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PCOS and Weight

How to eat for PCOS

Concerned with PCOS related weight struggles? Knowing how to eat for PCOS (today) begins with taking a hormone profile. Balancing hormones with nutrition helps with lots of PCOS symptoms. It’s frustrating when you try things without knowing if they’ll work for you. We take healthy weight loss seriously and here we focus on safe, practical solutions for you.

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We  have knowledge that is not known to the medical community as to how we can improve quality of life. Weight gain and PCOS and not the end of the story. They can be the start of your health journey.

PCOS stats: 25% of perfectly normal women display polycystic ovaries at one time or other (1)Polycystic ovary syndrome (PCOS) is a common endocrine system disorder among women of reproductive age. PCOS affects us in a variety of ways. First, it’s important to understand how diagnosing PCOS is not enough by ultrasound alone. At Susannah Makram Clinics we use a functional approach, integrated care pathways, functional nutrition.

Diagnosis of PCOS

In some cases, PCOS develops later during the reproductive years. For instance, in response to substantial weight gain so we need to look closely at both PCOS and weight gain in context.

PCOS and weight gain – all of the signs and symptoms of PCOS can worsen with obesity.
When do we notice signs of PCOS typically? After a woman first begins having periods is typically the time that signs and symptoms of PCOS begin.

Signs and symptoms of PCOS

Signs and symptoms of PCOS

Diagnosis of PCOS is too often misunderstood. So, it’s best to get the right information. We outline these in your consultation.
Irregular periods. This is the most common characteristic. Examples include menstrual intervals longer than 35 days; fewer than eight menstrual cycles a year; failure to menstruate for four months or longer; and prolonged periods that may be scant or heavy. Ask us how you can obtain a more conclusive diagnosis of PCOS – how is it made and can we help you?
Excess androgen. Elevated levels of male hormones (androgens) may result in physical signs, such as excess facial and body hair (hirsutism), adult acne or severe adolescent acne, and male-pattern baldness (androgenic alopecia).
Women with PCOS may have enlarged ovaries that contain small collections of fluid — called follicles — located in each ovary as seen during an ultrasound exam.

How to clear pcos

Irregular ovulation is usually detectable by a long history, usually dating back to when your periods first began, of irregular cycle length or unpredictable menstrual bleeding. Some women with PCOS however, will begin their reproductive lives with regular cycles and then have the cycles become irregular during their early 20’s.

PCOS and weight gain

PCOS and weight gain

PCOS and weight

A big clue to possible PCOS is a history of abnormal male hormone production in a woman. Male type hormones are known medically as androgens. All women normally make a small amount of these androgens. The most common androgen that is found elevated beyond the normal low female levels in women with PCOS is Testosterone. Testosterone is a very potent male hormone. And this elevation of male Testosterone hormone in women with PCOS helps explain many of the “clinical findings” (what we see) found with PCOS shown below and separate to or in conjunction with PCOS and weight gain:

  1. ‘Androgen driven hair loss’ which is responsible for the majority of inherited hair loss in men (androgenetic) and for the hair loss in women who have PCOS.
  2. Facial or body hair growth – hair growth on the upper lip, on the chin, in the “sideburn” areas, in the middle of the abdomen, in the area around the nipples and in on the fingers or toes
  3. Pigmentation of the skin, especially on the neck – excess brownish pigmentation on the neck or behind the ears “acanthosis nigricans”
  4. Acne resistant to the usual treatment methods or persisting beyond age 15. Acne is the skin’s reaction to sebum or oil production where the excess oil blocks the normal drainage channels of the skin causing inflammation and pimples. At puberty, many boys develop acne from their sudden rise in testosterone production. Boys make far more testosterone than the girls, so the boys tend to get far more acne than the girls. Acne in an adolescent female is also the result of a (normally) small amount of testosterone arising from the awakening ovary. Girls normally make very little testosterone, so their skin conditions and associated acne are usually far less severe than that seen in the boys. A sign of underlying excess male hormone production in a female may be excess or severe acne.
  5. Weight gain and the inability to lose weight with normal weight loss measures

To summarise, irregular menstrual cycles can be monitored personally and self-screening for possible excess male hormone production means looking for any or all of the following as possible evidence of PCOS related excess hormone production

Noticing signs at an early stage to help identify PCOS and get the right care and treatment.

Facial hair growth   –   Hair growth on the upper lip  –   Hair growth on the chest   –   Hair growth on the arms and legs   –   Hair growth on the back –   Excess skin oiliness –   Resistant Acne –   Weight gain that   “won’t come off”   –   Pigmentation of the skin on the neck or behind the ears –   Social aggression or seclusion –   Increased libido


The Contraceptive Pill, Myths

The Pill

Birth control pills or Oral contraceptives known also as the Pill, OCs, BCs, BC tablets contain two types of hormones, usually man-made oestrogens and progestins and, when taken properly, prevent pregnancy. FACT. Hormone therapy in pill form is commonly used in conventional medicine. 

