The Case of PCOS: Understanding Insulin vs. Adrenal Based Pathology

The Case of PCOS: Understanding Insulin vs. Adrenal Based Pathology

Description

Polycystic Ovary Syndrome seems to fall on a spectrum given its complicated symptoms that are considered either classic or “close enough.” It is the most common endocrine disorder in cycling women and is a common cause of infertility. Most practitioners follow the 2003 Rotterdam criteria when it comes to diagnosis and many understand dysfunctional insulin (and/or insulin receptors) to be the key root cause. However, not all PCOS women have problems with their insulin and yet experience elevated androgens and irregular menstrual cycles. This lecture will review the symptoms and diagnosis of PCOS including a dissection of the Rotterdam criteria to understand how both insulin issues and/or the HPA axis can create problems as the adrenal glands have the ability to produce androgens and disrupt the reproductive rhythm and fertility. Case studies will highlight each area.

Learning Objectives

  1. Understand the typical presentation of PCOS
  2. Review the 2003 Rotterdam Criteria
  3. Discuss appropriate lab work-up in a PCOS patient
  4. Review the pathophysiology of both insulin and the HPA axis on PCOS symptoms
  5. Discuss 2 cases of women diagnosed with PCOS – insulin based and adrenal based
  6. Understand both naturopathic and allopathic treatment options for PCOS

Course image by: Manu5 – https://commons.wikimedia.org/w/index.php?curid=70110226

Course Content

  • The Case of PCOS: Understanding Insulin vs. Adrenal Based Pathology 45min

Instructor

Carrie Jones, ND, FABNE, MPH is an internationally recognized speaker, consultant, and educator on the topic of women’s health and hormones. Dr. Jones graduated from the National University of Natural Medicine in Portland, Oregon where she also completed a 2-year residency in women’s health, hormones, and endocrinology. Later, she graduated from Grand Canyon University’s Master of Public Health program.

Dr. Jones was one of the first to become board certified through the American Board of Naturopathic Endocrinology. She was adjunct faculty for many years, teaching gynecology and advanced endocrinology/fertility. She was the Medical Director for the DUTCH Test for nine years and recently joined the Lifestyle Matrix Resource Center as the Clinical Expert serving the SOS Stress Recovery Program. Currently, she is the Head of Medical Education at Rupa Health.

Continuing Education Approvals

  • Canadian Federation of Aromatherapists (CFA)

    0.375 CEU total (up to 0.375 CEU Category B) -Direct Approval
  • National Certification Board for Therapeutic Massage & Bodywork (Provider #1583) (NCBTMB)

    1 hour total (up to 1 hour Advanced Science) -Direct Approval
  • New Hampshire Association of Naturopathic Doctors (NHAND)

    0.75 CEU total (up to 0.75 CEU General, up to 0.75 CEU Childbirth) -Direct Approval
  • New York Sponsorship via National Certification Board for Therapeutic Massage & Bodywork (NY NCBTMB)

    1 hour total -Direct Approval
  • Oregon Board of Naturopathic Medicine (OBNM) - (expires on April 20, 2025)

    0.75 hour total (up to 0.75 hour General Education, up to 0.75 hour Natural Childbirth) -Direct Approval
  • Vermont Office of Professional Regulation (VT OPR)

    0.75 hour total (up to 0.75 hour General) -Direct Approval
  • Alliance of International Aromatherapists (AIA)

    0.375 CPD total (up to 0.375 CPD Category B) -Assumed Approval
  • Arizona Naturopathic Physicians Medical Board (AZ NPMB)

    0.75 CME total (up to 0.75 CME General) -Assumed Approval
  • College of Naturopathic Doctors of Alberta (CNDA)

    0.75 continuing competence credit total -Assumed Approval
  • College of Naturopathic Physicians of British Columbia (CNPBC)

    0.75 hour total (up to 0.75 hour Category C - Educational Courses) -Assumed Approval
  • College of Naturopaths of Ontario (CONO)

    0.75 credit total (up to 0.75 credit Category B) -Assumed Approval
  • Colorado Office of Naturopathic Doctor Registration (CO ONDR)

    0.75 PDA total -Assumed Approval
  • Connecticut Department of Public Health: Naturopathic Physician Licensure (CT DPH: NPL)

    0.75 hour total -Assumed Approval
  • Council for Homeopathic Certification (CHC)

    0.75 CEU total (up to 0.75 CEU Category 2) -Assumed Approval
  • District of Columbia Health Regulation and Licensing Administration (DC HRLA)

    0.75 hour total -Assumed Approval
  • Hawaii Department of Commerce and Consumer Affairs Professional & Vocational Licensing (HI DCCA)

    0.75 CE total (up to 0.75 CE General) -Assumed Approval
  • Idaho Board of Medicine: Naturopathic Medical Board (ID BOM: NMB)

    0.75 hour total (up to 0.75 hour General) -Assumed Approval
  • Kansas State Board of Healing Arts (KS SBHA)

    0.75 CEU total -Assumed Approval
  • Maine Board of Complementary Health Care Providers (ME BCHCP)

    0.75 hour total (up to 0.75 hour General) -Assumed Approval
  • Manitoba Naturopathic Association (MNA)

    0.75 hour total (up to 0.75 hour Category B) -Assumed Approval
  • Maryland Board of Physicians (MD BP)

    0.75 hour total -Assumed Approval
  • Minnesota Board of Medical Practice (MN BMP)

    0.75 contact hour total (up to 0.75 contact hour General) -Assumed Approval
  • Montana Board of Alternative Health Care (MT BAHC)

    0.75 hour total (up to 0.75 hour General, up to 0.75 hour Obstetrics) -Assumed Approval
  • North Dakota Board of Integrative Health Care (ND BIHC)

    0.75 credit total (up to 0.75 credit General) -Assumed Approval
  • Rhode Island Department of Health: Board of Medical Licensure and Discipline (RI DOH: BMLD)

    0.75 hour total -Assumed Approval
  • Saskatchewan Association of Naturopathic Practitioners (SANP)

    0.75 hour total (up to 0.75 hour Category C) -Assumed Approval
  • Utah Naturopathic Physician Licensing Board (UT NPLB)

    0.75 CE total (up to 0.75 CE General, up to 0.75 CE Pharmacy) -Assumed Approval
  • Washington State Department of Health: Board of Naturopathy (WA DOH: BON)

    0.75 hour total (up to 0.75 hour Category 2) -Assumed Approval
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This course includes:

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