You know how much we love to demystify all things PCOS here on the Full Stop blog, which is why we’re revisiting the link between that and insulin resistance, this time with an emphasis on diet. Let’s take a look at how they’re connected, how adjusting your eating habits can help compensate for insulin resistance, and how this can reduce symptoms. 

PCOS is a common condition which affects ovarian function, and due to higher amounts of the hormone androgen, it can lead to irregular periods, excess body hair growth, and enlarged ovaries that cause fertility issues. Symptoms aren’t always noticeable, and many people with PCOS don’t even know they have it - one study found up to 70% of people with PCOS had not been diagnosed. 

What is insulin resistance, and why is it related to PCOS?

Great question - there are different kinds of PCOS, but the most common (affecting up to 70% of all people with PCOS) is insulin resistant PCOS. Insulin resistant PCOS is when the body can make insulin but can’t use it effectively, which can lead to PCOS symptoms and an increased risk of type 2 diabetes.

Why is diet so important with insulin resistant PCOS? 

Whether you have a positive or negative relationship with food, it can be difficult to begin to change eating habits. With insulin resistant PCOS, the benefits of improving your diet and exercise can’t be overstated, as it’s so closely related to type 2 diabetes and therefore opens up many potential health concerns if left untreated. A 2012 UK study found the risk of developing type 2 diabetes was higher in people with PCOS, and research in Australia found those with PCOS were up to 8.8 times more likely to develop type 2 diabetes. 

Weight is also a key factor in managing PCOS, as being overweight tends to exacerbate symptoms. Although studies have found people with PCOS are more likely to be overweight, it’s not always the case, so keep in mind PCOS and type 2 diabetes could be a concern no matter your BMI. 

Can a diet change reduce my PCOS symptoms? 

It can indeed! Research has found diet has strong links to improvements in insulin resistance in PCOS patients, with the DASH diet and calorie-restricted diets being the most effective choices. Other sources have concluded there are three diets that may help people with PCOS to manage symptoms. Let’s take a look:

A low glycemic index (GI) diet: The body digests low GI foods at a slower pace so they don’t raise insulin levels as much or as quickly, like some carbohydrates do. Low GI foods include whole grains, legumes, fruit, seeds, nuts, starchy veggies and unprocessed foods. Studies have found a keto diet could positively impact PCOS symptoms, such as fertility issues. 

An anti-inflammatory diet: Anti-inflammatory foods like fatty fish, leafy greens, berries and extra virgin olive oil can reduce PCOS symptoms like fatigue.

The DASH diet (AKA, Dietary Approaches to Stop Hypertension): This diet is often recommended to reduce the risk of heart disease, but it’s also helpful for managing PCOS symptoms. It focuses on fish, poultry, fruit, veggies, whole grains and low-fat dairy, and avoids foods high in saturated fat and sugar.

If you’re not ready for a complete diet overhaul, and instead you want to try cutting out a few of the ‘bad’ foods, there are some simple swaps you can make. We’ve already covered on the blog how a plant-based diet could potentially improve symptoms of PCOS, as well as how alcohol fares, but let’s look at exactly what to avoid and what to add into your diet. 

You’ll want to avoid refined carbohydrates that can cause inflammation and exacerbate insulin resistance. As a general rule, anything highly processed is usually high in refined carbs, such as white bread, pastries, sugary desserts, things made with white flour, pasta and noodles - look out for ingredients like semolina, durum flour or durum wheat flour as these are usually high in carbohydrates and low in fibre. 

It’s also best to limit your added sugar, and this often appears on labels with names like sucrose and dextrose. Try to limit fizzy drinks, juice and sweets, and limiting processed foods should also help you cut some sugar, since there is often a lot added to these meals. 

If you’re wondering what to eat instead, it’s all about high fibre, baby! Veggies like broccoli, cauliflower and Brussels sprouts are great, as well as red leaf lettuce, green and red peppers, beans, lentils, almonds, berries and sweet potatoes. You may also want to up your intake of anti-inflammatory foods like turmeric, kale, spinach, walnuts and blueberries.

Lifestyle changes can have a big impact when managing PCOS symptoms, and research has found time and time again that dietary changes and physical activity together can help with weight loss, improve insulin metabolism, make periods more regular, better balance the levels of hormones in your system, and lower cholesterol levels. 

Look at how you spend your time and find small changes that can improve your overall health. Could you walk to work? Swap your regular pasta for a lentil-based alternative? Go to bed an hour earlier each night to get more sleep? Improving your overall health can help reduce frustrating PCOS symptoms, and have you feeling better in just a few weeks. 

Got a question about PCOS, insulin resistance and diet? We’re all ears! Let us know what’s on your mind and how we can help. Get in touch with us and others in our Full Stop FB group, or speak to us directly on Instagram at @itsyoppie. Don't forget that our personalised menstrual care subscription can get organic tampons, supplements for PCOS, and much more, delivered easily and regularly through your letterbox, to help keep at least some of that PCOS pain under control each month.

