Find Out What Type of PCOS You Have

You’ve probably heard that there are different types of PCOS. But what many don’t realize is that there’s more than one way to categorize polycystic ovary syndrome. So how do you actually know which type you have?

Types of PCOS in Conventional Medicine

According to conventional medicine, PCOS is generally divided into four main types:

• Type A: High androgens, irregular or absent periods, and polycystic ovaries

• Type B: High androgens with irregular or absent periods

• Type C: High androgens with polycystic ovaries

• Type D: Irregular or absent periods with polycystic ovaries”

Among these, Type A is seen as the most common and often the most severe form of PCOS. On the other hand, Type D tends to be the mildest. The good news? With the right treatment, nutrition, and lifestyle changes, it’s possible to shift from one type to another.

What New Research Says About PCOS Types

A recent study introduced a new way to categorize PCOS based on genetic markers. Researchers identified distinct subtypes among women with PCOS according to their genetic profiles. These included:

• Reproductive group: Higher LH and SHBG levels, lower BMI and insulin

• Metabolic group: Higher BMI, glucose, and insulin levels, lower LH and SHBG

• Indeterminate group: Did not clearly fit into either category

This study is one of the first to show that there may be truly distinct types of PCOS. In time, this could pave the way for more personalized treatment options.

Identifying Your PCOS Type

I don’t put too much emphasis on labeling PCOS by type. Instead, I focus on getting to the root of what’s actually driving your symptoms.

These root causes often include:

• Insulin resistance

• Inflammation

• Hormone imbalances

• Gut imbalances

Testing can help pinpoint which root causes may be affecting you:

• Fasting glucose, fasting insulin, and HOMA-IR – to assess insulin resistance

• hs-CRP – to check for inflammation

• The DUTCH test – to evaluate hormone balance

• Comprehensive gut testing (like the GI-MAP) – to identify gut imbalances

Can You Have PCOS Without a Specific Type?

Unfortunately, misdiagnosis is more common than you might think. I often see women who were told they have PCOS but actually don’t.

If you’ve recently stopped taking birth control and your hormone levels (like LH, FSH, estradiol, and testosterone) are all low, you might be dealing with hypothalamic amenorrhea rather than PCOS. It’s worth noting that ovaries can appear polycystic after coming off the pill, which can lead to a mistaken diagnosis. If you don’t have typical PCOS symptoms — like acne or excess facial hair — it’s a good idea to request additional testing for clarity.

Similarly, hypothyroidism can also cause irregular cycles and lack of ovulation. If your androgen levels aren’t elevated and your ovaries don’t show cysts, then according to the Rotterdam Criteria, it’s likely not PCOS. Take the time to dig deeper and uncover the true reason behind your missing periods.

The Bottom Line

It’s rare for someone to fit perfectly into just one category. Most women experience a mix of underlying root causes that need to be addressed to manage PCOS in a more personalized and balanced way. Ultimately, the best way to understand your unique PCOS type — and how to treat it — is to work with a qualified practitioner who specializes in PCOS.

PCOS shows up differently for everyone, and understanding your unique type is the key to finding balance. Remember — the goal isn’t just to label your PCOS, but to uncover what’s really driving your symptoms and support your body’s healing from the inside out. If you’re ready to gain clarity on your hormones and create a plan tailored to you, Your Functional Edge is here to help!

Book a consultation today and let’s start uncovering the root of your PCOS together!