Sizewize -
I have had PCOS for many years. I was diagnosed after my daughter was born when I was trying to get pregnant again. At that point I knew nothing about PCOS. The internet wasn't so popular yet so information was not forthcoming. I was given infertility drugs to get pregnant and both times I did but quickly miscarried. Because the emotional pain of miscarrying was so high, I decided to not try anymore. Years went by and I just kept getting heavier, the male hair growth got worse, and the acne was bad. My moods swung from happy to sad. My periods were very very irregular.
One day a co-worker was diagnosed with PCOS as well and asked me questions. Unfortunately, I didn't know anymore then than I had in the beginning so I couldn't tell her much. I started to do some research and found that the internet contained loads of information. One thought is that PCOS is caused by insulin resistance. I decided to try Atkins since that would eliminate a lot of sugar from my diet. Lo and behold, it worked. I lost 55 pounds, my periods went from two-three months apart to every 28 days. My acne cleared up, I had so much energy, I no longer crashed every afternoon.
I maintained a 50 pound weight loss for a couple years but started to allow the carbs back in not paying attention to how many carbs I was actually allowing myself. A 5 pound gain here and there until I realized that I had gained back 20 pounds. I tried to stop it but couldn't. I went back to strictly Atkins but found it hard to stay there because I had gotten the taste of "carbs" that I had restricted myself from for so long. Even when I stuck straight to the plan, the weight continued to come back, I think in large part because of the amount of food I was eating. With the weight coming back, my morning blood sugar levels started to rise into the 100s (but the after meal levels were normal - go figure), my acne came back, I was tired again, periods went from 28 days to 5 weeks to 6 weeks, etc...
I went to a dermatologist for the acne who suggested I see an endocrinologist to treat the entire problem rather than just the acne. My endocrinologist ran a lot of blood tests and determined that my male hormone levels were too high and placed me on spironolactone. This has a mild effect on the blood pressure (lowers it) but it also reduced my testosterone levels so that my acne is gone. Because it is dangerous for a developing fetus when the mother is on spironolactone, the doctor also placed me on Yasmin to prevent pregnancy. This also has a positive effect on my symptoms.
I have gained back 45 of those original 55 pounds lost and am at 220. Once I got to about 195 on my upward trend I kind of gave up on my diet and ate anything I wanted to. I now know I will always need to lean towards a low carb diet because of the insulin resistance. I know it works for me. The biggest thing I've needed help with is portion control.
Does this help? In a nut shell, since I am not trying to get pregnant, I am being treated with spironolactone and Yasmin. If I were trying to get pregnant, they might treat me with Metformin.