PCOS & Metabolic Health
Evidence-based care for PCOS and the bigger picture of your health
Polycystic ovary syndrome/Polyendocrine Metabolic Ovarian Syndrome (PCOS/PMOS) can affect much more than your menstrual cycle. It can influence ovulation, androgen-related symptoms, insulin sensitivity, body composition, and long-term metabolic health.
I help women make sense of their symptoms, understand what testing is actually useful, and develop an individualized plan for managing PCOS and supporting long-term health.
PCOS can look different from one woman to another
You may be looking for support if you're experiencing:
Irregular, infrequent or unpredictable periods
Acne or excess facial or body hair
Scalp hair thinning or hair loss
Difficulty with ovulation or fertility
Changes in weight or body composition
Insulin resistance or concerns about blood sugar
Abnormal cholesterol or other metabolic markers
Questions about whether your symptoms could be related to PCOS/PMOS
You don't need to have every "classic" symptom to benefit from an assessment. PCOS can present differently at different stages of life, and symptoms can overlap with other health conditions.
PCOS care is about more than balancing hormones
A comprehensive approach to PCOS considers your menstrual, hormonal, metabolic, and overall health.
Together, we look at the bigger picture—including your menstrual history, symptoms, medical history, medications, lifestyle, nutrition, existing lab work, and health goals.
Depending on your individual situation, care may include:
PCOS can be associated with insulin resistance, changes in blood sugar and cholesterol, and increased long-term cardiometabolic risk. Your metabolic health is considered as part of your overall care—not treated as an afterthought.
More testing isn't necessarily better. When laboratory testing is appropriate, the goal is to choose information that can actually help answer a clinical question or change your care.
Your treatment plan depends on your symptoms, health history, priorities, and goals. It may include nutrition and lifestyle strategies, targeted treatment, monitoring, or coordination with other healthcare providers when appropriate.
“Not every symptom needs a supplement. Not every woman needs extensive testing. Your care should be based on what is actually likely to help.”
What does working together look like?
Your first appointment is an opportunity to talk through your symptoms, menstrual history, health history, medications, existing lab work and what you'd most like help with.
Your treatment plan is individualized to your situation. Depending on your needs, this may involve lifestyle strategies, medications or hormone therapy discussions, targeted supplementation, additional testing or referral.
We'll identify the most relevant clinical questions and determine whether additional testing, treatment, monitoring, or referral makes sense for you.
Your care doesn't end with a treatment plan. Follow-up allows us to assess what's helping, what isn't, and what needs to change.
Frequently Asked Questions
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PCOS can involve irregular or infrequent periods, difficulty with ovulation, acne, excess facial or body hair, scalp hair thinning, and metabolic concerns such as insulin resistance. Not everyone with PCOS experiences the same symptoms, and some symptoms can have other causes.
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PCOS is diagnosed based on your medical history, symptoms, physical findings, and appropriate testing. There isn't a single blood test that confirms PCOS, and an ultrasound is not necessarily required. The assessment also considers other conditions that can cause similar symptoms.
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Testing depends on your symptoms and clinical situation. Depending on the questions we're trying to answer, assessment may include hormone testing as well as blood sugar, insulin, cholesterol, or other relevant markers. The goal is targeted testing rather than ordering a large panel simply because you have PCOS.
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PCOS can be associated with insulin resistance and changes in body composition, although not everyone with PCOS has these features. Metabolic health is an important part of PCOS care, regardless of your weight.
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There is no single treatment that works for everyone with PCOS. Management depends on your symptoms, health goals, reproductive plans, metabolic risk factors, and preferences. Care may include lifestyle strategies, nutrition, medications managed in collaboration with your prescribing healthcare provider, and ongoing monitoring.
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We'll review your menstrual and health history, symptoms, medications, lifestyle, existing investigations, and goals. From there, we'll determine what needs further investigation and create a plan based on your individual situation.