Hello everyone and welcome back to the birth experience.

Today I am chatting with Dr. K and we're gonna be talking all things PCOS, and I am fumbling saying that right now, just so you guys know.

But I am super excited to talk about this because this is near and dear to me.

So I'm gonna go ahead and let Dr. K introduce herself.

Welcome and hello.

I'm so glad you're here.

Dr. Kay : Well, thank you so much for, for this, opportunity.

I am Dr. Kay.

I am.

Um.

Reproductive endocrinologist and an infertile specialist that's kind of like we're the people who specialize in everything.

PCOS.

Okay.

And it is kind of dear to our hearts generally.

Everyone probably who does what I do, have extensive training and learning on PCOS, and we see a lot of patients with PCOS.

I'll get to it when we discuss more and why.

Okay.

And I'm happy that finally we have a month dedicated that there's an awareness, dedicated Yeah.

For women who have this condition.

Because believe it or not, most people don't have the diagnosis or they don't even know they have it until very later, late in life.

And some of them might never ever have it.

So that's why I wanna discuss a lot.

Well, and so I actually said, this is near and dear to me because it's so insane.

I, I have seven children.

I've given birth six times.

I had all four of my boys really young.

Like I had my first at 17 and I had all four by the time I was 26.

And then I had my number five.

When I was 32 and number seven, I adopted one, number seven when I was 42, and I had a lot of losses between number five and number seven, and.

Come to find out not only, I also have Factor V and I call it the MF or mt. HFR.

Yeah.

FFR.

And I also have PCOS.

And my doctor told me that the reason, and, and I'm interested to hear your opinion on this.

Mm-hmm.

The interest I did, the reason I didn't have trouble when I was younger is because I was young.

I was so young when I got pregnant.

Yeah.

But I ha I definitely have it.

I don't have all the symptoms, which that's what I'm interested in hearing from you.

Yeah.

And we'll get more, we'll get back to me more as we dive deeper into the conversation.

But I would love for you to talk to women because not everybody has the exact same symptoms, right?

No,

Dr. Kay : no.

Well, first of all, in your case, I mean you had five pregnancies, you know, over the course of very short period of time.

So you spend most of time, time.

Being pregnant.

So it was really probably harder for you to gauge what your cycles were like.

Did you even have a, you know, who knows?

Like there's a lot of like pregnancy.

No, it's kind of funny.

Breastfeeding.

And that timeline is like, you don't have any cycles, so, right.

And you have newborn babies, so you don't have time to process any of this, right?

No.

So, I mean, but most of the time, and also you started very young.

PCO patients, it's a syndrome, right?

What is PCOS?

It's polycystic ovarian syndrome.

And even from the name, I, I don't like it because the name does not tell anyone anything about the condition.

But first of all, people say, so I have cysts because ovarian, some people have ovarian cysts, but believe it or not, PCO patients, they don't have ovarian cysts.

It's a misnomer.

I mean, just like a crazy name for a condition.

And also it's a syndrome, so it presents in different ways.

So most, which is why I had it different.

Yeah.

Everybody.

Yeah.

In everybody, the presentation is different.

Mm-hmm.

But it exists.

And it exists from the beginning of time.

So I always say like, this is one of those conditions.

We cannot blame McDonald's on or fast food and or not.

This is not one of those things.

I mean, one of the first, I mean, in medicine that's what we do, right?

I, it's very easy for us.

Like, oh yeah, it's just type two diabetes.

It probably 'cause you're not eating the right foods and probably you're not exercising enough and it would just kind of brush it off.

Like it makes it like some kind of modern age thing.

And if you feel like if we were, you know.

2000 years ago, it didn't exist.

But one of the first books written about woman is in from Ancient Greek.

Like that's, you know, our Western medicine Uhhuh refers to a sort of woman, they call it like a chapter is called, conditions Peculiar to Woman.

Mm-hmm.

And he describes these women in Mediterranean, of course, in Greece at the time.

And then this woman, he describes as, okay, they bleed less because he is a gynecologist because like if every woman bleeds once a month, these women bleed a lot less or sometimes never.

And they have male presentation in certain areas and he describes it as like being more like hair around the chin area, and also being heavier than their peers.

It's very interesting, but it's dead on.

