Polycystic Ovary Syndrome (PCOS) is a complex hormonal condition that can present in several patterns. Four commonly described types include insulin-resistant PCOS, post-pill PCOS, inflammatory PCOS, and adrenal PCOS. Each type has different underlying drivers, which can influence treatment strategies. For example, insulin resistance may contribute to irregular cycles and metabolic changes, while inflammation or stress hormones may play a larger role in other presentations. Naturopathic care focuses on identifying these contributing factors through clinical assessment and laboratory testing, then supporting hormonal balance with individualized nutrition, lifestyle strategies, and targeted supplements to help regulate cycles, improve metabolic health, and support overall wellbeing.