Dr. Thaïs Aliabadi

So that's why it gets so confusing.

In order to answer that, I think it's better for me to tell you the underlying drivers of the symptoms of PCOS and how those can affect the mood.

And by treating the underlying conditions, sometimes you can address symptoms.

mood changes without having to give them a Zoloft or a Lexapro.

You might have to, right?

At least not to my knowledge.

I've never experienced that.

And you can absolutely do that with PCOS patients.

We can get to that.

But is it OK if I discuss the underlying pillars?

Because it's very important.

And I think that's what people don't understand.

And I think that's what I've observed in my practice, at least, over the past 25 years.

And it's so important to understand it.

Because if you don't understand it, then you don't know how to treat PCOS.

Then you don't just throw birth control pill at it.

And that's why these patients don't feel better.

So there are underlying pillars that drive the symptoms of PCOS.

The number one issue is the brain pituitary ovary axis, which I'm sure you know it by heart.

But as you know, our hypothalamus releases a hormone called GNRH that stimulates in a