Influencers selling fake cures for polycystic ovary syndrome
For 12 years Sophie had been experiencing painful periods, weight gain, depression and fatigue.
She had been diagnosed with polycystic ovary syndrome (PCOS), a hormonal condition that affects about one in 10 women, but she struggled to get medical help.
She felt her only option was to take her health into her own hands, and it was at this moment that Kourtney Simmang came up on her recommended page on Instagram.
Kourtney promised to treat the âroot causeâ of PCOS, even though researchers have not yet identified one. She offered customers laboratory tests, a âhealth protocolâ- a diet and supplement plan â and coaching for $3,600 (ÂŁ2,800). Sophie signed up, paying hundreds of dollars more for supplements through Kourtneyâs affiliate links.
Dr Jen Gunter, a gynaecologist and womenâs health educator, said Kourtney wasnât qualified to order the tests she was selling, and that they had limited clinical use.
After nearly a year Sophieâs symptoms hadnât improved, so she gave up Kourtneyâs cure.
âI left the programme with a worse relationship to my body and food, [feeling] that I didnât have the capacity to improve my PCOS,â she said.
Kourtney did not respond to requests for comment.
Medically unqualified influencers â many with more than a million followers â are exploiting the absence of an easy medical solution for PCOS by posing as experts and selling fake cures.
Some describe themselves as nutritionists or âhormone coachesâ, but these accreditations can be done online in a matter of weeks.
The BBC World Service tracked the most-watched videos with a âPCOSâ hashtag on TikTok and Instagram during the month of September and found that half of them spread false information.
Up to 70% of women with PCOS worldwide have not been diagnosed, according to the World Health Organization (WHO), and even when diagnosed, women struggle to find treatments that work.
âWhenever thereâs a gap in medicine, predators take advantage,â said Dr Gunter.
The main false or misleading claims shared by these influencers include:
- PCOS can be cured with dietary supplements
- PCOS can be cured with a diet, such as the low-carbohydrate high-fat keto diet
- Birth control pills cause PCOS or worsen symptoms
- Mainstream medication may suppress PCOS, but doesnât address its âroot causeâ
There is no evidence that highly restricted calorie diets have any positive effect, and the keto diet may make symptoms worse. Birth control pills do not cause PCOS and in fact help many women, though they donât work for everyone. There is no known root cause for PCOS and there is no cure.
A spokesperson for TikTok said the company does not allow misleading or false content on the platform that may cause significant harm.
A spokesperson for Meta said user content on womenâs health is allowed on the platform with âno restrictionsâ. The company said it consulted with third parties to debunk health misinformation.
What is PCOS?
- PCOS is a chronic hormonal condition that affects an estimated 8-13% of women, according to the WHO
- The NHS says symptoms include painful irregular periods, excessive hair growth and weight gain
- PCOS is one of the most common causes of infertility, the NHS says, but most women can get pregnant with treatment
The BBC has spoken to 14 women from Kenya, Nigeria, Brazil, the UK, US, and Australia who tried different products promoted by influencers.
Nearly all mentioned Tallene Hacatoryan who has more than two million followers across TikTok and Instagram.
A registered dietician, Tallene sells supplements at $219 (ÂŁ172) and access to her weight loss app for $29 (ÂŁ23) a month. She warns people against pharmaceuticals such as the birth control pill, or the diabetes drug, metformin, both of which have been found to be helpful for many women with PCOS.
Instead she encourages her audience to heal ânaturallyâ, with her supplements. She puts a lot of emphasis on weight and what she calls âPCOS bellyâ, referring to fat around the abdomen.
Amy from Northern Ireland, decided to follow some of Talleneâs advice after struggling to get help through her GP.
âPCOS belly was exactly where my insecurities were,â she told me.
Talleneâs advice is to reduce gluten and dairy, and to follow the keto diet. But while a healthy diet can help with PCOS symptoms there is no evidence that gluten and dairy have a negative effect.
In Amyâs case, the keto diet regularly made her sick, and she found it hard to cut out gluten and dairy products.
âIt makes you feel like you failed,â she said. âLooking back, I wasnât as heavy then, but these people would make me feel worse, and youâd want to do more diets, or buy more supplements.â
Dr Gunter told the BBC influencer diet plans such as these could âabsolutely create an eating disorderâ.
Tallene did not respond to the BBCâs request for comment.
Amy said her GP had offered her hormonal birth control to manage her symptoms, but didnât have any other ideas for treatment. She was told to come back if in future she wanted to get pregnant.
Dr Gunter said this is a vulnerable patient group that may struggle with feelings of helplessness without access to treatment. She said misinformation often caused patients to delay seeking medical help, and that this could lead to the development of further conditions, such as type 2 diabetes.
In Nigeria, Medlyn, a medical student, is trying to tackle some of the shame surrounding PCOS. After trying diets and supplements to no avail, she now encourages other women to consult with their doctors and embrace evidence-based treatment.
âWhen youâre diagnosed with PCOS it comes with so much stigma. People think youâre lazy, you donât look after yourself, that we canât get pregnant,â she said. âSo nobody wants to date you, nobody wants to marry you.â
But she is now embracing some of her PCOS features. âItâs been a hard journey to accept my PCOS, my hair, my weight,â she said. âThese things make me different.â
Sasha Ottey of the US-based charity PCOS Challenge said medical treatment usually enables people with the condition to get pregnant.
âWomen with PCOS have the same number of children as those without,â she said. âYou just might need a bit of help getting there.â
Dr Gunter said that women who arenât getting help from a general practitioner should ask to see a specialist.
âSome women need a trusted endocrinologist or a trusted obstetrics and gynaecology specialist for that next level of management.â
Sophie and her doctors are still trying out possible treatments, looking for one that works for her.
BBC 100 Women names 100 inspiring and influential women around the world every year. Follow BBC 100 Women on Instagram and Facebook. Join the conversation using #BBC100Women.