Women's Health
|
February 29, 2024

The Role of Berberine in Restoring Hormonal Balance in PCOS

Written By
Brittney Bertagna RN
Medically Reviewed by
Updated On
January 14, 2025

Are you experiencing challenges with hormonal imbalances that may be related to polycystic ovary syndrome (PCOS)? If so, you're not alone. PCOS is a complex condition that affects many women, influencing their endocrine and metabolic systems and often impacting fertility.

There is ongoing research into natural options that may support hormonal balance and overall well-being: one such option is berberine. Our goal in this article is to explore the scientific evidence suggesting that berberine may help with hormonal imbalances related to PCOS.

[signup]

What Is PCOS?

PCOS is a lifelong condition characterized by hormonal imbalances in women. Women can be diagnosed at any age, beginning at puberty, but many are not diagnosed until they are trying to conceive. About 8-13% of women in their childbearing years have PCOS, and obesity and a family history increase the risk.

Functional medicine approaches PCOS diagnosis as a whole by considering a woman's symptoms, medical history, physical examination, and laboratory tests. Unlike conventional medicine, functional medicine aims to address the root causes of PCOS and its associated comorbidities. Functional medicine focuses on understanding the underlying hormonal imbalances, insulin resistance, and metabolic dysfunctions that contribute to the condition.

Functional medicine practitioners may order various tests to assess hormone levels, insulin resistance, and other relevant markers. These tests provide valuable insights into hormone metabolites and other lab tests that evaluate glucose metabolism and inflammation. By utilizing these advanced diagnostic tools, functional medicine can provide a more personalized and targeted approach to managing PCOS.

When left unmanaged, PCOS can be associated with various health complications. These include infertility, type 2 diabetes, depression and anxiety, hypertension, and heart disease. However, taking a functional medicine approach to PCOS may help support the management of these associated health issues. 

Berberine and Hormonal Regulation: What The Science Says

Berberine is a naturally occurring compound found in various plants, including goldenseal, barberry, and Chinese goldthread. It has been used for centuries in traditional medicine for its potential health-supporting properties and has been studied for its ability to support metabolic and endocrine functions associated with PCOS, such as insulin resistance and hyperandrogenism. 

Insulin resistance is a common feature of PCOS and can contribute to hormonal imbalances and fertility challenges. Berberine has been shown in studies to support insulin sensitivity and help manage insulin levels, which may contribute to hormonal balance. Additionally, berberine has demonstrated the potential to support healthy androgen levels, which are often elevated in women with PCOS.

The precise mechanism through which berberine supports hormone regulation remains under investigation. It is believed, however, that berberine may interact with certain receptors in the body, such as peroxisome proliferator-activated receptors, which play a role in endocrine metabolism. By modulating the expression of these receptors, berberine may help support hormone levels and fertility outcomes in women with PCOS.

What Does Berberine Do To Hormone Levels?

In PCOS, hormonal imbalance can lead to symptoms such as acne, hirsutism (excessive hair growth), and irregular menstrual cycles. Berberine has been found in studies to support healthy serum androgen levels in women with PCOS, which may help promote hormonal balance. 

Furthermore, berberine has been shown to have an impact on insulin resistance, a condition that often accompanies PCOS. Insulin resistance occurs when cells are less responsive to insulin, resulting in high blood insulin levels. 

Berberine has demonstrated the ability to support insulin sensitivity and help manage fasting plasma glucose and insulin levels. By addressing insulin resistance, berberine may indirectly influence hormone levels, as insulin plays a crucial role in the regulation of various hormones in the body.

In addition to its effects on androgen levels and insulin resistance, berberine has been found to have a wide range of metabolic effects. It can support gluconeogenesis (the process of glucose production) and regulate lipid metabolism. These metabolic effects may contribute to the overall support of hormone levels in the body, as hormones and metabolic processes are closely interconnected.

Benefits Of Berberine For PCOS

PCOS is characterized by insulin resistance, which can lead to elevated insulin levels and androgen imbalances. This, in turn, can impact fertility and pregnancy outcomes. Despite this, berberine has been shown to have metabolic effects that could support fertility rates and reduce pregnancy complications in women with PCOS. 