And this is like bc. This is before Christ, like this is before.

Yeah.

You know, anything we know in, in modern medicine has ever come, but,

but females existed.

So females existed.

Yeah.

And females.

But

Dr. Kay : this condition existed back in that day.

It's such an eyeopening experience.

For me at least.

That was what drawn me into this condition.

Back in the day, and this was before medical school for me, I was very interested in sciences and research.

I was like, I have to know about this.

Yeah.

Dr. Kay : And at the time, now this is my past, not ancient times, but feels like ancient times.

Early two thousands.

I started, with actually in LA and at Cedar-Sinai, doing some research on polycystic orient syndrome with amazing group of researchers.

And I was not even in medical school, I was just a researcher.

Yeah.

And I was fascinated.

At the time we didn't know, but we knew there was an association between this syndrome.

Not having cycles.

Yeah.

Having a little bit of excess, what we call the androgen male steroids.

Right?

Like we, we think like women have estrogen and men have testosterone.

Well, we both have, both men have estrogen, men have testosterone.

They have more testosterone than we do.

And on the other hand, we have a little bit more estrogen and less testosterone.

We, we have it both.

Mm-hmm.

But in PCO, women have higher androgen levels for the most part than their peers.

They can.

And that gives them this whole hair issue.

Or acne uhhuh, or sometimes even to the extent male pattern baldness, right?

Okay.

I mean, some people can present with this.

And the other piece is because they have these excess androgens, their cycles are not regular.

Alright?

So that's that piece.

And then the other piece with the PCO is it all starts at the time we didn't know, but it all starts with insulin resistance.

Right.

So this impacts their future and their pregnancies because I think part of what we wanna discuss here, like how does this PCA impact women when they wanna get pregnant, and God forbid they do get pregnant, does that mean their pregnancies are gonna be a little impacted by it?

And it's all Yes, yes, yes.

The answer is yes, yes, yes.

And that's why so important that people know if they have this condition or not.

So, and then the other piece, like how do you diagnose it?

Why should a woman suspect it and who is she going to go to and how is this going to get diagnosed?

This is one of these conditions.

The reason it doesn't get diagnosed as often as it should is because it's got some kind of a complicated way of diagnosing.

It's a syndrome.

So you have to have certain number of presentations out of three.

The easiest way.

Yeah.

The easiest way that we know, to diagnose it is okay.

We suspected.

Let's ask you a couple of questions.

So when patients come to me and it's like, oh, I think I might have PCOS, or somebody told me I might have PCOS, and it's like, okay, how many cycles do you have in a year?

Because normally we ask them, do you have regular cycles?

Well, that's a, I think it's a dumb question.

Because a woman knows her own cycles.

And of course the your own cycle is gonna be regular to you, right?

Yeah.

That's what you experience.

If I have eight cycles a year, I have eight cycles a year, and that's my normal.

Yeah.

But that's not normal to me.

That's not regular to a physician trying to diagnose you with P two I.

So what I usually ask my patients, like, how many cycles do you have in a year?

Okay.

Right.

Is it 12?

Is it 10 or is it four or five?

Right.

So when patients say like, I have zero, I was, okay, let's discuss some more.

Yeah.

Or they say like, well, yeah, I don't care.

Like I go through like four months, four, five months during summer, I have no periods.

It's like, okay, let's talk about that.

Let's figure out what's going on.

So that's number one.

Irregular cycles, but irregular, anything that's more than 35 days is pretty irregular.

Okay.

All right.

And the second piece is with the cycles, if they can figure out is like, what?

Do you have symptoms?

Because most women out there will tell you it's like, or their husbands or their partners will tell them.

It's like, yeah, in two or three days we're gonna have a period.

Yeah.

'cause they have some symptoms.

They, they crave chocolate, they crave certain foods or they're, they're cranky, miserable, cranky.

Yeah.

Or they're just angry at the world.

And their children will tell them if they have a child or two.

So, you know, our friends like you can tell this, say those are the women who ovulate because if you don't ovulate, you don't have those symptoms.

Right.

I really am thinking my doctor

misdiagnosed me.

Do you think so?

Yeah, because I, I have all of that.

I, I'm honestly, as you're talking Yeah.

Thinking the reason I was so, because after I had my last son, yeah.

