Understanding PCOS (Polycystic Ovary Syndrome)

Polycystic Ovary Syndrome—often called PCOS—is a common condition that affects hormones, metabolism, and periods. It can show up in different ways: irregular or missed periods, extra facial or body hair, acne, or difficulty becoming pregnant. Not everyone has all of these symptoms, and the condition can change over time.

Why does PCOS happen?

PCOS is often connected to something called insulin resistance—when your body has a harder time using insulin properly. This can lead to hormone imbalances, weight gain (especially around the middle), and problems with ovulation. Some people also make more androgens (“male” hormones), which can cause symptoms like acne or unwanted hair growth.

How is PCOS diagnosed?

There’s no single test for PCOS. Diagnosis is based on a combination of symptoms, blood work, and sometimes ultrasound. It’s also important to rule out other causes, like thyroid or hormone problems. In teenagers, we may hold off on making a diagnosis—since hormones are still maturing and periods can naturally be irregular for a few years after starting.

What does PCOS mean for my health?

PCOS can affect more than just your period. It may increase your risk for:

  • Trouble getting pregnant (due to irregular ovulation)
  • Diabetes or prediabetes
  • High cholesterol and blood pressure
  • