Evidence-based PCOS guidance
Ten minutes
wasn't enough.
PCOS has four common drivers. Most advice picks one without telling you which.
Every article names its sources, its doses, and the people it will not work for.
Written by Sarah Collins for the appointment you didn't get — not for a search engine.
The premise
Your symptoms are metabolic. Not a willpower problem.
Insulin resistance makes carbohydrate cravings physiological. Raised androgens drive the acne and the hair loss together. Naming the mechanism is the difference between advice you can follow and advice you feel guilty about.
Read the four types →Which one is yours
01
Insulin-resistant
Blood sugar and insulin signalling
Carb cravings, energy crashes, weight that centres on the middle, skin darkening at the neck.
02
Inflammatory
Chronic low-grade inflammation
Joint aches, headaches, gut symptoms, skin flares, unexplained fatigue.
03
Adrenal
Stress axis and DHEA-S
Normal testosterone but raised DHEA-S, symptoms that track your stress, wired-but-tired evenings.
04
Post-pill
Androgen rebound after hormonal birth control
Cycles and skin were fine on the pill, then broke down in the months after stopping.
Free · no email needed to see your result · many people match more than one
Why you can trust this
The sourcing rules, in public.
Evidence hierarchy — best first
- 01Systematic reviews & meta-analysesCochrane, PubMed
- 02Randomised controlled trialspopulation and n stated
- 03Clinical guidelinesESHRE, ACOG, Endocrine Society, NIH
- 04Observational studieslabelled as observational
- 05Expert clinical opinionlabelled as opinion
Never cited: Other blogs · Supplement brand pages · Social media · AI summaries
Minimum three primary sources
Every article links to the study itself, never to another blog. The build fails if an article carries fewer than three.
Every protocol names who it excludes
Interactions, contraindications, and the people who should skip it. That section is mandatory, not a footnote.
No cure claims, no outcome promises
PCOS is managed, not cured. Nothing here promises weight loss, pregnancy, or a symptom outcome — and no page will ever show a before-and-after photo.
Named medical review
A registered dietitian and a clinician are being recruited to review this content. Until an article carries a named reviewer, it states which clinical guideline it was checked against.
Reviewed on a schedule
Anything carrying a dose is re-reviewed every 12 months, and immediately when a guideline changes. Every article shows its last-reviewed date.
Corrections are published
When we get something wrong we change the article and say what changed. We do not quietly edit.
The sections
Counts are the planned build, not what is published today.