What PCOS is
Polycystic ovary syndrome (PCOS) is one of the most common hormone conditions in women of reproductive age. It happens when the ovaries make higher-than-typical levels of androgens ("male-type" hormones), which can disrupt ovulation and cause a wide range of symptoms. Despite the name, you don't need to have cysts on your ovaries to have PCOS.
Common signs
- Irregular, infrequent, or missing periods
- Acne, oily skin, or unwanted facial/body hair
- Thinning hair on the scalp
- Weight gain or trouble losing weight, especially around the midsection
- Trouble getting pregnant
- Darkened skin patches (often on the neck or underarms)
- Fatigue and mood changes
You don't need every symptom to have PCOS — most women have a mix.
How PCOS is diagnosed
There is no single test for PCOS. Diagnosis usually comes from a combination of your symptom history, a physical exam, blood work (hormones, blood sugar, and related labs), and sometimes a pelvic ultrasound. A careful history matters as much as the labs.
How we manage it
PCOS can't be "cured," but it can be managed well. Care is personal, but commonly includes:
- Cycle regulation — approaches that help periods come regularly and predictably.
- Metabolic support — addressing insulin resistance, which drives many PCOS symptoms.
- Skin and hair concerns — targeted options for acne, excess hair growth, and hair thinning.
- Fertility planning — restoring ovulation when pregnancy is the goal.
- Lifestyle foundations — nutrition, movement, and sleep strategies that actually fit your life.
Why telehealth works for PCOS
PCOS care is mostly conversation, history, labs, and follow-up — all of which work beautifully by video. No exam table needed for most visits. You meet from home, labs are drawn near you, and follow-ups fit around your schedule.
Frequently Asked Questions
Can PCOS be cured?
There is no cure for PCOS, but it can be managed very effectively. Many women regulate their cycles, improve symptoms, and conceive with the right plan. Be cautious of anyone promising a cure.
Do I need an ultrasound to be diagnosed?
Not always. Diagnosis is based on symptoms, exam, and labs together. An ultrasound can help but isn't required in every case.
How fast will I see results?
It varies. Some symptoms (like cycle regularity) can improve within a few months; others (like hair changes) take longer. Your plan will include realistic timelines.