My periods have been regular, really?

Like less than, because they used to be more than 40 days.

And, but that's literally the only sign I had.

But now I'm just wondering if it's just because I was getting pregnant and nursing all the time.

Dr. Kay : Yeah.

You, and not polycystic, you know?

Yeah.

Dr. Kay : Because I don't have any of

the other things.

Dr. Kay : I know I, and I do have

PMS symptoms.

Yeah, for sure.

Exactly.

So

Dr. Kay : if you are actually, if you're ovulating with PMS symptoms, most likely you don't have PCOS that I'm thinking.

I don't That is criteria, yeah.

Irregular ovulation.

So the problem is like, you know, these.

Unfortunately, PCO patients will bleed or start bleeding, not because they ovulated because it's been 2, 3, 4 months.

And then that lining, the uterine lining is shedding, is thickening.

It's thickening.

Yeah.

And, and now it's shedding because, you know, there's no progesterone, estrogen can support it, so they start shedding.

But it would literally, I mean, some of the stories that I hear from my patients, they would be walking down the street and all of a sudden it's like.

Okay.

I'm bleeding through my pants.

I'm soaking through everything I have, and I was just so embarrassing.

They have to rush and because they have no idea that it's about to happen.

Okay,

so that is not me.

I definitely have terrible cramping.

I have symptoms.

I'm cranky, I'm craving, so I feel like she just die.

And what's interesting to me is she diagnosed that with me younger because I had cys.

Dr. Kay : Ah, okay.

So that's the other piece.

So, so you can have this irregular cycles, that's number one criteria.

So we are gonna do two out of three in this scenario, which is almost like a puzzle, right?

But this is the number one.

And most actually there is an androgen access society.

And their criteria says like, you have to have irregular cycles and no ovulation or irregular ovulation.

'cause otherwise, if you have the other two, it doesn't make you A-P-C-O-S patient.

I mean, truly, okay, this is a, not functioning properly.

Ovary and it's a ovarian issue.

Yeah.

So you have to do this ovarian aspect presentation.

The other two presentations are like, you have to have one other is one on the ultrasound.

You know, for many reasons.

People go to ultrasound, we send our patients to ultrasound, and the sonographer goes like, oh, you might have P two s because I see a lot of eggs.

That is true.

Yeah.

If they see more than 12 eggs on each ovary.

Or follicles, it might be a reason like the criteria for diagnosis.

So 12 more than 12 eggs on one side, or follicles on one side, that that measure a certain size.

Right.

So a sonographer, if you, I mean, some patients come to me and say like, oh, the sonographer told me I may have PCOS.

Well, I mean, it's not for the sonographer to diagnose number one.

Yeah.

They, they could definitely give you that piece.

They might tell you, okay, you meet one out of the three criteria, but please talk to your doctor is a better approach than that, than alarming the patient.

Because there are a lot of patients who regularly ovulate and they have no symptoms and they happen to have a lot of eggs that does not make a patient have this syndrome.

Okay?

'cause this syndrome, once we, when we say, when we tell patient like, you have PCO.

Then we have to talk to them because there's more that comes with it.

Yeah.

You know, diagnosing it is not the, I mean, it seems like challenging because it's so complex, but once we diagnose the patient, then we truly believe that she has the syndrome, then we really need to educate them on what that means for their.

Life because it's a chronic condition.

Yeah.

And the third piece is some kind of evidence of this high androgens, like high testosterone or andro steroid or DHEA.

So the high androgens, what do they do?

They give us the excess hair, and usually that's the question I ask them.

Do you pluck yourself every day?

Do you do waxing?

Do you do laser treatments?

Do you find yourself going there back more often than your friends and then you say yes.

I mean, some of them shave every day.

I mean, this is facial hair.

This is the hair that you don't otherwise find anywhere, or they're very shy.

See, I've never had any of that.

Yeah, some summer.

I've never Summer.

Like these are the patients who would be embarrassed to wear like bikinis and stuff, or unless they shave every day.

Yeah, because they have this abdominal hair.

The pubic hair is becomes male pattern, so we call it the interesting male pattern, abdominal hair, because the woman's hair should be like more pubic hair should be more triangular and stops at the abdomen or low abdomen.