Benefits Of Berberine For PCOS

By targeting insulin resistance, berberine may help support granulosa cell differentiation, follicle growth, and oocyte maturation. It can potentially support menstrual patterns, promote ovulation, and increase pregnancy rates. 

Women with PCOS face an increased risk of developing other health conditions like type 2 diabetes, cardiovascular disease, and mood disorders. The good news is that berberine's potential benefits extend beyond fertility.

Berberine may help support the management of type 2 diabetes, which is commonly associated with PCOS. Additionally, berberine has shown potential in supporting lipid metabolism and managing dyslipidemia, which is often seen in women with PCOS. These effects could have a positive impact on both metabolic health and cardiovascular well-being.

PCOS is often associated with depression and anxiety in women. The good news is that berberine may be able to support mood regulation and help manage depression and anxiety symptoms. Despite the need for more research in this area, these findings provide hope for those with PCOS who experience mental health challenges.

[signup]

Key Takeaways

The potential benefits of berberine for PCOS go beyond hormonal balance. In women with PCOS, berberine may support menstrual patterns, boost ovulation, and increase pregnancy rates. Furthermore, it may help reduce the risk of type 2 diabetes, support lipid metabolism, and manage dyslipidemia, which is commonly associated with PCOS. 

Further research is needed to fully understand berberine's effects and evaluate its impact on fertility and pregnancy outcomes in PCOS. Nevertheless, berberine shows potential as a supportive approach to promote hormonal balance and improve the overall well-being of women with PCOS.

The information in this article is designed for educational purposes only and is not intended to be a substitute for informed medical advice or care. This information should not be used to diagnose or treat any health problems or illnesses without consulting a doctor. Consult with a health care practitioner before relying on any information in this article or on this website.

Learn more

No items found.

Lab Tests in This Article

No lab tests!

1. Bertagna, B. (2023, December 18). Berberine For Diabetes: The Holistic Benefits for Managing Type 2 Diabetes. Rupa Health. https://www.rupahealth.com/post/berberine-for-diabetes-the-holistic-benefits-for-managing-type-2-diabetes

2. Christie, J. (2022, February 9). 6 Lab Test for Patients With PCOS. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-pcos

3. Christie, J. (2023, January 27). Top 6 Functional Medicine Labs to Test for Root Cause of PCOS. Rupa Health. https://www.rupahealth.com/post/top-6-functional-medicine-labs-to-test-for-root-cause-of-pcos

4. Cloyd, J. (2023a, July 20). A Functional Medicine PCOS Protocol: Comprehensive Testing, Therapeutic Diet, and Supplements. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-pcos-protocol-comprehensive-testing-therapeutic-diet-and-supplements

5. Cloyd, J. (2023b, December 1). A Functional Medicine Protocol For Balancing Blood Sugar. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-protocol-for-balancing-blood-sugar

6. Cloyd, K. (2023, September 7). Unlocking Hormonal Health: A Comprehensive Guide to Understanding and Choosing the Right Hormonal Testing for Your Patients. Rupa Health. https://www.rupahealth.com/post/unlocking-hormonal-health-a-comprehensive-guide-to-understanding-and-choosing-the-right-hormonal-testing-for-your-patients

7. DeCesaris, L. (2023, October 18). How Nia Was Able to Overcome PCOS Naturally: A Case Study Success Story With Functional Medicine. Rupa Health. https://www.rupahealth.com/post/pcos-case-study

8. DePorto, T. (2022, September 13). Understanding acne and how to treat it naturally. Rupa Health. https://www.rupahealth.com/post/understanding-acne-and-how-to-treat-it-naturally

9. Dybciak, P., Humeniuk, E., Raczkiewicz, D., Krakowiak, J., Wdowiak, A., & Bojar, I. (2022). Anxiety and Depression in Women with Polycystic Ovary Syndrome. Medicina, 58(7), 942. https://doi.org/10.3390/medicina58070942

10. Greenan, S. (2021, October 11). 7 Early Signs Of Insulin Resistance. Rupa Health. https://www.rupahealth.com/post/what-is-insulin-resistance

11. Ionescu, O.-M., Frincu, F., Mehedintu, A., Plotogea, M., Cirstoiu, M., Petca, A., Varlas, V., & Mehedintu, C. (2023). Berberine—A Promising Therapeutic Approach to Polycystic Ovary Syndrome in Infertile/Pregnant Women. Life, 13(1), 125. https://doi.org/10.3390/life13010125