The PCOS, Insulin Resistance & Diet Connection

Thinking of starting the pill? Whether for contraception or regulating hormones, you may be wondering what will happen to your periods. It’s a legitimate concern since the pill can alter your cycle, so here’s your guide to periods on all the different kinds of pills, what’s likely to happen, and any symptoms to watch out for… 

There are many types of contraception, but one of the most popular is the combined oral contraceptive pill, often referred to as "the pill". These are tablets you swallow containing synthetic versions of the hormones oestrogen and progesterone - the kind made by the ovaries - and are designed to stop eggs releasing, thicken cervical mucus to make it harder for sperm to move, and thin the uterine lining so an egg can’t implant. They are over 99% effective if taken properly, and can also improve symptoms of other conditions. 

It can seem like a bit of a minefield! The Sexual Health Hub has a list of the different brands and hormones in each, so let’s just focus on the categories. There are three; monophasic, phasic, and every day (ED) pills. 

Monophasic 21-day pills are the most commonly prescribed, and deliver the same amount of hormones for each day you take them - that’s oestrogen and progestin. They should be taken every day for 21 days, followed by 7 days of no pills which is the window where you can expect to bleed. 

Phasic 21-day pills contain different colours of pills in each pack, all with varying levels of hormones. As above, one pill should be taken every day for 21 days, but in the right order according to the packet. After this, no pills are taken for 7 days which again is when you should bleed. 

Every day (ED) pills are what they sound like; pills you take every day! These are handy for those who struggle to stick to the schedule as they offer a more consistent option. In the pack, there are 21 active pills and 7 inactive, and users should take them in order every day.

One other variation to mention is the “mini-pill”, containing only progestin and no oestrogen. Some people opt for this if they have, for example, hormone issues requiring them to avoid oestrogen, or if they are breastfeeding. The mini-pill is now available in pharmacies without a prescription, but you need to discuss with the pharmacist to ensure it’s right for you.

Here’s the bit you’ve been wondering about… how the birth control pill is likely to affect your monthly bleed! Let’s start with the combined pill, the kind with both oestrogen and progestin. This is known to reduce bleeding for most people, and make periods more regular. It can also reduce painful menstrual cramps and other PMS symptoms, so it’s a popular choice for those who have had difficult periods in the past. 

Some people still experience breakthrough bleeding (bleeding on unexpected days), heavy bleeding or light spotting between periods, but this is a normal side effect and often disappears after a few months. Keep in mind spotting is the most common side effect of birth control pills, as your body is adjusting to changing hormone levels.

The mini-pill (known as progesterone-only) is different as it affects the ovulation process but doesn’t entirely stop it like the combined pill. This means if you previously experienced cramping during ovulation then you may still get this. The mini-pill may make periods lighter or stop altogether, but like the combined pill, some people still get spotting or heavy bleeding. It’s usually all about trial and error to see what works for you over a few months. 

As with any type of medication, there are some side effects to watch out for when taking the pill, and these include nausea, breast tenderness, weight gain, mood changes, headaches/migraines, missed periods, decreased sex drive, discharge, and in rare cases, vision changes. The pill is generally considered safe for most people with periods to use, but if any of the side effects above start to cause you distress, speak to your doctor. 

Some risks are important to keep an eye on, for example, breast tenderness is common but breast lumps should be checked. Similarly, mood changes are normal but depression is not something you should put up with. One 2016 study found a link between hormonal contraception and depression, so being aware of your monthly cycle of emotions is key. 

One of the most serious risks of hormonal contraception is blood clots, and although they are very rare (the rate is around 0.3% to 1% over 10 years) it’s important to know the signs, such as chest pain, shortness of breath, severe headaches, eye problems (blurred, spotted vision, or loss of vision), swelling/aching in the legs, and more. 

Speak to your doctor about which type of contraceptive is best for you. In most cases, the first option offered will be a monophasic pill, however your doctor can advise based on your medical history, previous contraceptive experience, health issues and desired outcomes with regards to your lifestyle, to make sure you have the best option to suit you. 

Want to know more about the pill? We love to answer your questions! Let us know what’s on your mind in our Full Stop FB group, or get in touch directly on Instagram at @itsyoppie. Don't forget that our personalised menstrual care subscription can get organic tampons, PMS supplements and much more delivered easily and regularly through your letterbox, whatever your flow.

Your Guide To Periods On The Pill

PMS is pretty well known by now, but the acronym PMDD is a little more mysterious. It stands for premenstrual dysphoric disorder, and we’re taking a look at exactly what this condition is, the symptoms, how it differs from PMS, and why it’s so hard to get a diagnosis. Oh, and of course some tips on how to handle it if you do. Here we go…

Premenstrual dysphoric disorder (PMDD) is a more intense and serious form of PMS (premenstrual syndrome), and for a long time it wasn’t considered a ‘real thing’. With PMS, symptoms include things like bloating, breast tenderness and irritability before your period.

However, those who suffer from PMDD will experience more intense emotional symptoms like extreme irritability, anxiety and/or depression. Like with PMS, they tend to ease after your period arrives, but they can definitely interfere with your daily life in the meantime. 

It’s believed around 20-40% of people with periods experience “moderate to severe” PMS symptoms, with 3-8% of these cases experiencing symptoms that stop them participating normally in daily life. This could be PMDD.

So PMDD symptoms are different from PMS? 

In most cases the mental and emotional symptoms are worse for those with PMDD. On top of the regular physical PMS symptoms, PMDD can also cause emotions like anxiety, intense anger or irritability, difficulty focusing, fatigue, food cravings, binge eating, and mood swings. On the more extreme end of the scale, it can cause panic attacks, insomnia, depression and even suicidal thoughts. 

Unfortunately the cause of PMDD has not yet been found, but it is thought to be due to an abnormal reaction to normal hormone changes occuring each month during the cycle. These hormone changes can cause a deficiency in serotonin, a chemical in the brain and gut that narrows blood vessels and influences mood. 

PMDD has always been misunderstood, and since the term was first coined there have been questions over whether or not it should be classed as a mental disorder. It’s estimated that around 15% of people who suffer from PMDD have at some point attempted suicide, and this research has led to the condition being taken much more seriously.

If you have suicidal thoughts, you can reach out to Samaritans at any time for confidential help by calling 116 123. 

In 2013, PMDD was included as a full category in the DSM-5 - the latest edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders. This text essentially tells us which disorders are recognised by doctors and scientists, so this is a positive step in the right direction. 

The best place to start for a diagnosis is to visit your GP and discuss your symptoms. To help them understand, it’s a good idea to keep a detailed log of symptoms for a few months (although if your symptoms are intense or you have suicidal thoughts, do not wait to see your GP about this). Keeping a log will help identify patterns, and your doctor may also ask about your medical history, lifestyle, or do a physical examination.

Diagnosis can be a slow process, so try not to feel disheartened while tracking your symptoms. You may need to visit your doctor several times to rule out other conditions, but stay open to feedback on what else may be going on, and if you don’t feel they are helping you, remember you can switch doctors or ask to be referred to a specialist. 

What can I do to help myself if I have PMDD?

If you want to take your health into your own hands and see if you can improve your symptoms solo, there are other lifestyle changes and things you can try, such as:

Exercise regularly - one PMS study found regular exercise lessened pain and improved mood

Try yoga - a 2016 study found 12 weeks of yoga could improve menstrual pain, decrease cramps, and enhance energy levels and mental health

Get more sleep - getting good quality sleep can do wonders for energy levels, mood balance and fatigue issues

Improve your diet - remove as much junk/processed food from your diet as you can, and stick to whole foods to help your overall health and reduce symptoms 

Try supplements - supplements for specific symptoms can help ease them. Yoppie’s PMS supplement range is formulated by experts to treat all kinds of PMS symptoms

Consider counselling - CBT or group therapy for those with PMDD can help you feel validated and provide a space to talk about symptoms and treatments with others 

If someone you love has PMDD, understanding more about the condition is always helpful. Avoid treating it like ‘just PMS’ as their experience may be different to others, and feeling dismissed will make it harder for them to open up.

Try asking what things become difficult for them to manage as a result of PMDD, and discuss what helps them cope and how best to support them. It can help to plan things around their monthly cycle, but if they are going through this right now, reassure them that the feeling will pass and gently encourage them to see their GP.  

If someone with PMDD is discussing suicidal thoughts with you, Samaritans offers practical advice on how to support them - click here. Remember it’s challenging to support someone who is suffering, so don’t forget to look after yourself and set boundaries where necessary. 

Got a question about PMDD we haven’t covered here? Let us know! You can reach out in our Full Stop FB group, or get in touch with us directly on Instagram at @itsyoppie. Don't forget that our personalised menstrual cycle subscription box can get organic tampons, PMS supplements and much more delivered easily and regularly through your letterbox, to give you just a bit more peace of mind each cycle.

What Are The Main Symptoms Of PMDD?

You probably have a vague idea of what uterine polyps are based on the name; polyps that form in the uterus. But if you have a hard time picturing them, why they grow there, what symptoms they could cause, how they’re treated, and more, you’re in the right place! We’re doing a deep dive on all things uterine polyps. Let’s take a look in that uterus of yours… 

Uterine polyps sound gross - what are they? 

Uterine polyps are growths that attach to the inner wall of the uterus and extend out into the uterine cavity. As you can imagine, this causes some problems! These polyps form due to an overgrowth of cells in the endometrium (the lining of the uterus), and although they are typically benign - meaning they are noncancerous - some can occasionally be cancerous or turn into cancer over time, so it’s important to know they’re there. 

Uterine polyps can grow to be anything from a few millimetres in size (picture a sesame seed!) to several centimetres in size (a golf ball… yikes), and you could end up with just one or a few of them all at once. In most cases, they stay in the uterus, but they have been known to slip down into the cervix and even further down into the vagina. 

Good question - why do these little nasties decide to grow in your uterus?! There are several risk factors that could determine your likelihood for uterine polyps, which include being perimenopausal or menopausal, having high blood pressure, being obese, and taking certain medications, such as tamoxifen (a drug therapy for breast cancer). 

Uterine polyps tend to grow because of circulating estrogen, so they are mostly found in people who are in the early stages of, or going through, menopause due to the hormonal factors associated with this. 

Mostly, no - they’re nothing to worry about. But in some rare cases they can be, so it’s worth knowing about so you can get them checked out. One study which looked at a total of 1011 women suffering from endometrial polyps found that 95.4% of the polyps were reported as benign (noncancerous), with the others being reported as atypical hyperplasia (a precancerous condition) and only 1.3% being cancerous. 

The symptoms of uterine polyps are pretty similar to many other uterus-related conditions, so may be difficult to diagnose. They include:

Irregular periods (the most common symptom, with around half of people with uterine polyps experiencing this)

An unusually heavy flow during your period

The symptoms above could be a sign of a lot of different conditions, but the best place to start is always to see your GP and let them know what’s been going on. They will likely ask about your period history (your level of flow, regularity, etc.) so tracking this is always handy. Be sure to explain any unusual symptoms you’ve been having, such as the ones listed above. Your doctor may choose to do a gynaecological exam, and/or further tests such as:

A transvaginal ultrasound - where an ultrasound device is inserted into the vagina to see inside the uterus

A sonohysterography - where sterile fluid is introduced into the uterus through a thin tube, which causes the uterus to expand for a clearer image of any growths

A hysteroscopy - when a long, thin tube with a telescope is inserted through the vagina into the uterus, allowing the doctor to examine the inside

An endometrial biopsy - a plastic instrument is used to collect tissue from the inner walls of the uterus and test

Curettage - a long metal instrument collects tissue from the inner walls of the uterus and can scrape tissue or polyps to remove them

Some of these procedures can be used both to diagnose uterine polyps and to treat them - your doctor can recommend which might be best for you. 

I have uterine polyps - how will my doctor treat them?

Treatment isn’t always necessary if the polyps are small and not causing any symptoms, but if they are growing larger, causing heavy bleeding, fertility or pregnancy issues, or could be precancerous or cancerous, then you will likely be recommended to have them removed so they don’t cause further issues. As well as the above procedures, your doctor may also prescribe medications that can help to regulate any hormonal imbalances to relieve and manage symptoms. 

Do you want to know more about uterine polyps?? We’re always happy to answer any additional questions you have, so feel free to shoot them over to us by interacting on our Full Stop FB group, or getting in touch with us over on our Instagram: @itsyoppie. Don't forget that our personalised menstrual cycle subscription box can get organic tampons, PMS supplements and much more delivered easily and regularly through your letterbox, which at least takes care of some of what's going on down there.

What The Heck Are Uterine Polyps?

Endometriosis is thought to affect as many as 1 in 10 people with periods in the UK, and yet it’s still hard to diagnose. In recent years researchers have been working to further understand endometriosis, and as it turns out, there are multiple different types of endo, as well as multiple stages. We’re breaking it all down, right here… 

A quick recap; endometriosis is a disorder where tissue (similar to the kind that lines the inside of the uterus) grows outside where it’s not supposed to be - mainly around the ovaries, fallopian tubes and inside the pelvis. In rare cases, it may also grow beyond this and affect the organs inside the pelvis, such as the bowel. 

When on your period, endometrial tissue inside the uterus gets thicker, breaks down and exits the body, but when this same tissue grows outside the uterus, the hormones that trigger the menstrual cycle also trigger this excess tissue. The trouble is, after it breaks down it has nowhere to go - hello pain!

Common symptoms of endometriosis include pelvic pain, painful periods, lower back pain, pain during sex, painful poos/urination, excessive bleeding, fertility issues, fatigue, and more.

Are there different types of endometriosis?

Yes! While endometriosis is still a somewhat mysterious condition, it can now be categorised into different types depending on which area of the pelvis or abdomen it affects. These are:

Superficial peritoneal endometriosis - The peritoneum is the thin membrane lining the pelvis and abdomen, and it’s also in contact with organs in these areas. In this case, the endometrial tissue attaches to the peritoneum. Some researchers question whether surgery is the best treatment for this type of endo as it is the least severe. 

Endometriomas - When endo continues to develop over time, it can form endometriomas; dark, fluid-filled cysts affectionately named “chocolate cysts”! They come in many sizes and can grow throughout the abdomen or pelvis, but they are most often found in the ovaries.

Deeply infiltrating endometriosis (DIE) - A scary acronym… but this type isn’t life-threatening. With deeply infiltrating endo, the tissue affects the organs in or outside the pelvis, like the ovaries, rectum, bladder and bowels. Occasionally (in 1-5% of endo cases), scar tissue sticks organs in place, known as “frozen pelvis”. 

Abdominal wall endometriosis - If tissue grows on the abdominal wall, it’s often because cells have attached to scar tissue from a surgical incision, like a C-section.

How do I know which type of endometriosis I have? 

Your doctor may do some examinations such as a pelvic exam to feel for cysts, or an ultrasound to look for any endometriomas, but ultimately the best (and arguably only) way to diagnose endometriosis properly is by a procedure called a laparoscopy. 

A surgeon will make a few small incisions (under general anaesthesia) to insert a tiny camera and instruments to look for signs of endo, take samples, and/or remove some of the affected tissue. This procedure can identify where your endo is, and which type you have. 

What are the different stages of endometriosis?