But in the PCO patients can be a line on their.

All the way to the belly button.

Yeah.

So that's another reason.

Or, some, some hair growth around the nipples.

That's very common too.

Yeah, it could happen.

Yeah.

Or, in some cases, again, what we call the baldness, like they have so much androgen that they lose some of the hair around the scalp, which is very traumatizing actually.

I, so these are some, I'm feeling all

of this is traumatizing.

Yeah.

It's, that's a lot to deal with.

It's, and to feel about your self image and all of that, and then Yeah, also having a hard time getting pregnant.

Dr. Kay : Yes, yes.

Yeah.

So usually the irregular cycles, and it starts early ages, these women.

They start, the condition starts with insulin resistance, and that happens in adolescent years.

So if you have a 12, 13, 14, 15-year-old girl, pretty much their PCOS starts with this insulin resistance or those early ages.

And then these are the girls we see.

We tend to see that they, because it's a metabolic disorder, it hasn't hit the overs yet, but it will, the insulin resistance makes them more metabolically challenged.

So they exercise and they don't, they seem to put on, start putting on weight.

The other question I ask my patients, if they see me for infertility in their thirties, it's like, what was your weight like when you were in high school?

And then it's usually 10, 15, 20 pounds less than what they are today because weight creeps up because of the insulin resistance.

It's so, I'm literally un diagnosing myself.

Dr. Kay : Well, you might not have the typical presentation.

I don't think I have it.

I really don't.

I don't.

Yeah.

But as you can imagine, in those teenage years, they don't come see me because they have too few periods, right?

No, I mean, if they spent through summer, they're through summer, like, you know.

Yes, exactly.

Like I have no periods this summer.

Yeah.

And it's like, okay, they're happy, everybody's happy when they're not having periods.

Do these girls usually start their periods later than other girls?

Yes.

Dr. Kay : Yes.

Okay.

Dr. Kay : They're, they're the ones who present like maybe 14, 15.

Yeah.

Or they have like one cycle and then they don't have another one for, you know, a year.

Right.

Because they're ing and the system.

So that was me.

Yeah.

Yeah.

Was, but then I got pregnant.

Dr. Kay : Yeah, exactly.

So I think it'll be really hard to diagnose you Yeah.

For your previous years because of the number of pregnancies you have.

Yeah.

And the number of naturally occurring non, you know, atory cycles you had.

Yeah.

'cause we had a good explanation.

Either you were pregnant or you were breastfeeding.

Yeah.

Which was pretty much all of the nineties.

Oh yeah.

Dr. Kay : Yeah.

I always joke I didn't buy diapers one year of the nineties.

Exactly.

Because I had so many kids, so, so I could have it, I just, you could have it.

It's hard.

Yeah.

Interesting.

Because I did start late over

Dr. Kay : time you, I mean, you have less eggs, so they produce less androgens and then probably the syndrome.

You know, result itself over time, that's very possible too.

Okay, so she might have been right.

Yeah, and

I'm wrong.

Yeah, I'm, I'm not, yeah, she might, yeah.

Dr. Kay : So it's gonna be very hard.

Yeah.

But, so I usually, we don't see these young girls at that early age for that problem, but we, we do see them for hair growth because that's, you know, that needs to be right.

Those are the ones who just, you know, pluck, wax, laser, whatever, like they, they're seen by their dermatologists.

But those are the, if you think back now, you were four or 30, and then that was your teenage years, it's probably.

You might have the condition now.

So is it

better for these girls to see you younger?

Dr. Kay : Well, I, I think so, because then we can help them, right?

They can tell, that's what I'm wondering.

Tell this is happening because for insulin resistance and the best way to correct insulin resistance is the lifestyle intervention.

Okay.

Please continue exercising and change your diet, lower the carbs.

And of course, like, you know, telling this to a 17-year-old at the prime of their like french fry eating years, it's not gonna board

well, not much, but at least

Dr. Kay : they'll know.

Right?

Dr. Kay : At least they'll know.

But if you tell

them.

I mean, will that help them with the late in life syndromes?

Like the male pattern baldness and the pubic hair?

Because if you tell a teenage girl, listen, lay off the McDonald fries.

'cause otherwise you're gonna go bald and have Yeah.

Male type pubic hair.

