Speaker: Aviva Romm. PCOS is not considered just cyst formation in the ovaries but a complex endocrine disorder characterized by obesity, insulin resistance, elevated androgen production, increased risk of cardiovascular disease and imbalance of the HPA (hyptothalamic, pituitary adrenal) axis. The specific materia medica for this condition includes white peony, tribulus, vitex, blue cohosh, gymnema, eleuthero and ashwagandha. The presentation also covers the use of herbal adaptogens, hepatic tonics and nervines.