PCOS is so common, yet so commonly misunderstood. Despite affecting millions of women, its symptoms—and even its name—lead to confusion and delayed diagnoses. PCOS is often referred to as a "disease of exclusion," as it’s commonly diagnosed only after other conditions have been ruled out. This delay leaves many women struggling for years with symptoms like irregular periods, weight gain, and acne before receiving a proper diagnosis. Yet, early detection is critical, as PCOS is linked to serious comorbidities such as obesity, type 2 diabetes, and cardiovascular disease.

In this episode, triple board-certified endocrinologist Dr. Sonia Hans pulls back the curtain on this misunderstood condition. From how PCOS is diagnosed to its relationship with metabolic syndrome, Dr. Hans explains why recognition and treatment shouldn’t wait. She highlights the revolutionary advancements in care, including GLP-1 medications, and explores how PCOS evolves during perimenopause and menopause.

If you’ve been searching for answers—or know someone who is—this conversation offers clarity, hope, and actionable steps to better understand and manage PCOS.

References
Find Dr. Sonia Hans at the following locations:
EvergreenHealth Diabetes & Endocrinology Care (for PCOS management)
EvergreenHealth Weight Loss & Bariatric Care

Audio Stamps

00:40 - Dr. Patil-Sisodia's guest, Dr. Sonia Hans, shares her background in endocrinology, obesity medicine, and metabolic health, detailing her journey into these fields and her passion for managing conditions like PCOS (polycystic ovarian syndrome) and diabetes.

03:50 - Dr. Hans explains PCOS as a dysregulated female reproductive hormone system, leading to irregular periods and metabolic disruptions.

06:47 - Dr. Hans shares the red flags which indicate someone may have PCOS.

12:50 - Dr. Hans explains that PCOS and metabolic syndrome often occur together, with managing one condition helping to control the other.

16:49 - Dr. Hans highlights the challenges young women face with body image and weight, stressing the importance of empowering them with knowledge and options for managing PCOS and metabolic disease.

21:02 - Dr. Hans discusses treatments for PCOS, including birth control, spironolactone, insulin sensitizers, and GLP-1 receptor agonists, alongside lifestyle changes like nutrition and exercise.

30:00 - We learn how PCOS transitions in perimenopause, including metabolic changes and increased visceral fat, and how GLP-1s help manage these symptoms and improve health outcomes.

35:35 - Dr. Hans shares what to look out for when hormonal imbalances arise, urging women to seek help if they notice changes in energy, sleep, or weight.

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