Dr. Thaïs Aliabadi

They have PCOS looking over his own ultrasound.

They have acne, hair loss, facial hair, body hair, mood, all of that.

But their periods are regular.

Even these patients, a lot of times, are not ovulating.

That regular cycle that you're seeing is estrogen withdrawal.

It's not from the progesterone of ovulation.

And we're going to get into all that if you want to.

And the fourth category, these are patients who...

basically don't have any elevated testosterone or androgen symptoms.

They don't have acne hair, lost facial hair, body hair.

They just don't ovulate regularly and they have PCOS looking ovaries on ultrasound.

So imagine these four phenotypes, right?

And imagine all the insulin resistance and all these other underlying conditions.

It makes the big picture, the image of these patients so different.

They all present differently to the office.

That's why doctors scratch their heads.

That's why doctors don't want to diagnose PCOS because they really don't understand all these phenotypes.

They don't understand that you can be completely thin and have PCOS, that not all PCOS patients need to have weight issues.

that you don't have to have acne hair loss, facial hair, body hair, that in some phenotypes you don't need to have a PCOS-looking ovaries.

There's some that have regular cycles.