Concern

PCOS — Integrative TCM Support in Marylebone, London

Polycystic Ovary Syndrome affects roughly 1 in 10 UK women of reproductive age and is a leading cause of subfertility. Body Perfected supports women living with PCOS through cycle regulation, insulin-sensitising nutrition, and stress-axis work — alongside their GP or endocrinologist.

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PCOS is diagnosed when at least two of three Rotterdam criteria are met: irregular or absent ovulation, clinical or biochemical signs of raised androgens, and polycystic ovary appearance on ultrasound. The condition combines hormonal, metabolic, and reproductive features — many women have insulin-resistance and a higher long-term risk of type 2 diabetes. NICE-aligned management combines weight management, insulin-sensitising nutrition, and (for those trying to conceive) ovulation-induction medication. Acupuncture is studied as an adjunct for cycle regulation and ovulation; nutritional therapy targets the metabolic drivers.

What drives this concern

  • Insulin resistance — drives ovarian production of testosterone and disrupts ovulation
  • Genetic predisposition — PCOS runs in families
  • Chronic low-grade inflammation, often diet-driven
  • Excess body fat — adipose tissue is hormonally active and amplifies the cycle
  • Stress-axis dysregulation — chronic cortisol blunts ovulation signalling
  • Environmental endocrine disruptors (some plastics, pesticides)

Common
questions

Can acupuncture and nutrition replace metformin or the contraceptive pill for PCOS?

No — and we never recommend stopping a prescribed medication. Many of our clients use integrative care alongside metformin, the combined contraceptive pill, or letrozole. Acupuncture and nutrition can support cycle regulation and insulin sensitivity, which sometimes allows your prescribing clinician to step medication down over time, but that is a clinical decision made with them.

How quickly will my cycle regulate?

Most women see partial cycle regulation within 3 to 6 months of consistent treatment, longer if cycles have been absent for years. Insulin-sensitising changes (waist circumference, HOMA-IR) often shift faster than ovulation does. We track cycle length and basal-body-temperature patterns at every visit.

Is the Clean & Lean programme safe with PCOS?

Yes — the structure is anti-inflammatory and low-glycaemic, which is exactly what NICE recommends for PCOS. We adjust portion sizes and meal frequency for women with reactive hypoglycaemia or who are already medicated. Anyone on insulin or sulfonylureas needs GP coordination first.

Will weight loss alone cure PCOS?

No — PCOS is a syndrome with hormonal, genetic, and metabolic components, not a single condition that can be cured. However, evidence consistently shows that a 5-10% reduction in body weight (where there is excess) improves ovulation, insulin sensitivity, and cycle regularity in women with PCOS.

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Body Perfected • 1 Orchard Street, London W1H 6HJ

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Appointments typically available within 1–2 weeks