Estrogen for PCOS: Understanding PCOS as an estradiol insufficiency condition | Felice Gersh, MD
Did you know that PCOS is caused by estrogen insufficiency? PCOS is commonly, and correctly, categorized as an endocrine disorder of androgen excess. Specifically, the body is making too much of the ovarian androgen, testosterone (there are also adrenal androgens, which is a discussion for another time.) And why does the body make so much testosterone? Well, testosterone is the precursor to ovarian estrogen, estradiol. And PCOS women are poor converters of testosterone to estradiol. So when the brain senses that estradiol levels are lower than optimal, it triggers testosterone production. Consequently, one of the best and safest ways to minimize testosterone overproduction is to supplement with estradiol. And also with progesterone, which is deficient as well. Watch for my latest Instagram lives at / dr.felicegersh I am a full time practicing doctor. I see patients in my office in Irvine, CA and worldwide via telemedicine. If you need more healthcare assistance than I can provide in a video series, please contact my office: https://integrativemgi.com/ ---- Contents of this video -------------------------- 00:00 - PCOS is an androgen excess disorder 04:08 - PCOS is caused by estrogen insufficiency 08:28 - How low estrogen causes testosterone excess 11:08 - Blood test hormone levels in PCOS 13:12 - Symptoms 17:44 - Replacing estradiol and progesterone in PCOS women 20:38 - Better than birth control pills (but not contraception!) 21:55 - Giving hormones increases fertility
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