They might listen, right?

Yes,

Dr. Kay : they might.

Yes.

That is speaking their language.

Yes.

Dr. Kay : Or if you're gonna tell them, okay, we can, we can control this hair growth.

What's called hair ps. Yeah, hair growth by.

Adjusting things in your lifestyle, I think they will be very receptive.

Right.

And the other piece is, if they're sexually active, they might be thinking about some kind of birth, contraception anyway.

And we'll go like, how about some birth control pills?

Yeah, right.

Because that also reduces, like that's a treatment for heroism.

So if they have, and also.

You know, control their, hormonal balance, right?

And give them the regular cycles they might need.

So there, there are options that we can control if.

They have issues that early on.

Okay.

But also they will understand that, okay, I have this condition.

I don't wanna do anything with that because nothing is bothering me now, which is fine.

You know, that's kind of the teenage years, right?

Nothing bad ever happens to us.

Yeah.

But at one point it's like, I have this condition.

Maybe I wanna do something about that later on.

Okay.

And these are the things that I might expect.

That could happen to me.

And these are the ways that I can change that from happening because these women also are very high risk for, de developing gestational diabetes and type two diabetes after their pregnancies.

Because of the insulin reasons, and that's another discussion I usually have with them.

It's like, okay, everything is fine with you 'cause you are young, you're healthy, and your body compensates for everything.

So you can have a hundred grams of carbs and your body will scree the insulin that you need.

I miss those days, but at one point it's gonna come, you know?

Yeah, our bodies will just, as we get older, you'll be more prone to any of these things.

Or I sometimes warn the ones like, okay, you might not have the weight gain issue.

You might not have any of these things.

You're the lean PCO, which we have, but you still have PCOS, and you know, after you stop the birth control pills and you're trying to get pregnant, you might have some challenges.

You might find yourself not ovulating because all your friends will tell you like, okay, on the 14th of the month, I'm ovulating.

Or on the 20th of every month I'm ovulating, and then I, that's when I have intercourse to get pregnant.

And you'll be like, uh, none of that is happening to me because I don't have any periods for six months.

So those are the things we can discuss when they're teenagers.

But let's say most of the patients who come to me, they come to me because they stop the birth control pill.

Mm-hmm.

And they wait and nothing is happening.

Nothing's happening, or they bleed once they say like, okay, that's my period, you know, and then they plan for having intercourse and there's no period again.

For 40 days or 50 days, and it's like, I don't know what I'm ovulating, or they wear the ordering or they Yeah.

Try to chart things.

Yeah.

It's like, I don't know what I'm ovulating.

And it's just so bizarre because nobody else relates to that.

Right.

Because everybody else are on them.

They go like, what do you mean you're not ovulating?

I know exactly when I'm ovulating because my app tells me when I'm ovulating.

Yeah.

And they're a little confused.

S Rightfully so, right?

Because everything that we have to help us, even on the digital, like stuff that we're wearing or looking at our watches or apps, therefore people who ovulate when you don't have regular cycles.

Mm-hmm.

Then everybody's a little confused and they said like, but I always have regular cycles.

Well, you were on birth control.

You didn't have really ovulatory cycles.

We were like, the hormones were making you bleed.

Okay.

And when the hormones are gone.

And now you're waiting for your ovulation.

That may or may not happen.

So now the other thing is like, they say like, am I not ovulating at all?

But most physio women actually do ovulate on and off at one point, but the predictability is gone.

Mm-hmm.

So, I mean, to today, just literally right before, and our, conversation now, I had a patient who says like, well, we're having intercourse every other day, so we don't miss this.

She has PCO.

I was like, oh my God.

Like you can only do this for so long.

I mean, she's young and healthy and there, but I mean you, this is not a lifestyle.

Yeah.

That's not a sustainable, right.

No.

Yeah.

And then of course, let's talk about what happens.

They could get pregnant.

But miscarriage rates could be a little higher for a PCO woman.

Yeah.

And that's very challenging topic because they said like, why, you know, I'm only 31 years old.

Why are my eggs not giving me healthy babies?

Well, I said like, you have the same number of healthy eggs, like a 31-year-old, but we have more eggs to choose from every month.

So when you're trying on your own, statistically speaking, your odds of having a unhealthy baby, which would lead to a miscarriage is higher.