As well as there being different types of endometriosis, there are also different stages. The American Society of Reproductive Medicine offers the most well-known scale for this, whereby doctors assign ‘points’ depending on the level of spread of endometrial tissue, the depth, and where in the body is affected. Let’s take a look at the stages… 

Stage 1 (minimal) - This is when there are just a few implants (clumps of tissue) or small lesions (affected tissue), and these could be present on the organs or the tissue lining the abdomen or pelvis. In stage 1 there is typically little to no scar tissue.

Stage 2 (mild) - This stage means there are more implants than stage 1, and these are often found deeper in the tissue. There may also be some scar tissue present. 

Stage 3 (moderate) - Stage 3 has a lot of deep implants, and potentially a few small cysts on one or both ovaries. There could also be thick bands of scar tissue called adhesions (the kind that sticks organs together) present in stage 3. 

Stage 4 (severe) - In stage 4, there are lots of deep implants and thick adhesions, as well as large cysts on one or both ovaries. This type is the most widespread, which is why it’s often considered severe. 

I have severe pain - does that mean I’m stage 4??

Not necessarily. The scale doesn’t go by pain, but rather by number of implants, lesions, adhesions and cysts present, which makes it difficult to tell which type of endo is present without a laparoscopy. The stage and type of endo you have don’t actually affect your symptoms, so someone with stage 1 endo may experience more severe pain than someone with stage 4. Confusing? Yes. 

Essentially the scale exists to categorise and make treatment more effective, so just because you have mild pain doesn’t mean you can’t have stage 4 endo. The exception to this rule is fertility issues, since people with stages 3 or 4 have been found more likely to experience trouble getting pregnant than those with stages 1 or 2.

Can I stop my endometriosis from getting worse? 

Unfortunately, endometriosis cannot be prevented, but there are a few ways you can manage your symptoms, such as diet and medications. Endometriosis does sometimes get better by itself, but in many cases it can further develop if not treated, so it’s best to find out the severity of your condition by seeing your doctor.

ot a question about the different types and stages of endo? Let us know so we can create more useful blog posts on the topic! You can chat to others in our Full Stop FB group, or get in touch with us directly on Instagram at @itsyoppie. Don't forget that our personalised menstrual cycle subscription box can get Endometriosis supplements, organic tampons & PMS supplements delivered easily and regularly through your letterbox, to give you just a bit more peace of mind each cycle.

All The Types & Stages Of Endometriosis

If you’re struggling with hair loss due to PCOS, you’re not alone. It’s a common symptom, with studies in 2011, 2014 and 2016 finding that between 16% and 36% of patients suffered from ‘androgenic alopecia’, aka PCOS-related hair loss. Let’s take a look at why this happens, how to cope with it day-to-day, and what treatments your doctor might suggest. 

I have PCOS - what’s happening with my hormones?!

Polycystic ovary syndrome (PCOS) is a condition where hormonal imbalances caused by the ovaries create excess hormones called androgens, leading to unusual symptoms such as irregular periods, acne, obesity, cysts, fertility issues, and more. 

Perhaps the strangest symptom of PCOS is that in some people it can cause abnormal hair growth all over the body (such as the arms, chest and stomach), while others will experience thinning hair on the head. Two entirely opposite (and frustrating!) symptoms, and yet they are commonly reported in cases of PCOS. 

Why is hair loss one of the symptoms of PCOS?

The ‘male’ hormones produced - androgens and testosterone - work to trigger puberty and stimulate hair growth under the arms and in the pubic areas when we go through puberty, but when PCOS causes an excessive amount of these hormones, people with periods may notice hair growing in places it usually wouldn’t, like on the face, neck, chest or stomach. 

Alternatively, these extra androgens may cause hair on the head to thin, particularly at the front. In women, this is often referred to as ‘androgenic alopecia’. There’s no telling whether your particular brand of PCOS will lead to hair growth or hair loss - it’s luck of the draw, and everyone experiences different symptoms. 

Hair lost due to PCOS is unlikely to grow back without intervention, but there are some things you can try out to stimulate growth, slow down further hair loss, and mask thinning hair if you want to. Let’s start with what treatments might slow down hair loss…

Contraceptive pills - Since PCOS is a hormone-related condition, hormone management is important, and birth control can help with this by lowering androgen levels to slow down hair loss on the head

Anti-androgen medications - These can often be prescribed alongside oral contraceptives to balance androgen levels and help reduce hair loss

There are also some treatments you can try for additional hair growth, such as:

Minoxidil (known as Regaine or Rogaine) can be used to promote hair growth and is sometimes effective in people with PCOS-related hair loss. It can be bought over the counter and comes as a daily scalp treatment to give hair a thicker appearance. 

Hair transplant - In some cases, people may consider a hair transplant; a surgical procedure to redistribute healthy hair follicles by removing them from one area of the scalp and adding them to another - it’s expensive, so won’t suit everyone!

Laser therapy - This method has not yet been studied enough, but some people have seen results using low-level laser therapy to stimulate hair growth

And even some natural remedies you can try at home, like:

Scalp massage - This method is thought to stimulate the follicles in the scalp and encourage hair growth 

Zinc supplements - One 2016 study found zinc could help with PCOS-related hair loss, finding that 50mg of elemental zinc daily for 8 weeks had positive effects

Biotin supplements - This popular supplement is known for its positive impact on the growth of hair and nails, and while it hasn’t been tested specifically with PCOS-related hair loss, this could be something that works for you

Weight loss - There is evidence that a reduction in weight can lower androgen levels and, as a result, reduce hair loss

Supplements - find out more about Yoppie's Poly Complete Support that helps support hair loss and other PCOS symptoms.