Contraceptive Pill, Facts

The Lowdown on the Contraceptive Pill, Myths i.e. What Every Woman Should Know       [tweetthis]The Lowdown on the Oral Contraceptive Pill, Myths i.e. What Every Woman Should Know [/tweetthis]

COC, combined pill, ‘The Pill’, COCP – The combined oral contraceptive pill (COCP) is a highly effective form of contraception and used to control fertility by almost 20% of women aged 16-49 years in the UK. Commonly used brand names (updated): Rigevidon, Microgynon 30, Gedarel 30/ 150 FACT.

Most women want their oral contraceptive to be a reliable and acceptable form of birth control that is convent and flexible and free from oestrogen related side-effects. FACT.

The Contraceptive Pill, Myths

Hormonal forms of birth control, such as the Pill, can improve hair health. FICTION. The American Hair Loss Association recommends that all women interested in using oral contraceptives for the prevention of conception should only use low-androgen index birth control pills, and if there is a strong predisposition for genetic hair loss in your family we recommend the use of another non-hormonal form of birth control. FACT. 

The Contraceptive Pill, Myths

The Contraceptive Pill, Myths


The Contraceptive Pill, Debunking Myths

All Oral contraceptives work by primarily inhibiting ovulation. FICTION. The Minipill works by thickening your cervical mucus, so that it is more difficult for sperm to get through. POP or progestin or progestogen only pills thin the lining of your womb, therefore making it much less likely that an ovum (egg) will implant there. This affects the motility in your Fallopian tubes, thus reducing the chances of fertilisation and in some instances, prevents ovulation (egg release) – this is particularly so with Cerazette.

Cerazette is an oestrogen-free, progestogen-only oral contraceptive pill (POP). FACT

The minipill is oestrogen free. Common brand names: Cerelle and Cerazette and Aizia and Nacrez and  Zelleta. It is also known as the progestin-only birth control pill, is an oral contraceptive that contains the hormone progestin. Unlike combination birth control pills, the minipill doesn’t contain estrogen. The progestin dose in a minipill is lower than the progestin dose in a combination oral contraceptive pill. FACT. 

Undesirable side-effects of the Pill occur only with COP. FICTION.

Undesirable effects reported by some women treated with Cerazette include: acne, breast pain, mood and libido changes, nausea and weight increase. FACT. 

Smoking cigarettes while using oral contraceptives has been found to greatly increase chances of serious side effects occurring. FACT. In particular, cigarette smoking increases the risk of serious cardiovascular side-effects from combined oral contraceptive use. The risk increases with age and with heavy smoking (15 or more cigarettes per day) and is quite marked in women over 35 years of age.

Contraceptive Pill Side Effects

Contraceptive Pill Side Effects

St John’s Wort (Hypericum perforatum) can speed up the breakdown of the hormones in Cerelle – progestogen only contraceptive – by the liver, which makes it less effective at preventing pregnancy. FACT. In fact, a list of medications that has a similar effect include aprepitant, bosentan, barbiturates, carbamazepine, crizotinib, dabrafenib, efavirenz,
eslicarbazepine, nevi rapine, oxcarbazepine, perampanel (12mg), phenobarbital, phenytoin, primidone,
rifampicin, rifabutin, ritonavir, rufinamide, topiramate, vemurafenib.

Cerelle tablets contain lactose and should not be taken by women with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency, or glucose-galactose malabsorption. FACT.

Common side-effect of Cerelle or desogestrel affect between 1 and 10 out of every 500 women. FICTION. Common side-effect of Cerelle or desogestrel affect between 1 and 10 out of every 100 women. These include: changes in menstrual bleeding, eg irregular bleeding or sometimes stopping of bleeding, mood changes, including depression, decreased sex drive, headache, nausea, acne, breast tenderness, weight gain. FACT. 

Selegeline used to treat Parkinson’s disease and also as an antiageing supplement and an antidepressant should be avoided with the pill. FACT. Other brand names include, Deprenyl, Eldapryl, Emsam.

While you are on the Pill and you wear contact lenses – should you notice a change in vision or an inability to wear you lenses, contact your doctor or health care provider. FACT. 

Side Effects Of

Side Effects Of

Combined birth control pills (oral contraceptives) can improve acne in women. FACT.  However, it should also be noted that melasma – a spotty darkening of the skin is possible – particularly of the face, which may persist.

Combination birth control pills and preston only birth control pills will not protect you from sexually transmitted infections. FACT. 

Monophonic and multiphasic are types of progestin only birth control. FICTION. Combination birth control pill can be categorised as i) monophasic: each active pill contains the same amount of estrogen and progestin and i) multiphasic: the amounts of hormones in active pills vary. FACT. 

Taking combination birth control pills or minipills (progestin-only birth control pills) during early pregnancy increases the risk of birth defects. FICTION. While some research has suggested a link between the use of birth control pills near conception and an increased risk of low birth weight, preterm delivery or congenital urinary tract abnormalities, these concerns generally haven’t been observed in clinical experience.

Combination birth control pills increase the risk of certain conditions. Some of these complications can be serious. They include the following: Blood clots in the legs, Gallbladder disease, Heart attacks and stroke (smoking greatly increases the risk of these complications), Liver tumours. FACT. 

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