It's harder for them to understand.

But I just want PCO woman to understand also when they do get pregnant spontaneously, they're at a higher risk for miscarriages.

And that's another reason why I see them.

They say like, okay, it took me a while before we got pregnant because I wasn't having regular cycles, but we did get pregnant and you had a loss.

You had a loss.

Yeah.

Which is also devastating.

So let's get to the good news.

Yes.

Let's, let's get to what can we do?

Because I know this topic so far is really heavy.

Dr. Kay : I know.

It is heavy.

Yeah.

It comes with it downs.

But I think that's why it's like, I want people to understand having irregular cycles is not normal.

Yeah.

And if, if something is bothering women about their menstruation, and for us, for gynecologists, their menstrual cycles is one of their.

A woman's vital signs.

Yeah.

It's as important as their blood pressure and, and oh my goodness.

Like, okay, that's so we can't worry

about our hair as much because her hair is really bad.

Right.

Dr. Kay : It's like growing outta everywhere.

Everybody knows Tula is always with me, so, you know, it's just part of the program.

Anyway, sorry.

So, so,

Dr. Kay : okay.

So for PCU patients, does it matter at what age they come to me, I'm super hopeful.

What now?

We have so much information on PCOS number one.

Yeah.

Number two, my, my field is wealth of like experience and medical evidence that will help them, that will support my statement that we will most likely get most PCO patients pregnant with a healthy baby.

In no time.

And that is, is the bottom line that, that, that is really the whole about that.

The good news, news we've been waiting

for ladies.

So I, so I know you told me that you're in San Francisco, which I love San Francisco.

I did a lot of my travel career as a travel nurse in this, the Bay Area, so That's true.

Yes.

Yeah, that's awesome.

So for these women who are in the Bay Area, obviously they can come to you.

Yes.

So we'll tell them how to find you, but do you help people out from, like, do people come from other areas to you?

Yes.

Or do you have resources?

Dr. Kay : Okay.

Yes.

Yes.

Do people come to us from, well, first of all, as you can tell the way I speak, I'm not the Native Bay area person.

I'm a, I'm international.

So I have a lot of international patients, which is most of the Bay Area.

Yeah.

Which is the Bay Area, right?

Yeah.

And HRC.

Is also, we're the largest in fertility center in California, mostly in Southern California.

Anybody thinks about egg freezing?

IVF, any type of reproductive health?

Immediately mine goes to HRC because we're huge.

Yeah.

But we're.

The Bay Area in San Francisco.

We just recently started, so we're very, very excited to bring HRC to the Bay Area.

And but we do see a lot of international patients.

I see patients nationwide who come to the Bay Area because that's, it's a nice place.

Yeah, yeah.

To get a treatment.

And also we serve the international population through HRC too.

We do the largest.

Third party reproduction but that's kind of our.

Specialty.

Okay.

Dealing with patients who are not necessarily local.

Okay.

We make it very easy for them and their patient experience will be seamless and, excellent.

I love it.

And, that we take pride in that.

That is for me, kind of why I exist is about the patient experience because as we talk, there are a lot of things goes into how, you know, diagnosing a patient, treating a patient and sometimes can be stressful.

You know, do I have it?

Don't I have it?

Who's my doctors?

We just wanna make sure that they come and their journey is going to be pleasant.

And PCO patients is.

Definitely have no reason to worry about anything because the science is there and our help to them is there and it comes in different.

Tier or levels mm-hmm.

That they're comfortable with because it could be as easy as, okay, let's change your lifestyle.

How about we start with that?

Right.

Or they say like, I've done that.

You know, I'm in the next step.

It's like, how about we start with some pills and we try to do some insemination there.

Levels and levels and levels of treatment for PCOS, depending on how little they wanna do or how,

they want to implement science and technology and they wanna just go for it.

And it's like if somebody says like, okay, I've been dealing with this for my entire life.

I know what it means and I don't wanna take baby steps, like I'm here for a baby.

They're ready to go.

It's like, okay, there we go.

Let's, let's, yeah.

I mean that the PCO patient is the patient that can promise.

A baby within a couple of months with no hesitation because we know how to find the good eggs.

We know how to get them pregnant.

That is a good promise.