Remember you may need to try a few of the above treatments until you find one (or a combination of a few) that works best for you. 

If your hair loss is caused by PCOS then it’s not just an aesthetic issue, so your doctor should be able to discuss possible treatments to stop further thinning, as well as treatments for the underlying PCOS itself. As above, there are many options available and some of these will need to be prescribed by a doctor, so see your GP to find out what’s best for you. 

My PCOS hair loss is really getting me down - what can I do? 

Thinning hair can be a difficult symptom to deal with, especially for those who identify as women… let’s not pretend there aren’t societal beauty standards at play! Understanding the cause (PCOS, for example) and exploring the options can help. Should you try medications? Natural supplements? Cover up with a hat? Try a wig or thickening spray? Or just embrace it? Whatever you decide, what matters most is that you feel confident in your appearance.

And don’t underestimate the power of talking! Sometimes the worry that people will stare or ask questions is the worst part, so take control of the situation and discuss it with friends and family so they understand your insecurities. You may find most people don’t even notice. 

Got more questions about PCOS or hair loss? We’re always happy to answer any queries you have. You can chat to us and others in our Full Stop FB group, or get in touch with us directly on Instagram at @itsyoppie. Don't forget that our personalised menstrual care subscription can get organic tampons, PCOS supplements and much more delivered easily and regularly through your letterbox, to help keep at least some of that PCOS pain under control each month.

How To Handle PCOS Hair Loss

Whether you’re in the market for a new type of birth control, or it’s your first time considering one, there are probably lots of questions floating around your mind. One of them being: ‘what will happen to my period?’ A valid concern! Let’s take a look at the birth control implant, and what’s likely to happen to your period if you opt for this type of contraception…

Birth control innovation has come a long way since it was first introduced back in the 60s (if we’re not counting the early days of using animal skins as condoms - yikes!), and today there are many different options available. If one doesn’t suit your hormones, another might. One popular type of birth control is the contraceptive implant known as Nexplanon; a small, flexible plastic rod that’s inserted under the skin in the upper arm by a medical professional. 

It releases the hormone progestogen into the bloodstream to stop an egg from releasing each month during ovulation, preventing pregnancy for 3 years. It’s also designed to thicken cervical mucus, making it difficult for sperm to move through the cervix to fertilise an egg. It’s an effective method of birth control for many people, and with the exception of a few health conditions, it is often offered by doctors in the UK for those looking to prevent pregnancy. 

I’m confused… is the implant Implanon or Nexplanon??

Until late 2010, Implanon was the only implant product used in the UK, but this was replaced by Nexplanon, which remains the only brand healthcare providers use today. Nexplanon is bioequivalent to Implanon, but features a new preloaded applicator to reduce the risk of insertion errors, and is radio-opaque, meaning it contains barium so it can be located on an X-ray or CT scan if necessary. Studies cited in this blog post may refer to both Implanon and Nexplanon, but the results are thought to be consistent with both. 

It has many advantages. Firstly, the implant is more than 99% effective at preventing pregnancy, with only around 1 in 3,000 sexually active people using the implant becoming pregnant each year (this is often thought to be because they were already pregnant during insertion). In the majority of studies, no one became pregnant… pretty good odds! 

Other advantages include the fact that it can be used for 3 years without ever having to think about it, it’s pretty easily reversible, it doesn’t contain estrogen (great news for those who cannot use this type of birth control), it doesn’t interrupt sex, it’s safe to use when breastfeeding, and fertility returns quickly after removal. 

What will the implant do to my periods? 

Although it doesn’t happen in all cases, Nexplanon is known to change the bleeding pattern of users, so this is something to keep in mind if you choose to try it out. Studies have found most users experience a reduction in the frequency and volume of bleeding, but some (described as a “substantial minority”), experience unpredictable, frequent, and/or prolonged bleeding which - let’s face it - can be frustrating! In fact, studies show 1 in 10 people stop using the implant due to this unfavourable change in their periods. 

If you already suffer from heavy bleeding, the implant can sometimes be used to lessen the flow as some people experience shorter periods or none at all. You may also experience spotting between periods (the most common side effect, in fact), brown discharge, or irregular periods, particularly in the first 6-12 months of use. 

What’s the likelihood I’ll end up with lighter/heavier periods on the implant?

Although there is no way to tell without trying the implant out for yourself, one interesting study found the percentage of subjects who experienced different negative and positive effects from the implant:

Fewer bleeding/spotting days than with a natural cycle (but at unpredictable intervals) - 75% 

Stopped using the implant due to period irregularities - 11.3%

Saw significant improvements in dysmenorrhoea (painful periods) - 77%

Could the implant cause any symptoms I should be worried about? 

Irregular periods (or any of the above irregularities) are considered normal and probably nothing to worry about, but if anything is painful or negatively affecting your life, you can speak to your doctor at any time to make sure everything’s OK. 

