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PCOS

PCOS

PCOS Treatment at Lane Cove Acupuncture

TCM-guided care for Polycystic Ovary Syndrome at our Lane Cove clinic — addressing root patterns with acupuncture, herbal medicine and lifestyle support for hormonal balance and fertility.

Book a Session Fertility at Lane Cove

Understanding PCOS from a TCM Perspective

Polycystic Ovary Syndrome (PCOS) is one of the most common endocrine disorders affecting women of reproductive age, estimated to affect 8–13% of Australian women. Characterised by hormonal imbalance, irregular or absent menstruation, elevated androgens, and polycystic ovaries on ultrasound, PCOS presents a complex clinical picture that conventional medicine manages primarily through the oral contraceptive pill, metformin, or ovulation-induction medications.

At Lane Cove Acupuncture, we view PCOS through the lens of Traditional Chinese Medicine (TCM), which offers a nuanced framework for understanding why different women with PCOS experience the condition so differently — and how to tailor treatment to the individual rather than to the diagnosis. The majority of women with PCOS whom we see at our Lane Cove clinic present with one or more of three primary TCM patterns, often overlapping:

Kidney Deficiency

The Kidneys in TCM govern reproductive vitality, hormone production and the fundamental Yin and Yang of the body. Kidney Yin deficiency may present with scanty periods, night sweats and a wiry or thin constitution. Kidney Yang deficiency presents with absent or delayed cycles, cold extremities, fatigue and weight gain. Both patterns impair the Kidney's role in driving the rhythmic hormonal cascade that governs the menstrual cycle.

Phlegm-Damp Accumulation

This pattern, associated with Spleen Qi deficiency and metabolic sluggishness, is particularly relevant for women with PCOS who experience weight gain, facial oiliness, heavy or absent periods, and insulin resistance. In TCM, Phlegm-Damp obstructs the Uterus and reproductive channels, preventing the egg from maturing and releasing. This pattern corresponds closely to the metabolic PCOS subtype recognised in reproductive medicine.

Liver Qi Stagnation

The Liver regulates the smooth flow of Qi and Blood throughout the body and is profoundly influenced by emotional stress. Women with PCOS who experience significant PMS, mood fluctuations, breast tenderness, pain with periods and stress-related cycle irregularity often present with a significant Liver Qi Stagnation component. The Liver's role in regulating hormones and supporting Spleen function also makes it relevant to the metabolic aspects of PCOS.

Acupuncture and LH/FSH Normalisation

Research into acupuncture for PCOS has produced encouraging findings, particularly regarding hormonal normalisation. Multiple studies, including those conducted by Professor Elisabet Stener-Victorin's group at the Karolinska Institute in Sweden, have investigated the mechanisms by which acupuncture may influence PCOS:

  • Reduced sympathetic nervous system activity: PCOS is associated with elevated sympathetic (fight-or-flight) tone, which contributes to elevated androgens and ovarian dysfunction. Acupuncture measurably reduces sympathetic activity and normalises the hypothalamic-pituitary-ovarian (HPO) axis.
  • LH/FSH ratio improvement: Women with PCOS characteristically have an elevated LH:FSH ratio (often 2:1 or greater), which disrupts follicle development. Acupuncture studies have demonstrated reductions in the LH:FSH ratio toward the normal 1:1 range.
  • Androgen reduction: Both electroacupuncture and manual acupuncture have been shown in clinical research to reduce circulating androgens (testosterone, DHEA-S) — the elevated androgens responsible for acne, hirsutism and male-pattern hair thinning in PCOS.
  • Improved menstrual regularity: Multiple trials have demonstrated increased frequency of ovulation and improved menstrual regularity following a course of acupuncture treatment for PCOS.

Important note: Research into acupuncture for PCOS is ongoing and involves variable study quality. Our practitioners at Lane Cove Acupuncture do not claim acupuncture cures or definitively treats PCOS. We offer it as part of an integrative approach alongside conventional medical management and evidence-based lifestyle modification. Always continue working with your GP or gynaecologist.

Chinese Herbal Medicine for PCOS

Herbal medicine is often a crucial component of TCM treatment for PCOS, as it provides sustained therapeutic input between acupuncture sessions and addresses the constitutional pattern more comprehensively. Formulas are always individualised to the patient's specific TCM pattern — what works for a Phlegm-Damp pattern differs significantly from what is indicated for Kidney Yin deficiency.

