, leading to hormonal imbalances and emotional symptoms.

  • Blood Stasis – contributing to cysts and lack of menstruation.

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How Acupuncture Can Help PCOS

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Acupuncture is used to restore balance and address both the root causes and symptoms of PCOS:

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 Regulates Hormones

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  • Improves communication between the brain and ovaries (via the HPO axis)

  • Helps regulate FSH, LH, estrogen, progesterone, and testosterone

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 Supports Ovulation

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  • Promotes follicle development and more regular ovulation

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Improves Insulin Sensitivity

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  • Aids in reducing insulin resistance, a key factor in PCOS-related weight gain and metabolic issues

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Reduces Stress

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  • Balances the nervous system and lowers cortisol, which can affect hormonal cycles

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 Improves Blood Flow

  • Enhances circulation to the uterus and ovaries, promoting reproductive health

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 Often Combined With:

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  • Chinese herbal medicine

  • Dietary therapy (low glycemic load diets are common)

  • Lifestyle counseling (especially stress management and movement)

  • Supplements (like inositol, if advised)

Clinical Evidence:

Studies suggest acupuncture may:

  • Improve menstrual regularity and ovulation

  • Reduce testosterone levels

  • Enhance fertility outcomes

  • Improve mood and reduce anxiety in PCOS patients

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Acupuncture offers a holistic, personalized way to support the complex hormonal and metabolic imbalances of PCOS. It’s especially helpful when used consistently and in combination with other supportive therapies.

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