Common side effects that cause people to consider having the implant removed include mood swings, weight gain, headaches, acne and depression, so if you experience any of these symptoms you can speak to your GP about switching to another type of birth control instead. And always see your doctor right away if you experience sudden unexplained bleeding, or if you think you may be pregnant. 

I’m not a fan of the irregular bleeding - can I get the implant removed? 

Irregular bleeding isn't a problem for some people but may cause distress if you prefer to know exactly when your period will arrive each month so you can prepare. Studies show 1 in 10 people had the implant removed due to changes in their bleeding patterns, so don’t be afraid to explore other options if it’s not for you - you can have it removed at any time. 

If you have had it for more than 3 months (the time recommended to allow your hormones to settle) and you still feel it’s not for you, speak to your doctor or the sexual health clinic where you had the implant inserted and discuss removal and other options. 

Got a question about the birth control implant we haven’t covered here? Chat to other users in the Full Stop FB group, or get in touch on Instagram at @itsyoppie. Don't forget that our personalised menstrual care subscription can get organic tampons, PMS supplements and much more delivered easily and regularly through your letterbox, whatever your flow.

Periods On The Implant: Effects Of The Birth Control Implant

Confession time: I am so over talking about periods. Stay with me here! As the founder of a period care company this statement probably makes no sense, but what I mean is, I’m sick of talking only about periods. Our 100% organic, plastic-free pads and tampons will always be at the core of our range, but we want to focus on more than the bleed week and shine a light on the other three phases of your menstrual cycle.

As we launch the next phase of Yoppie’s journey, I wanted to introduce it to you myself; we’re empowering you to ride every single phase of your cycle, from bleed to egg drop and back again. We’ve got a whole new outlook on what it means to menstruate, and I’m excited to share our new direction with you.

Here’s what’s happening at Yoppie… 

Why we’re no longer talking about (just) periods

We’ve spent years perfecting our tampons and pads, and they’re pretty perfect, if I do say so myself! But the more we speak to our community about what you really need and want each month, the more we realise it’s time for the next phase of our journey to begin. 

We’re reimagining the entire menstrual cycle, from the energetic follicular phase to the troublesome luteal phase and beyond, to make sure you (yes, you) have the ability to take full control of every symptom your cycle throws at you. How? By tuning in to what your body needs at all times, and giving it exactly that. And if you’re thinking “wait, but how do I know what my body needs?!”... that’s what your personalised Yoppie dashboard is for. 

We’re helping you tune in to your cycle 

For too long the only question you needed to ask yourself was “is it a regular or a super-absorbent tampon kinda day?”. And while that might work for some, I’m guessing you’re here because your cycle isn’t as neat and punctual as historical period ads would have you believe. (I mean seriously, why are women always playing tennis?!)

It’s time to stop letting Mother Nature get the better of you, and take control of your cycle. Not just the bleed week, all of it. The acne days. The anxious days. The days when you can barely make it off the couch let alone do a HIIT class. Instead of plugging up on bleed days and pretending the rest of it’s not happening… what if you listened to your body and provided what it needs to feel happy, healthy and confident at each phase? Here’s a quick look at what’s going on during your cycle:

Want to learn what phase you’re in right now? Click here to find out, and share yours on IG tagging @itsyoppie with #MYPHASE for the chance to WIN exclusive merchandise every week. 

We’re turning up the volume on personalisation

… and turning down the friction on understanding your own individual cycle. In the (sort of) words of Forrest Gump; period care shouldn’t be like a box of chocolates, you should know what you’re going to get. Personalised cycle care should not require a trip to the doctors and an expensive hormone test. Quality information should be readily available to you, and quality products should be easily accessed without leaving the comfort of home. 

We’ll always offer our 100% organic, eco-conscious bleed products, game-changing PMS supplements, hormonal skincare masks and science-backed info on our Full Stop blog, but we’ve got a few new things up our sleeve for those dealing with specific conditions as well as our brand new ‘shop by symptom’ function on our website. These updates move us closer to ensuring absolutely everyone can treat Yoppie as a one-stop-shop for their cycle.

Your menstrual cycle is unique to you so a one size fits all just won’t do.  Let us recommend what is best for you and your cycle by answering a series of questions about your cycle so we can create your perfect menstrual health plan here. Login & manage at any time on your dashboard.

Help us create the future of menstrual healthcare! If there’s something you want to see in our range or a problem we might be able to help you solve, we’d love to hear it. Get in touch in our private Facebook group, or reach out to @itsyoppie on Insta to tell us what you think.

It's Time To Ride Your Cycle: Your WHOLE Cycle

So your period’s arrived, but you’re not due for another three days… why isn’t your cycle syncing up with the calendar you’ve been keeping? It might not be your imagination after all. Let’s take a look at why your menstrual cycle may be getting shorter, what this could mean, and if it’s anything to worry about. 

How long is my menstrual cycle supposed to be? 

… how long is a piece of tampon string?? No two people have the same cycle, so while you might have short and light periods, someone else might have long and heavy ones. Whatever the case, it’s totally normal. 