12. Li, Y., Ma, H., Zhang, Y., Kuang, H., Ng, E. H., Hou, L., & Wu, X. (2013). Effect of berberine on insulin resistance in women with polycystic ovary syndrome: study protocol for a randomized multicenter controlled trial. Trials, 14(1), 226. https://doi.org/10.1186/1745-6215-14-226

13. Och, A., Och, M., Nowak, R., Podgórska, D., & Podgórski, R. (2022). Berberine, a Herbal Metabolite in the Metabolic Syndrome: The Risk Factors, Course, and Consequences of the Disease. Molecules (Basel, Switzerland), 27(4), 1351. https://doi.org/10.3390/molecules27041351

14. Palomba, S., Santagni, S., Falbo, A., & La Sala, G. B. (2015). Complications and challenges associated with polycystic ovary syndrome: Current perspectives. International Journal of Women’s Health, 7, 745. https://doi.org/10.2147/ijwh.s70314

15. Preston, J. (2023, March 22). Understanding the Link Between Women’s Mental Health and Hormones. Rupa Health. https://www.rupahealth.com/post/understanding-the-link-between-womens-mental-health-and-hormones

16. Rondanelli, M., Infantino, V., Riva, A., Petrangolini, G., Faliva, M. A., Peroni, G., Naso, M., Nichetti, M., Spadaccini, D., Gasparri, C., & Perna, S. (2020). Polycystic ovary syndrome management: a review of the possible amazing role of berberine. Archives of Gynecology and Obstetrics, 301(1), 53–60. https://doi.org/10.1007/s00404-020-05450-4

17. Sweetnich, J. (2023a, February 7). A Non Pharmaceutical Approach to PCOS. Rupa Health. https://www.rupahealth.com/post/a-non-pharmaceutical-approach-to-pcos

18. Sweetnich, J. (2023b, April 25). Complementary and Integrative Medicine Approaches to Type 2 Diabetes Management. Rupa Health. https://www.rupahealth.com/post/complementary-and-integrative-medicine-approaches-to-type-2-diabetes-management

19. Teeter, L. A. (2023, April 19). Natural Ways to Increase Fertility Through Complementary and Integrative Medicine. Rupa Health. https://www.rupahealth.com/post/natural-ways-to-increase-fertility-through-complementary-and-integrative-medicine

20. Weinberg, J. (2023, January 11). How To Test Your Patients For Metabolic Syndrome. Rupa Health. https://www.rupahealth.com/post/how-to-test-your-patients-for-metabolic-syndrome-a-functional-medicie-approach

21. World Health Organization. (2023, June 28). Polycystic ovary syndrome. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/polycystic-ovary-syndrome

22. Yoshimura, H. (2023a, November 13). Guarding Your Health: Proactive Steps to Ward Off Insulin Resistance. Rupa Health. https://www.rupahealth.com/post/guarding-your-health-proactive-steps-to-ward-off-insulin-resistance

23. Yoshimura, H. (2023b, November 14). Expecting the Unexpected: The Impact of Insulin Resistance On Pregnancy. Rupa Health. https://www.rupahealth.com/post/expecting-the-unexpected-the-impact-of-insulin-resistance-on-pregnancy

Order from 30+ labs in 20 seconds (DUTCH, Mosaic, Genova & More!)
We make ordering quick and painless — and best of all, it's free for practitioners.

Latest Articles

View more on Women's Health
Subscribe to the magazine for expert-written articles straight to your inbox
Join the thousands of savvy readers who get root cause medicine articles written by doctors in their inbox every week!
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
Are you a healthcare practitioner?
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
Subscribe to the Magazine for free to keep reading!
Subscribe for free to keep reading, If you are already subscribed, enter your email address to log back in.
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
Are you a healthcare practitioner?
Thanks for subscribing!
Oops! Something went wrong while submitting the form.

Hey practitioners! 👋 Join Dr. Chris Magryta and Dr. Erik Lundquist for a comprehensive 6-week course on evaluating functional medicine labs from two perspectives: adult and pediatric. In this course, you’ll explore the convergence of lab results across different diseases and age groups, understanding how human lab values vary on a continuum influenced by age, genetics, and time. Register Here! Register Here.