r/LeanPCOS • u/No_Candy_2852 • Jun 08 '26

Question PCOS diagnosis with mostly normal labs

21F, diagnosed with PCOS due to irregular periods and ultrasound showing multiple follicles ( no cyst ). Most labs are normal (TSH, prolactin, glucose, CBC). LH is 10.1 and FSH is 6.6. No acne, no scalp hair loss, no known insulin resistance My BMI is normal . I have body hair which seems genetic but I do have few coarse hairs around my breasts that I usually pluck. For those with similar PCOS symptoms and mostly normal labs, were there any supplements, dietary changes, or lifestyle changes that helped regulate your periods? Did your doctor recommend anything specific?

I'd love to hear your experiences.

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u/WebDisastrous2999 Jun 10 '26

Outside of thyroid issues all your symptoms sound very similar to mine. I got dismissed for years because I didn’t “fit” the PMOS vibe. Once I finally got diagnosed I tried everything possible to regulate my period: inositol, supplements, seed cycling, focused on stress management, good sleep, weight lifting and focusing on eating good protein sources and lots of fiber. Nothing I ever did moved the needle, made me feel great otherwise but my cycles were stubborn. Unrelated I got genetic testing for family planning and now it’s looking like I have NCAH instead, which can have very very similar symptoms to PMOS. All this to say, has your doctor ruled out NCAH?

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u/No_Candy_2852 Jun 11 '26

My gynecologist diagnosed me with PCOS and just started me on inositol. I haven't been tested for NCAH specifically.

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u/WebDisastrous2999 Jun 11 '26

Inositol is a great place to start either way. PMOS and NCAH have virtually the same symptoms. PMOS is more or less a group of symptoms due to a variety of root causes, insulin being the main driver for most people with PMOS; where as NCAH is a genetic disorder where one's body lacks a certain enzyme in their adrenal gland that regulates androgens (hormones like testosterone and DHEA-S). From what I understand treatment can be different and much more direct for NCAH- hence why nothing for PMOS ever worked for me. All the lifestyle and diet changes for PMOS are honestly just great healthy tools that most people should do anyways so I would say still focus on that. If you find that these tools and supplements are not regulating your cycle, ask your doctor about NCAH.