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In this episode, Dr. Danielle answers three questions related to women's health. She discusses how to shorten long menstrual cycles, the relationship between high testosterone and PCOS, and the best exercises for women with PCOS. She emphasizes the importance of comprehensive testing to identify the underlying causes of long cycles and high testosterone. Dr. Danielle also provides recommendations for strength training and walking as effective exercises for women with insulin-resistant PCOS, and suggests lower impact workouts like Pilates and yoga for other types of PCOS.

Takeaways

• Long menstrual cycles, lasting more than 35 days, can be caused by delayed ovulation, often related to insulin resistance, excess adrenal androgens, or inflammation.
• Comprehensive testing is important to identify the underlying causes of long cycles and high testosterone, including insulin levels, adrenal androgens, thyroid function, and prolactin levels.
• High testosterone does not always mean you have PCOS. PCOS is diagnosed based on high testosterone, irregular cycles, and polycystic ovaries seen on ultrasound.
• For women with insulin-resistant PCOS, strength training and walking are recommended to improve insulin resistance and glucose metabolism.
• For other types of PCOS, lower impact workouts like Pilates and yoga can be beneficial, as they help lower cortisol levels and reduce inflammation.
• Finding an exercise routine that is enjoyable and sustainable is key for long-term management of PCOS.

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