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Barbell Medicine Podcast

Episode #364: Polycystic Ovarian Syndrome (PCOS)

Barbell Medicine Podcast

Barbell Medicine

Health & Fitness

4.81.2K Ratings

🗓️ 8 September 2025

⏱️ 95 minutes

🧾️ Download transcript

Summary

In this episode of the Barbell Medicine podcast, Dr. Jordan Feigenbaum and Dr. Lorraine Baraki discuss Polycystic Ovarian Syndrome (PCOS), a common endocrine disorder affecting women's health. They explore the complexities of PCOS, including its diagnosis, treatment options, and the importance of individualized care.

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Timestamps:


1:41 What is PCOS?

4:24 Ovulatory dysfunction in PCOS

6:20 Hyperandrogenism in PCOS

8:50 Polycystic ovarian morphology

13:00 Presentation of PCOS

15:40 Epidemiology of PCOS

18:45 Diagnosing PCOS

23:40 Workup of PCOS

29:00 Pathophysiology of PCOS

35:30 Risk factors for PCOS

41:15 Weight loss in PCOS

46:30 Exercise for PCOS

 55:40 PCOS in sport

1:03:00 Nutrition for PCOS

1:11:00 Medical and surgical treatment for PCOS

1:27:00 Fertility and PCOS


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Transcript

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0:00.0

Welcome back to the Barbell Medicine podcast where we bring modern medicine to strength and conditioning to modern medicine.

0:05.8

I'm your host, Dr. Jordan Feigenbaum.

0:07.5

And today we're going to talk about one of the most common endocrine and metabolic disorders in women.

0:12.4

That's polycystic ovarian syndrome or PCOS.

0:15.8

Now, PCOS is a complex medical condition affecting reproductive, cardiometabolic, and psychological health.

0:21.4

And while it affects millions of women worldwide, there are many gaps in diagnosis,

0:25.9

treatment, and monitoring related to PCOS.

0:28.7

In this podcast, we'll cover what PCOS is, how it's diagnosed and treated, and special

0:33.1

considerations for diet, exercise, and sport with the help of our very special guest, Dr.

0:37.3

Lorraine Baraki. She's the most handsome doctor in North America. She's a board certified obstetrics and gynecology physician and a lieutenant colonel in the army. She's also competed in powerlifting, making her one of, if not the, strongest obstetrician in the world. What's going on, Lorraine? Hey, Jordan. Happy to be here. I will make one correction that I am but a mere month away from my promotion to Lieutenant Colonel, but thank you for the early shoutout. It is appreciated.

1:02.0

Okay. Yeah. I mean, there's my knowledge of how the military promotion system works, but, you know, Captain to Lieutenant Colonel, we need to recognize you. Congratulations.

1:11.4

Thank you.

1:12.0

I appreciate it.

1:13.2

Do you think that you're the strongest obstetrician in the world?

1:17.1

Jordan, at this time, I have no data that would suggest otherwise.

1:21.8

So that's just that's not aware.

1:24.0

That's a resounding yes.

1:25.4

That's yeah.

1:25.8

I think so.

1:26.3

Very confident.

1:27.5

Very cool.

1:28.6

So this is obviously Dr. Austin Brockie's better half and she is our resident expert.

...

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