PCOS Diagnosis Deep Dive
For years Sarah has claimed she lost her period and may struggle to conceive naturally due to having PCOS. The things she would say about her PCOS and the way she was diagnosed changed over time which caused people to question the legitimacy of her condition. Then in January 2020 she revealed she
had PCOS, suggesting she no longer has it. PCOS is an incurable condition. While symptoms and the severity of those symptoms vary between women, and can often be successfully managed, the condition never goes away. There's no cure, only management. So Sarah suggesting otherwise raised another red flag.
In September 2021 Sarah announced she's pregnant with her second child. The accompanying vlog revealed she conceived this baby on her first try and it had her fans questioning her PCOS diagnosis once again. Sarah was vocal in defending her situation. However, her replies to these comments about who diagnosed her and how she was diagnosed contradict what she has said previously in earlier vlogs. So I thought I'd take her advice and watch back those old vlogs where she goes into detail about her PCOS journey.
So let's go down the rabbit hole, shall we?
Timeline of events:
2008 - Got period in Year 10. Went on the Pill. “Ballooned” from 46kg to 57kg.
2012 - Started her Instagram account. Got into health and fitness. Came off the Pill. Hormonal acne started.
2014 - Went back on the Pill. Skin cleared back up.
2015 - Stopped taking the Pill after realising it isn’t holistic and that her body is trying to tell her it’s not healthy. When off the Pill she gets hormonal acne, hair thinning, “toxic body”, i.e: cellulite, weight gain, can’t lose weight. Realises her hormones are out of whack and that it might affect her having children later in life if she doesn’t fix it now. Finds her current naturopath.
Her PCOS journey starts with developing hormonal acne after coming off the Pill. She spends the next several years trying to balance her hormones and made numerous vlogs about how she cures it after every time it flares up.
The following information is taken from her YouTube vlogs. I've included the date published and the vlog title so you can watch these vlogs yourself if you wish.
July 2015 - "Hormonal Acne + The Pill: Curing My Hormonal Acne Naturally”
In this vlog she talks about her acne journey, coming off the pill, gaining weight, her depression surrounding it all, realising that she has a hormonal imbalance and finding her naturopath, Hayden Keys (who's now employed with Sunee).
“I liked that, you know, I would tell him my symptoms and how I was feeling and he agreed with everything I thought. He was like “Yep, it’s definitely your hormones, your hormones totally sound out of whack”. But what I liked even more is that he actually ran tests. He made me do a saliva
test, he did, like, a body composition test, instead of just saying “Oh, it’s your liver that’s wrong”, you know, he wanted to find out for sure what was going on.”
Sarah’s naturopath performed two hormone saliva tests. One measured her adrenals, cortisol levels and DHEA. The other one checked her testosterone levels. The results revealed that her cortisol levels at midday were high, while the rest of the day they were within range and normal. Yet she says her androgen and cortisol levels are too high, that her body is producing too much cortisol and too much of the stress hormone. Her testosterone levels came back extremely high. The average is between 25 - 190. Sarah's was 306. She says that it's the highest reading her naturopath has ever seen.
The next test she’s going to have is a urine test to check her progesterone and estrogen levels. She also said her naturopath thinks she has insulin resistance caused by imbalanced hormones and that’s why she can’t lose weight and is too heavy (!) despite a good diet. She starts taking supplements for it.
October 2015 - "Diet Plan: Fat Loss + Curing Hormonal Acne | Full Day Of Eating"
In this vlog she explains that her naturopath has put her on a 21 day diet plan to cure her hormonal acne and drop some body fat. The diet plan is keto. Her naturopath still thinks she has insulin resistance problems and is treating her as if she does but as yet there is no confirmation. Sarah is excited while explaining that keto should help balance her hormones and that, if it works, will get her shredded. However, in the next vlog "Diet Update | Fat Loss | Starting From Scratch" in November, she admits to only lasting 10 days on the diet and has now switched to carb-cycling. Yet in those 10 days she claims her skin cleared up and her hormones were balanced.
December 2015 - “Hormonal Acne Update | PCOS | How I Cured My Acne”
This is the first vlog where she talks about having PCOS. She said that in the previous vlog she had received a lot of comments from people saying they think she might have PCOS due to her symptoms. She lists her symptoms as “weight gain, insulin resistance problems, my hair falling out and obviously acne”. Note that insulin resistance is only an assumption by her naturopath, not a diagnosis, yet Sarah believes she has it. She had to wait to get to a specific spot in her cycle to do a saliva test and “Bombshell! I have PCOS”.
Within 1:02 minutes of the video she says she has been diagnosed with PCOS after a saliva test by her naturopath.
She goes on to say she suspected she had PCOS all along and went to a mainstream doctor who apparently laughed at her because she wasn’t obese or hairy enough. However her naturopath read people’s comments in the previous vlog, agreed with them, performed the saliva test and told Sarah she had PCOS.
