PCOS and Pain? Discover Why This Common Syndrome Causes Pain.

The Stress Response


The stress response is a primitive survival tool that mobilizes your body’s resources to fight or flee. Your adrenal

glands release the stress hormone cortisol in response to a real or perceived danger. Designed to be a temporary

measure to get you safety through a crisis, modern stressors are rarely of the life-and-death variety, however the

same chemical changes occur.


During a sudden stressful event your adrenal glands release the hormone cortisol, initiating a cascade of effects

such as accelerated breathing and heart rate, increased blood pressure and a surge of energy. You might also feel a

knot in your stomach and a sudden urge to use the bathroom. That is cortisol causing increased contractions of the

intestinal tract.


Cortisol also exerts its influence in ways that aren’t readily apparent. To funnel all available energy toward the

emergency at hand, this stress hormone raises your blood sugar levels and inhibits your immune system. Another

way your body conserves energy during stressful intervals is to inhibit reproductive function. To accomplish this,

cortisol blocks a key reproductive hormone known as gonadotropin releasing hormone, or GnRh, which

stimulates ovulation (3).


Chronic Stress Equals Physical Pain


In some women, the combination of elevated cortisol and suppressed sex hormones creates the ideal conditions for

development of PCOS and its associated pelvic pain. Chronic stress, whether from a stressful job, an overloaded

work and family schedule or an unhealthy relationship, prevents cortisol levels from returning to normal, resulting

in chronically high blood sugar levels, insulin resistance and weight gain. Excess adipose, in turn, induces

inflammation which causes generalized pain throughout the body. Your digestive system, which relies on periods

of calm in order to break down, absorb and assimilate nutrients, can develop symptoms of indigestion and irritable

bowel syndrome (1). Suppressed immune function leads to painful yeast and bladder infections (1).



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