The DUTCH Podcast
PCOS with Felice Gersh, MD (Part 1): Physiology and History
Dec 12, 2023
Dr. Felice Gersh, a women's health physician, and host Jaclyn Smeaton, ND, dive into the physiology and evolutionary benefits of Polycystic Ovarian Syndrome (PCOS). They discuss the causes and types of PCOS affecting women, including the role of adrenals, metabolic factors, and improving treatment plans. The episode is split into two parts due to the extensive exploration of PCOS.
25:28
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Quick takeaways
- PCOS may have evolutionary benefits linked to leadership qualities due to slightly elevated testosterone levels.
- PCOS can be influenced by environmental factors like endocrine disruptors and in utero exposures impacting hormone receptors and enzyme efficiency.
Deep dives
Prevalence of PCOS and Diagnostic Challenges
PCOS affects 10% to 20% of reproductive-aged women, with a global incidence increase. The diagnostic criteria for PCOS have evolved, from androgen excess to clinical manifestations like acne or hirsutism, to irregular cycles, and polycystic ovaries on ultrasound. PCOS is a diagnosis of exclusion, requiring ruling out other conditions like ovarian tumors and adrenal gland issues.
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