We know, have them keep them healthy.

Yeah, those are big promises.

But again, that's why it's very hopeful.

I mean, if your diagnosis is PC and PCO only and that's kind of what gets you, between you and your baby, we're here to help.

That's definitely.

We have solutions and your, and your website's really easy.

So tell everyone your website,

having babies, having babies.com, because that's what you want.

Yeah, that's what we want.

I love it.

Dr. Kay : And having babies and actually like this was back, I mean, we've, we've been around HR C I've been around for like 35 years and sometimes people like, I don't wanna have a baby now.

But at one point you want a baby maybe?

Yeah.

So I said I think it should be more like having babies whenever you want.

Should be the website.

But it's really a website.

'cause we do increasing great.

We banking.

Yeah.

I mean it's a great website.

So I also do business coaching for women.

A lot of women in the birth, you know, babies space.

And I tell them all the time, make your website, make your username super clear.

And that is a really clear website name.

Yeah, I know.

It's very easy to remember.

Yeah.

I love it.

So I, I love this.

I try to keep my episodes less than 30 minutes because I know my moms, they don't like to listen long, but I, I'm, I want you guys to, to really hear this, like, this is so promising and I love it that you're saying, because I feel like that's not always what they hear.

True.

Right, true.

You know?

True.

Dr. Kay : It's like kind, it kind of like these diagnosis comes like, first of all, if you diagnose somebody with a condition that they're somehow familiar with and it's all negative, I, I think that stops there.

They don't listen to anything else.

Yeah.

I think if any patient listening to this, they might wonder if they have P two s or not, or they just heard that they have P two s.

You will have no issues getting the right treatment.

And the right treatment will get them to their healthy babies.

I think that's what they need to hear.

I love that, that because they have nothing but eggs.

Yeah.

The most women, what they suffer in infertility or in my world is like they don't have enough eggs.

We can't find the good eggs.

Right.

These women, they have nothing but eggs.

Yeah.

If somebody comes to me at the age of 40, even in their forties and they wanna have baby I, I know I can get a piece of woman pregnant because they have nothing but eggs.

Nice.

Okay.

We have eggs.

Yeah.

Look for good babies.

Yeah.

So it's fine.

Yeah.

So

that is the good news when it comes to this.

Yes.

Because the rest of it, like having the male PA pattern ness, having the other problems has been a lot for them.

Yes.

A lot for them to have to handle.

Dr. Kay : Yeah.

And over time that gets better.

Okay.

'cause inevitably, just like every other woman, our eggs kind of die on us.

They disappear.

Yeah, they go away.

Right.

And, but that what happens with PCO women is like that excess number of eggs as they age will go away.

And then, yeah, the hormonal balance will just regulate itself.

Okay.

And some of the women actually find themself having regular periods after a while, excess androgens not being a problem as much.

So over time, everything gets better.

Okay.

And do they tend to go through perimenopause and menopause later in life because of all this or, yes.

Yes.

Okay.

I

Dr. Kay : mean, like usually we do what our parents do.

Moms do, not parents, moms do.

Yeah.

Or siblings do.

That when it comes to menopausal years, and usually if a woman has PCO, probably her mom has it too.

Okay.

And those are good, good predictors of when they're gonna go into menopause.

Okay.

But theirs is usually later.

They don't have early menopause issues usually.

Okay.

Okay.

All right.

Well, thank you so much for coming today.

Kay.

I'm sorry that I surprised you with video, but you look great.

I know that's okay.

And we did it and Tula made an appearance, so it was fun.

But we, yeah, I'm so, I'm so glad you're here and especially for this month.

So this is perfect.

Yeah, of course.

This

Dr. Kay : is an important month.

Of course, we didn't always have this for our PCO woman.

I'm so happy that, that we're aware that we're just able to talk about this condition.

All right.

Well thank you so much for coming today.

And you guys, you guys all heard that you can find Dr. K on having babies.com.

And for those of you guys who are here who potentially have PCOS and have felt like exasperated and like.

And frustrated.

I hope this has given you some hope.

So we are gonna celebrate those babies with you guys.

As always, make sure you guys hit subscribe, leave a review, tell us what you love.

Tell us if you have any questions, and I'll see you again next week.

Bye for now.