Next she says she had a progesterone test. The results came back very low. Her naturopath said it’s the lowest he’s ever seen. Due to that she’s now carb-cycling and taking a cocktail of supplements.
So, to recap:
She's first diagnosed with PCOS in November 2015.
She was diagnosed by her naturopath.
She was diagnosed with a saliva test.
She was tested for:
Androgens: high
Cortisol: slightly high
Testosterone: extremely high
Progesterone: very low
Estrogen: ? (never revealed the results)
January 2016 - “Carb Cycling | How To + What Is It?”
In this vlog she says she has “a bad insulin resistance problem” and that when she eats carbs everyday she breaks out and stores fat. This is all due to her naturopath’s assumptions, she’s still not been tested for insulin resistance.
September 2016 - “My Health & Fitness Journey | Weight Loss Story”
Sarah goes into detail about her health and fitness journey. At one stage she is talking about potentially developing an eating disorder and trying every diet going. She tried being raw vegan for a time and this is when she noticed her hair started falling out, her skin broke out, she kept getting sick and had no energy. There is no mention of having a hormone imbalance here, she is blaming these things on her diet at the time. The vlog also doesn’t mention anything of her hormonal acne journey or being diagnosed with PCOS. She’s now switched to a paleo diet and is the smallest, leanest and strongest she’s ever been.
February 2017 - “Having my PERIOD!! My Foam Rolling & Stretching Routine”
In this vlog she talks about her period. She briefly recaps that two years ago she came off the Pill and didn’t get her period for four months. With the help of her naturopath and the supplements he gave her she managed to balance her hormones and get her period back. She explains he had her track her period throughout her cycle and goes on to show us the app she uses.
December 2017 - "Amenorrhea, PCOS & Getting My Period Back | Ultra Sounds, Blood Tests & Acupuncture"
In this vlog she talks briefly about her hormone imbalance journey and how she lost her period due to “over stressing” her body while working on her first ebook. This isn’t the same loss of period as before. That was because it was slow starting back after coming off the PIll. This time is because she under ate and worked out too hard in the making of her first ebook. She believed that once she started eating more and training less her period would return, but after 8 months it still hadn’t returned. She goes on to say that mainstream doctors, her naturopath and her acupuncturist are confused as to why it's stopped because a saliva test showed her hormones are now balanced (it was unclear if she was referring to the previous saliva test where they weren’t balanced, or if she has since had a new test done and everything was fine this time). So now she’s going down the road of using both mainstream doctors and holistic methods to try and get her period back because she wants children in the next two years.
She had an ultrasound (external and internal) as well as a fasted blood test to check her thyroid, her pituitary gland, insulin and more. She films the ultrasound and we hear the technician say she has a “polycystic looking ovary”. She gets the results back from the doctor. Her ovaries “are indicative of PCOS”. She has too many follicles on both ovaries. On her right ovary she has 25 small follicles, and on her left she has 20. They are slightly larger than they should be. Everything else came back normal, she just has excess follicles.
She got disheartened with her blood test results. Her doctor was confused. Her ovaries indicate PCOS but her blood results don’t reflect that. Overall her blood work was good, she’s “super healthy” and her diet is “obviously working” for her. The doctor told her she’s not over training, her body fat percentage is good, and said she was “super chill”.
Her testosterone and estrogen levels are now good. Her cortisol levels are now “perfect”. Glucose is good. Prolactin is good. FSH is higher than her LH. Androgens: testosterone levels great, free androgen index great, SHBG is “super duper high”, normal range is 30 - 110, hers is 199. Doctor said normally with PCOS it would be lower not higher. Doctor thinks she just not ovulating. She’s going to take these results to her acupuncturist, her naturopath and a gynecologist working at an IVF clinic who specialises in PCOS.
She ends the vlogs with an update: Tues 19th Dec - “I received a call from my Doctor. What she told me has shaken my entire life. I needed time to understand and accept the news before opening up…Thank you for caring. I will share more in my next vlog xx.”
December 2017 - “I can’t believe this is happening to me… Telling you everything | VLOG”
This is her CIN 3 story. She had a routine pap smear which showed her cervix had abnormal cells. Goes on to talk about needing a good immune system to fight off the HPV virus that causes the abnormal cells and blames getting a parasite in Bali on her bad immune system (in a later vlog she blames having to take antibiotics for a staph infection for ruining her immune system). Announces her mission to try and cure it before her next gynae appointment.
January 2018 - “How I got my PERIOD BACK | Amenorrhea, PCOS Tips + Advice!”
In this vlog she talks about having amenorrhea for the last ten months. She says for years her doctors and naturopath thought she had PCOS. However tests she got throughout 2017 showed that while her ovaries were indicative of PCOS, her hormones were completely balanced. Everyone was stumped as to why her period stopped. Yet she goes on to say she started losing her period after making her ebook. She was super stressed, she wanted to look a certain way to promote her ebook and she wasn’t eating enough for the amount of training she was doing. She attributes getting her period back by upping her calorie intake and adding in more carbs. She’s also taking at least nine different supplements a day.