Your cycle is counted from day 1 of your bleed through to day 1 of your next bleed. This can last anywhere from 21 to 35 days, with a bleed lasting anything from 2 to 7 days. Your cycle may also be irregular due to your age, as it tends to be somewhat unpredictable in the first few years of menstruating. For some, an irregular cycle is normal.

You may not be imagining it. Your menstrual cycle can get shorter, so if you have always experienced a fairly regular cycle and notice your bleed days coming a lot sooner than anticipated, then there is often a reason this is happening. 

Your menstrual cycle is made up of four phases (the menstruation, follicular, ovulation and luteal phases) - it’s the ovulation phase that’s in question here. When an egg is released from the ovary during ovulation, the follicle from which it came produces progesterone to thicken the uterine lining so a fertilised egg can implant. If this doesn’t happen, the follicle dies, progesterone levels fall, and a period occurs. If something affects ovulation, you may get your period sooner. 

In lots of cases shorter periods are common and nothing to worry about, and could simply indicate one of the following:

A change in birth control - if you have just started or recently switched to another type of birth control, this could alter the length of your cycle

You’re still going through puberty - Those who have just started having periods may experience a shorter than average cycle 

You’re in perimenopause - When in your 40s, the ovaries will slow their production of estrogen, leading to potentially shorter and lighter periods until menopause

You’re breastfeeding - If you have recently given birth or are breastfeeding, your hormones will change and you may experience a shorter cycle, or no periods at all

You’re on a new medication - Some anti-inflammatory medications reduce the production of prostaglandins (chemicals that trigger the uterus to contract and shed its lining), and have occasionally been found to delay periods by a couple of days

If none of these apply to your situation, and your periods have become shorter over several months, then it’s worth getting your GP to check for the following conditions:

PCOS - One of the symptoms of polycystic ovary syndrome is irregular periods. If you also experience weight gain, excess body hair, hair loss on the head, acne, fertility issues or other odd symptoms, speak to your doctor to rule this out

Uterine scarring - This can occur due to a condition called Asherman’s syndrome, which happens after certain medical procedures or treatments. Scar tissue forms in the uterus and decreases the amount of space inside, leading to shorter periods

Thyroid disorder - This condition affects the thyroid gland which is responsible for metabolism, by making the thyroid hormone travel via your blood to the rest of the body. Those with a thyroid disorder may get symptoms including irregular periods

Implantation bleeding - Shorter periods are sometimes reported in the very early stages of pregnancy, as the blood that appears due to the egg implanting in the uterus is often mistaken for an early period

Physical or mental stress - Stress is often overlooked as a source of period issues, but has been found to affect the cycle. Whether you’re exercising excessively (physical stress), or you’re stressed about work life (mental stress), this can trigger your cycle to change and potentially shorten

Short periods generally aren’t a worry, but if you’re used to a regular cycle and notice your periods continue to come earlier than expected (and you’re not going through puberty or perimenopause) then this could be something to speak to your doctor about, just in case.

You should always see your doctor if your periods stop suddenly and don’t come back for more than 90 days (and you’re not pregnant), your bleed lasts more than 7 days, you start to bleed more heavily than usual or soak through more than one pad or tampon every hour or two, you notice spotting between periods, or you get severe pain during your period. 

One of the best things you can do for your cycle is to track it to find out what’s normal for you. Use a calendar to note your bleed days and any symptoms arising throughout the month. Note how long your period lasts, how light or heavy it is, how often you need to change tampons or towels, and so on. Having a clear indication of these changes can help your doctor find out what’s going on.

What can I do about an irregular cycle? 

If your cycle is annoyingly irregular and you’ve already ruled out any underlying conditions or reasons, then birth control pills could help to regulate your cycle. Your doctor may recommend these but if not, ask for more information to find out what’s right for you.  

In summary, shorter periods are probably fine! But it doesn’t hurt to check if you’re worried. If you have any questions about irregular periods we haven’t answered here, chat to us and others in our Full Stop FB group, or get in touch with us directly on Instagram at @itsyoppie. Don't forget that our personalised menstrual cycle care subscription box can get organic tampons, PMS supplements, and much more. delivered easily and regularly through your letterbox, so you're never caught short on the essentials.

Wait A Minute... Is My Menstrual Cycle Getting Shorter?

Periods tend to hog all the attention when talking about our monthly cycle. They’re a bit like the demanding boss of the menstrual phases. I mean, blood is hard not to notice and you sure can’t miss cramps (gawd, cramps!), but what about the rest of our cycle? Heck, what’s going down in our bodies between the bleeding every month?

Understanding this and how hormones play a part can be empowering. In this article we’re gonna talk about our cycle patterns and the hormones that rule them. Helping you harness that knowledge to your advantage!

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All The Types & Stages Of Endometriosis

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Periods On The Implant: Effects Of The Birth Control Implant

It's Time To Ride Your Cycle: Your WHOLE Cycle

Wait A Minute... Is My Menstrual Cycle Getting Shorter?

Understand All The Phases of Your Menstrual Cycle

How Hormones Affect Your Complexion Throughout The Month

Why Your Cycle Impacts Life More Than You Think!

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Lab Queens: Celebrating Women In Biology

Should You Get Endometriosis Surgery?

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PCOS Period Pain: Is It Really Worse?

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