When HS and PCOS Co-Exist: A Common Inflammatory Root
Table of Contents
Introduction
For many women, the experience of Hidradenitis Suppurativa (HS) is not limited to painful skin lesions alone. Alongside recurring boils, sinus tracts, and scarring, many also struggle with irregular periods, weight fluctuations, acne, and infertility—classic signs of Polycystic Ovary Syndrome (PCOS).
What seems like two different diseases—one affecting the skin, the other the reproductive system—is often one systemic disturbance manifesting in two vulnerable tissues. At EliteAyurveda, we routinely see women diagnosed with both HS and PCOS, and in nearly every case, the underlying cause is a chronic, inflammatory, hormone-driven imbalance that conventional medicine treats in silos—but Ayurveda heals as a unified system.
🔥 HS and PCOS: Different Faces of the Same Fire
Common Overlaps We See:
| Symptom | HS | PCOS |
|---|---|---|
| Painful cysts or nodules | ✅ | ✅ (ovarian) |
| Irregular periods | 🚫 | ✅ |
| Excess facial/body hair | ✅ (linked via androgens) | ✅ |
| Acne or oily skin | ✅ | ✅ |
| Mood swings, depression | ✅ | ✅ |
| Obesity or insulin resistance | ✅ | ✅ |
| Infertility | 🚫 (not primary) | ✅ |
| Inflammation markers (CRP, IL-6) | ✅ | ✅ |
🔍 Ayurvedic Insight: These overlapping symptoms suggest Pitta-Kapha vitiation, Medo dhatu (fat tissue) dysfunction, and blocked Artavavaha & Swedavaha Srotas—channels of reproduction and sweat, respectively.
🧬 The Shared Root: Hormonal-Immune-Metabolic Breakdown
What’s happening underneath?
- Chronic low-grade inflammation
– HS flares occur due to a hypersensitive immune response
– PCOS develops from low-grade systemic inflammation that disrupts ovulation and insulin signaling - Hyperandrogenism (Excess androgens)
– Drives excessive hair, acne, and cyst formation
– Fuels follicular keratin plugging in HS and ovarian cysts in PCOS - Insulin Resistance
– Common in both conditions
– Exacerbates hormonal chaos, fat retention, and tissue swelling - Gut Microbiome Imbalance
– Alters estrogen metabolism, immune tolerance, and nutrient absorption
🔄 The Flare Loop: Why HS & PCOS Feed Each Other
HS → Triggers systemic inflammation → Worsens insulin resistance → Aggravates PCOS → Elevates androgens → Fuels follicular occlusion → Triggers new HS flare
🔁
This self-perpetuating cycle makes symptom management difficult unless the common terrain is healed.
🌿 How Ayurveda Sees It: Not Two Diseases, One Systemic Collapse
In Ayurvedic terms, this is not just skin or ovary pathology. It is deep-seated Kapha-Pitta imbalance, aggravated by Ama (toxins) and Vata disturbance of hormonal signaling.
Affected systems:
| System | Ayurvedic View |
|---|---|
| Skin (HS) | Pitta-Kapha dushti in Swedavaha Srotas |
| Ovaries (PCOS) | Kapha blockage in Artavavaha Srotas |
| Metabolism | Mandagni (weak digestion) + Meda dhatu aggravation |
| Hormones | Majja & Shukra dhatu disruption |
| Mood & cycles | Vata-Pitta imbalance in Manovaha srotas |
🌿 EliteAyurveda’s Root-Cause Reversal Plan
We do not chase symptoms separately. We reverse the terrain that gives rise to both HS and PCOS, using:
🔹 1. Agni Deepana & Ama Pachana
– Correct the digestive-metabolic fire
– Remove inflammatory toxins that drive both skin and hormonal dysfunction
🔹 2. Srotoshodhana (Channel Cleansing)
– Unblock sweat and reproductive channels
– Restore hormonal flow and reduce flare triggers
🔹 3. Rasayana (Rejuvenation)
– Rebuild hormonal resilience
– Prevent scar recurrence, restore ovulation, and improve fertility
🔹 4. Manas Rasayana
– Address the emotional trauma, body image stress, and shame common in HS-PCOS cases
– Calm hypothalamic-pituitary-ovarian (HPO) axis overdrive
🧪 Investigations We Track for Dual Diagnosis Patients
| Test | Insight |
|---|---|
| CRP, IL-6 | Inflammatory status |
| Fasting insulin, HOMA-IR | Metabolic resistance |
| Free testosterone, DHEA-S | Androgen excess |
| Vitamin D, B12, Zinc | Immune & reproductive co-factors |
| Ultrasound (PCOS) | Ovarian morphology |
| HS scoring (Hurley stage) | Skin inflammation depth |
Combined with Nadi Pariksha, bowel pattern, and menstrual history, this gives us a personalized healing roadmap.
🌿 Personalized Herbal Formulations at EliteAyurveda
Every HS+PCOS patient gets a tailored herbal protocol that may include:
🌱 Hormonal Harmony Blend – Balances Vata-Kapha hormones and reduces cyst formation
🌱 Anti-Inflammatory Skin Detoxifier – Targets follicular swelling and pus discharge
🌱 Ovarian Rasayana – Supports regular cycles and ovarian function
🌱 Insulin Sensitizer & Meda Regulator – Improves metabolism without weight-loss fads
🌱 Manas Shanti Churna – Soothes stress-triggered flares
🧪 These are adjusted phase-wise, as cycles stabilize and HS activity reduces.
🧘 Lifestyle Therapies for Hormone-Skin Synchrony
✅ Abhyanga (oil massage) – Supports lymphatic, reproductive, and emotional healing
✅ Nasya with cooling oils – Reduces Pitta-driven acne, hair fall, and HS oozing
✅ Cycle-aligned yoga & breathwork – Balances HPO axis and reduces insulin peaks
✅ Kapha-Pitta pacifying diet – Warm, unprocessed, cycle-aware nutrition
🧠 Emotional Healing: The Most Ignored Link
Women with HS + PCOS often feel:
- “Unseen” in clinics treating only skin or hormones
- Frustrated by repeated antibiotic or birth control prescriptions
- Ashamed of their appearance or reproductive capacity
- Fearful about intimacy or future motherhood
At EliteAyurveda, we treat the whole woman, not just two conditions. Healing includes body, hormones, cycles, scars, self-worth, and voice.
🌟 Final Message: You’re Not Broken—Your Terrain Needs Healing
If you have both HS and PCOS, your body is not malfunctioning—it’s inflamed, overburdened, and asking for holistic, root-level care.
With Ayurvedic guidance, your body can:
- Regain regular cycles
- Reduce HS flares
- Rebalance metabolism
- Heal without synthetic hormones or steroids
📞 Begin your personalized HS-PCOS reversal journey today with Dr. Adil Moulanchikkal.
🌐 www.eliteayurveda.com
📱 +91 88847 22246
“You are not two diseases. You are one resilient system ready to heal deeply.”
