Introduction

Have you ever wondered why your periods have become irregular or even stop coming for many months? Are you facing difficulty in getting pregnant? Have you heard of PCOS or PCOS symptoms? Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects millions of women worldwide, with symptoms ranging from irregular periods to infertility. If you’re dealing with PCOS, you might be asking yourself, “How do I get my period back?” This is a common concern, as PCOS often causes disruptions to the menstrual cycle, leading to irregular or absent periods. At Golden Gate KL Fertility Centre, we specialize in helping women manage their PCOS symptoms, offering both medical interventions and natural solutions to restore balance to your cycle.
PCOS not only impacts your periods but also has far-reaching effects on fertility, metabolism, and overall health (Che et al., 2023). It is a condition that can begin in adolescence and persist into adulthood, making it essential to understand the causes, symptoms, and long-term risks. This article will provide a comprehensive overview of PCOS, discuss the causes behind irregular periods, and outline natural methods to help get your period back. We will also touch on the long-term risks of leaving PCOS untreated and answer common questions about fertility and period restoration.

What Is PCOS and Its Causes?

A. Understanding PCOS

1. Definition

PCOS, or Polycystic Ovary Syndrome, is a hormonal disorder affecting women of reproductive age. It is characterized by the presence of multiple small cysts on the ovaries, irregular menstrual cycles, and elevated levels of male hormones (androgens). The condition is diagnosed through a combination of symptoms, blood tests, and ultrasounds.

2. Symptoms

Common symptoms of PCOS include irregular periods, excessive hair growth (hirsutism), acne, oily skin, excessive weight gain, and difficulty getting pregnant. Not all women with PCOS will have the same symptoms, and the severity can vary from person to person.

3. Diagnosis

PCOS is typically diagnosed based on a combination of clinical symptoms and diagnostic tests using Rotterdam Criteria. Blood tests can reveal hormonal imbalances, while ultrasounds can detect the presence of ovarian cysts, and doctor examination will reveal if you have ovulation. Any 2 of the 3 criterias is diagnosis of PCOS. A thorough evaluation by a healthcare provider is essential for an accurate diagnosis.

B. Causes of PCOS

1. Hormonal Imbalances

The primary cause of PCOS is an imbalance in reproductive hormones. Women with PCOS typically produce higher levels of androgens (male hormones) than normal, which disrupts ovulation and causes irregular periods.

2. Insulin Resistance

Insulin resistance is another key factor in PCOS. Many women with PCOS have trouble utilizing insulin effectively, leading to higher insulin levels. Hyperinsulinemia (excess insulin in the blood) exacerbates androgen production in the ovaries, leading to the hormonal imbalances seen in PCOS. Insulin resistance can contribute to weight gain and further hormonal imbalances. This also increases the risk of developing Type 2 diabetes.

3. Genetics

Genetics plays a significant role in PCOS. Women with a family history of PCOS or Type 2 diabetes are more likely to develop the condition. Research suggests that genetic factors can influence how your body responds to insulin and produces androgens.

C. Why PCOS Causes Irregular Periods

1. Hormonal Disruption

The hormonal imbalance in PCOS interferes with the regular production of reproductive hormones such as estrogen and progesterone, which regulate the menstrual cycle (Khmil,2020). This disruption can prevent the ovaries from releasing eggs, leading to irregular or absent periods.

2. Lack of Ovulation

In PCOS, the lack of ovulation (anovulation) is a primary cause of irregular periods. When ovulation does not occur regularly, the uterine lining does not shed, leading to missed or delayed periods.

3. Elevated Androgens

Higher-than-normal levels of androgens can also contribute to irregular periods by interfering with the hormonal signals that regulate the menstrual cycle. This can result in longer cycles or the complete absence of menstruation.

How to Get Regular Periods Naturally with PCOS

A. Lifestyle Changes

1. Regular Exercise

Exercise is one of the most effective ways to regulate your menstrual cycle naturally. Engaging in regular physical activity can help improve insulin sensitivity, reduce stress, and promote weight loss—all factors that contribute to better hormonal balance and regular periods.

2. Balanced Diet

A healthy, balanced diet rich in whole grains, lean proteins, and vegetables can support hormone regulation and improve insulin sensitivity. Avoiding processed foods, sugary snacks, and refined carbs can also help stabilize blood sugar levels and reduce inflammation, which are crucial for managing PCOS.

3. Adequate Sleep

Getting enough quality sleep is essential for maintaining hormonal balance. Sleep deprivation can worsen insulin resistance and elevate stress hormones like cortisol, both of which can disrupt your menstrual cycle. Aim for at least 7-8 hours of restful sleep per night to help restore your periods.

B. Holistic Approaches

1. Traditional Chinese Medicine (TCM)

Traditional Chinese Medicine (TCM) offers holistic treatments like acupuncture and herbal remedies that can help regulate menstrual cycles by balancing the body’s energy (Qi) and improving blood flow to the reproductive organs. Many women with PCOS have found relief through these natural approaches. It is advisable to consult Golden Gate KL Fertility Centre for TCM in PCOS treatment.

2. Stress Reduction Techniques

Chronic stress can exacerbate hormonal imbalances and delay your period. Incorporating stress reduction techniques like yoga, meditation, and mindfulness into your daily routine can help lower cortisol levels and support a more regular menstrual cycle.

3. Herbal Supplements

Certain herbal supplements, such as vitex (chasteberry) and cinnamon, are known to help regulate menstrual cycles and improve ovulation in women with PCOS. Always consult a healthcare provider before starting any supplements to ensure they are safe for you.

C. Weight Loss and Its Role

1. How Weight Affects Periods

Excess weight, particularly around the abdomen, can worsen insulin resistance and disrupt hormone levels, leading to irregular periods. Even modest weight loss of 5-10% can significantly improve menstrual regularity in women with PCOS.

2. Benefits of Weight Loss

Losing weight can help restore ovulation, reduce androgen levels, and improve insulin sensitivity, all of which contribute to more regular menstrual cycles. Weight loss also lowers the risk of long-term complications like diabetes and heart disease.

3. Sustainable Approaches

Adopting sustainable weight loss strategies such as combining regular physical activity with a balanced diet is key to managing PCOS symptoms in the long run. Fad diets and extreme weight loss measures should be avoided, as they can lead to further hormonal imbalances.

Some women may need additional help

For some women, despite making significant lifestyle changes and following natural methods, improvements may still be minimal. In these cases, additional medical treatments such as oral contraceptive pills, metformin, or hormonal therapy may be beneficial to help regulate their cycle and manage symptoms more effectively.

Long-Term Risks of Untreated PCOS

If left untreated, PCOS can lead to several long-term health risks, including Type 2 diabetes, cardiovascular disease, and infertility. Additionally, women with PCOS have a higher risk of developing thickening of endometrium (endometrial hyperplasia), a condition that can lead to endometrial cancer if not properly managed. This is due to no ovulation occurring for extended periods (chronic anovulation), which increases the risk of endometrial hyperplasia and potentially endometrial cancer. Regular monitoring with ultrasound, follow up with doctors and timely treatment are essential to reduce these risks and maintain overall health.