A few words from Dr Lynn Burmeister
Polycystic Ovary Syndrome (PCOS) is one of the most common hormonal conditions affecting people with ovaries, yet it often remains underdiagnosed, misunderstood, and sometimes dismissed. At No.1 Fertility, PCOS Awareness Month is an important opportunity to raise awareness, educate, and empower all patients—including transgender and gender-diverse (TGD) people—to seek the reproductive health support they deserve.
What is PCOS?
PCOS affects up to 1 in 10 people of reproductive age with ovaries, though some estimates suggest it may be higher. It is a complex condition linked to hormonal imbalances and ovarian function. People with PCOS may experience irregular or absent periods, multiple small follicles on the ovaries, and elevated androgen levels.
Common symptoms include:
- Irregular or absent menstrual cycles
- Acne, excess hair growth, or hair thinning
- Weight changes or difficulty losing weight
- Fertility challenges or difficulty conceiving
- Mood changes, anxiety, or depression
No two patients experience PCOS the same way, which is why a personalised and patient-centred approach to care is essential. For those seeking guidance, inclusive PCOS support and reproductive health care can make a meaningful difference.
Inflammation and Insulin Resistance in PCOS
A key driver of PCOS symptoms is insulin resistance—where the body’s cells don’t respond properly to insulin. This can disrupt hormone balance and increase androgen production.
Insulin resistance is also linked to chronic low-grade inflammation, which can worsen symptoms like weight changes, irregular cycles, and fertility challenges. Over time, it may increase the risk of type 2 diabetes, heart disease, and other metabolic conditions.
Managing PCOS: Metformin and Inositol
While lifestyle measures such as nutrition, exercise, and stress reduction are foundational to managing PCOS, some treatments can target insulin resistance and inflammation directly:
- Metformin: Improves the body’s response to insulin, helping regulate cycles, lower androgen levels, and support ovulation.
- Inositol (myo-inositol and D-chiro inositol): A naturally occurring vitamin-like substance that can improve insulin sensitivity, restore ovulation, and support egg quality. Often used alongside or instead of metformin.
Fertility and PCOS
PCOS is a leading cause of fertility challenges, but with the right care, many people with PCOS can conceive. At No.1 Fertility, we offer:
- Ovulation induction treatments
- Tailored IVF and egg freezing programs
- Holistic support including nutrition, lifestyle guidance, and counselling
By offering inclusive reproductive health services, we aim to support TGD patients as well as those navigating fertility challenges related to PCOS.
At No.1 Fertility, we integrate these approaches into individualised plans, combining medical therapy with lifestyle support to help all patients improve symptoms and achieve their fertility goals.
How You Can Support PCOS Awareness Week
- Educate yourself and others about the signs and impacts of PCOS
- Share stories to reduce stigma and isolation
- Seek help—if you’re experiencing symptoms, see your GP or a fertility specialist
- Support research and advocacy for better awareness, funding, and resources
Our Commitment at No.1 Fertility
PCOS Awareness Month reminds us that reproductive health deserves prioritisation, respect, and investment. At No.1 Fertility, we are committed to affordable, world-class fertility care for all patients, including those living with PCOS and TGD patients. Through compassion, innovation, and the latest technology, we help patients take control of their reproductive health and achieve their parenthood goals.
Your reproductive health and fertility journey matter. Our doctor-owned, patient-first team at No.1 Fertility is here to provide compassionate guidance and support for your symptoms, fertility options, or egg freezing decisions.
