What Type of PCOS Do You Have?

PCOS is not one condition. There are four distinct phenotypes – with different root causes, different lab patterns, and different treatment approaches. If you’re treating the wrong driver, you won’t see results.

picture asking which type of pcos are you with four pcos phenotypes
What Type of PCOS Do You Have? Free Quiz | Dr. Pamela Frank, ND | PCOS.ca
Free 2-Minute Quiz · PCOS.ca

What Type of PCOS Do You Have?

Take the Free Quiz 2 minutes · Instant results
Type A
Classic PCOS
All three Rotterdam criteria. Highest metabolic risk.
Type B
Ovulatory PCOS
Androgen excess with preserved ovulation.
Type C
Non-Androgenic
Anovulation without significant androgen signs.
Type D
Ovulatory + Androgenic
Androgens and anovulation, no polycystic morphology.
Why Your Type Matters

The same treatment doesn’t work
for every type of PCOS.

Women with insulin-resistant PCOS respond well to inositol and berberine. Women with adrenal-driven PCOS need cortisol regulation — not insulin sensitizers. Treating the wrong mechanism is why so many women feel stuck despite doing everything right.

Insulin-Driven
Weight gain, sugar cravings, elevated fasting insulin

Prioritizes: inositol, berberine, low-glycemic diet, resistance training, HOMA-IR normalization.

Adrenal Pattern
Stress-worsened symptoms, elevated DHEA-S, often lean

Prioritizes: HPA axis regulation, cortisol testing, adaptogenic support, sleep optimization.

Androgen Excess
Hirsutism, acne, hair thinning, low SHBG

Prioritizes: 5-alpha reductase inhibition (zinc, spearmint), dairy reduction, SHBG optimization.

Post-Pill Pattern
Symptoms started after stopping oral contraceptives

Prioritizes: LH normalization, B vitamin repletion from OCP depletion, cycle restoration. Often temporary.

How the Quiz Works

Two minutes.
Clinically meaningful results.

1
Select your symptoms across 6 categories
Androgen signs, ovulation patterns, polycystic morphology, metabolic markers, adrenal indicators, and post-pill history. Check everything that applies — the more accurately you respond, the more specific your result.
2
Get your primary PCOS pattern instantly
Your symptom profile is matched to the clinical phenotype patterns established by the Rotterdam Criteria and current PCOS research. You’ll see your primary pattern with a clear explanation of what drives it.
3
See your treatment priorities
Each result includes the specific interventions most relevant to your phenotype — diet, supplements, labs, and lifestyle approaches — along with secondary patterns to explore.
4
Enter your email to save your results and get follow-up resources
We’ll send you a detailed breakdown of your PCOS type, the labs that will confirm it, and specific next steps — matched to your pattern, not a generic PCOS protocol.
Also Included

A complete guide to all four phenotypes
— in plain language.

The Rotterdam Criteria explainedWhat your doctor is actually looking for — and why two out of three criteria give you four very different presentations.
Adrenal PCOS vs. Insulin-Resistant PCOSWhy confusing these two is one of the most common treatment errors — and how to tell the difference from your labs.
Lean PCOS: the overlooked phenotypeYou don’t have to be overweight to have PCOS. Type C is common in lean women and frequently missed by practitioners relying on appearance alone.
Post-pill PCOS: temporary or permanent?What the research says about hormonal rebound after stopping oral contraceptives — and how long recovery typically takes.

Take the quiz.
Know your type.

Enter your email below to access the interactive quiz and receive your personalized results, phenotype breakdown, and next-step recommendations.

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PF
Dr. Pamela Frank, BSc, ND
Naturopathic Doctor · 26 Years Clinical Practice · PCOS.ca

Dr. Frank has spent 26 years helping women identify the root cause of their PCOS not just manage the symptoms. Her background in medical laboratory science means she interprets labs at a level of detail most practitioners don’t. The PCOS type quiz draws on the Rotterdam Criteria and current clinical research to give you a meaningful starting point for understanding your own hormonal picture.

© Dr. Pamela Frank, BSc, ND · PCOS.ca · Toronto, Ontario, Canada
This quiz is educational and does not replace clinical diagnosis. PCOS phenotype confirmation requires laboratory testing and assessment by a qualified healthcare provider.

Type of PCOS References

Cussen L, McDonnell T, Bennett G, Thompson CJ, Sherlock M, O’Reilly MW. Approach to androgen excess in women: Clinical and biochemical insights. Clin Endocrinol (Oxf). 2022 Aug;97(2):174-186. doi: 10.1111/cen.14710. Epub 2022 Mar 29. PMID: 35349173; PMCID: PMC9541126.