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PCOS, Anxiety and Depression
Polycystic Ovarian Syndrome (PCOS) is a condition that involves irregular periods, metabolic issues like weight gain and insulin resistance, and symptoms of excess androgen hormones like acne and hair loss (or excess growth). It’s a common condition but what is often not talked about is its connection with mental health.
Women with PCOS are more likely to have anxiety or depression. This could be because some of the symptoms (like acne, hair loss, and infertility) take a psychological toll on those who experience them by impacting self esteem, relationships, and important life goals. It’s possible that the biological factors in PCOS like insulin resistance and elevated androgens are contributing to the anxiety or depression directly but there is limited and inconsistent information on this from studies.
Associations have also been found between PCOS and eating disorders, bipolar disorder, and obsessive compulsive disorder.
Treatment
Treating the mental health aspects of PCOS means treating the PCOS itself by balancing the hormones that are out of range and improving the symptoms. Because it can take time for symptoms to improve, treating anxiety and depression directly can also be beneficial. Some of the natural remedies that help with PCOS can help improve mental health too. Talk to your naturopathic doctor to get a treatment plan that address both your mental and physical PCOS symptoms.
How Thyroid Antibodies Affect Your Mood
Figuring out the causes of your anxiety and depression can be frustrating. Anti-anxiety and anti-depressant medications and supplements certainly have an important role to play in relieving mood symptoms. But I’m always disappointment when I see that the treatment plan usually stops there. We should be doing a much better job at uncovering and treating potential contributing factors to anxiety and depression. The health of your thyroid is one such factor.
If your thyroid is overactive or underactive it can contribute to depression and anxiety. Pretty much all health care providers are aware of this so if you complain about your mood or anxiety levels, there’s a good chance your TSH and T4 (maybe T3) will be tested. If these come back normal, your thyroid is crossed off the list as a cause of concern.
But did you know that the health of your thyroid could be affecting your mood even if your thyroid hormone levels are normal? There is growing evidence that elevated thyroid antibodies can play a role in depression, anxiety, bipolar disorder and panic attacks even if thyroid hormone levels are normal. I’m starting to see a few more patients coming to me with thyroid antibody test results, but I’m still surprised that antibodies are not tested more often.
What are thyroid antibodies? Your thyroid is a gland in your neck that governs your metabolism and is in charge of a number of different functions. Thyroid antibodies form when your immune system accidentally decides to attack various components of your thyroid. This leads to inflammation and damage in your thyroid. Sure, this damage can cause abnormalities in your actual thyroid hormones - but not always. Just because your thyroid hormones are normal doesn’t mean we can ignore thyroid antibodies.
Testing thyroid antibodies involves a simple blood test and it’s relatively inexpensive. I run antibody tests for my patients all the time and the results help me to decide what treatments are worth while and what aren’t.
Anxiety and depression can have multiple different root causes. Sometimes the causes are obvious and sometimes they’re not. If you really feel ready to do a deep dive into the potential contributing factors to your mood symptoms, reach out to me and we can discuss options. You deserve to have a comprehensive, robust treatment plan for your mood symptoms.