July 2018 - “How I Healed Myself Naturally: Cervical Dysplasia CIN 3 (High Grade)”
Here she explains how she cured her CIN 3. Basically, this vlog is just a not-so-humble brag about how she cured her CIN 3 in three months and knew better than the doctor who was recommending surgery for her.
Fast forward three years:
September 2021 - “Finding Out… I’M PREGNANT! *Raw Footage & Reaction*”
After announcing her second
Pregnancy and revealing she fell pregnant on the first try, a lot of fans began questioning her PCOS diagnosis and fertility issues. Sarah came out with all guns blazing trying to defend herself. In doing so she said things that contradicted a lot of what she’s said in past vlogs.
Here are her replies on this vlog:
Her PCOS journey did not start in 2017 with a Pap smear. She was first diagnosed with PCOS in 2015 by her naturopath. However, in 2017 she did see a mainstream doctor and had an ultrasound and blood tests but this was because of her amenorrhea not PCOS. She did have a routine pap smear in 2017, and this revealed abnormal cells leading to a CIN 3 diagnosis. She has obviously confused her CIN 3 diagnosis with her PCOS one.
Again, her PCOS diagnosis was in 2015 by her naturopath. She got the results of the ultrasound and blood tests in late 2017 which gave mixed results. Her hormones were balanced by then and weren’t indicative of PCOS. Her vlogs about curing her hormone imbalance were earlier.
Again, she’s confused about the timeline. By the time she saw her GP and a gynecologist in 2017 it was because she had lost her period. Her hormones were fine at this stage, which is why doctors couldn’t explain her amenorrhea. Her ovaries did indicate PCOS but everything else was normal.
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She contradicts herself a little here. In the top post she says the doctor confirmed her diagnosis of PCOS (baring in mind the only diagnosis so far was from her naturopath), but in the second post she says he diagnosed her with unexplainable hormonal imbalace (despite saying she had balanced them by now) and put it down to PCOS.
She said in an earlier vlog she had an appointment to see a gynecologist who worked in an IVF clinic who specializes in PCOS, so in this she's telling the truth. Although according to his bio he doesn’t specialise in PCOS, but spent 8 years as a consultant in IVF, fertility, menopause, obstetrics, and gynecology in a Sydney hospital before moving back to the UK. If he did officially diagnose her with PCOS, she didn’t vlog about it.
Here she contradicts herself again. First she says her blood work DID indicate she had PCOS but in another comment she says it DIDN’T. According to her vlogs her blood work didn’t indicate PCOS because all of her hormone levels that were previously unbalanced were all normal now. It was only the fact she had excess follicles on her ovaries and unexplained amenorrhea that lead doctors to assume PCOS. However she has since explained that her amenorrhea was a separate issue and was caused by under eating, over training and being super stressed. This resolved itself once she started eating more and training less. It had nothing to do with PCOS.
Constantly saying that doctors told you you would struggle to conceive naturally and that you might need IVF is implying you have fertility issues, otherwise you wouldn’t have a struggle.
Just before she announced her second pregnancy and made the comments on the vlog above, she posted a Reel on Instagram with this caption:
Again she is saying she was told she might not conceive naturally. I’ll say it again
, if you can’t conceive naturally you have fertility issues. Sure, she might not have explicitly said “I am infertile”, but she has always implied it.
This caption is also paving the way for the narrative change. As with the last vlog comment above, she is now backtracking on her PCOS diagnosis. She’s now saying the doctors were wrong and were too quick to brand her with fertility issues. Something she discovered when she conceived Fox. Yet she continued to claim she had PCOS after having Fox, and whenever she talked about wanting to try for baby #2 once she was married, she made sure to acknowledge her potential struggles.
In all of her vlog comments there is no mention of her naturopath. He was the one who diagnosed her with PCOS yet she is saying mainstream doctors are the ones who misdiagnosed her and were too quick to label her with fertility issues. Was he too quick to brand her with fertility issues? He was certainly quick to tell her she had insulin resistance and prescribed her supplements for it without tests. I wonder if she would have thrown him under the bus as well if he wasn’t a Sunee employee.
In summary, Sarah does not have PCOS. She also does not have fertility issues. Yes, she could have done had she not gotten her period back, but she did and the tests she had revealed everything was ok. It’s clear that Sarah believed she had PCOS at one stage, all because her naturopath told her what she wanted to hear. However, once she realised she likely didn’t, especially after having Fox, she still held onto the narrative and chose not to correct it. Now, in typical Sarah fashion, she is gaslighting her followers and blaming others. But the information is all there. She vlogged it all. She may not remember it correctly, but it’s all there for us all to see.