Ashwagandha

Ashwagandha (Withania somnifera) is an adaptogenic herb used in Ayurvedic medicine for thousands of years that helps the body manage stress by modulating cortisol levels and supporting the HPA (hypothalamic-pituitary-adrenal) axis. For women with PCOS—particularly those with adrenal PCOS where stress-driven cortisol elevation contributes to androgen overproduction—ashwagandha can help lower cortisol, reduce anxiety, improve sleep quality, and support overall hormonal balance. Studies also suggest ashwagandha may improve thyroid function and enhance fertility parameters, making it a versatile adaptogenic supplement for the stress-hormone connection that often exacerbates PCOS.