Key formulas and herbs used in PCOS treatment may include:

  • Cang Fu Dao Tan Wan: The classical formula for transforming Phlegm-Damp and regulating menstruation — one of the most directly indicated formulas for the metabolic PCOS presentation.
  • Gui Zhi Fu Ling Wan: For Blood stasis with cold, commonly used when polycystic ovaries are accompanied by dysmenorrhoea and palpable masses.
  • Er Xian Tang: A modern formula targeting Kidney Yin and Yang deficiency simultaneously, with specific research into menstrual regulation and hormonal balance in perimenopausal and PCOS patterns.
  • Xiao Yao San and variations: For the Liver Qi Stagnation component, supporting smooth Qi flow, reducing PMS and supporting emotional wellbeing.

All herbal prescriptions are prepared and dispensed by AHPRA-registered practitioners. We source herbs from quality-assured suppliers who test for heavy metals, pesticides and microbial contamination.

Lifestyle Support: Blood Sugar, Diet and Stress

TCM cannot be separated from lifestyle — and for PCOS, several lifestyle factors are so central to the pathology that no treatment approach (conventional or traditional) achieves its potential without addressing them.

Blood Sugar and Insulin Sensitivity

Insulin resistance is present in 50–70% of women with PCOS and drives elevated androgen production regardless of body weight. A low-glycaemic, anti-inflammatory diet that prioritises whole grains, legumes, vegetables, quality protein and healthy fats supports insulin sensitivity in a way that directly reduces androgen-driven PCOS symptoms. Our practitioners provide dietary guidance as part of the TCM consultation, within our scope of practice.

Stress Management

Cortisol from chronic stress directly stimulates androgen production and disrupts the HPO axis. For many women with PCOS in Lane Cove, Artarmon and Neutral Bay who carry demanding professional and family lives, stress management is one of the most impactful — and often most neglected — components of PCOS management.

BBT Charting

Basal Body Temperature (BBT) charting — recording your temperature each morning before getting out of bed — provides a detailed picture of your menstrual cycle, ovulation (if occurring) and the hormonal patterns underlying your cycle. Our practitioners use BBT charts alongside TCM pulse and tongue diagnosis to monitor your progress and refine treatment over time.

Fertility Implications and IVF Outcomes

For women with PCOS preparing for conception, whether naturally or through IVF, TCM treatment aims to optimise hormonal balance, improve egg quality, support endometrial receptivity and reduce the risk of ovarian hyperstimulation syndrome (OHSS) — a significant risk with PCOS during IVF stimulation. See our fertility page and women's health page for more comprehensive information on our fertility support programme.

Pricing: Initial TCM consultation 90 min — $150. Follow-up 60 min — $110. Herbal/Telehealth consultations 45 min — $90. HICAPS private health rebates available (Medibank, BUPA, HCF, NIB, HBF, AHM).

Frequently Asked Questions

Acupuncture and Chinese herbal medicine can support ovulation regularity, hormonal balance and uterine receptivity — all relevant to conception in PCOS. We are not able to guarantee pregnancy outcomes. We work collaboratively with your reproductive specialist to support your fertility journey, whether through natural conception or IVF. Please continue working with your GP or fertility specialist alongside TCM treatment.

Most women with PCOS benefit from a minimum of three months of consistent TCM treatment — this corresponds to approximately three menstrual cycles. Significant changes in hormonal patterns, menstrual regularity and ovulation typically become apparent within this timeframe. Some women continue with maintenance treatment monthly or seasonally thereafter.

Yes. Many women take the oral contraceptive pill as part of their PCOS management and begin TCM treatment concurrently. If you are planning to stop the OCP to conceive, TCM can be particularly valuable in the transition period, supporting the return of your own hormonal cycle. Always inform your GP of all treatments you are receiving.

Yes, with appropriate modifications. Certain herbs and acupuncture points are avoided when trying to conceive or during pregnancy. Your practitioner will take a detailed reproductive history and adjust treatment accordingly. Telehealth consultations are available if clinic attendance is difficult.

Yes. We strongly encourage collaborative care and are happy to communicate with your specialist (with your written consent). We can provide a treatment summary letter if required. We view TCM as a complement to, not a replacement for, conventional gynaecological and reproductive medicine.

Restore Hormonal Balance with Personalised TCM Care

Book your PCOS consultation at Lane Cove Acupuncture. Open Monday to Sunday, 9am–9pm. Serving women across Lane Cove, Artarmon, Neutral Bay, Chatswood and North Shore Sydney.

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PCOS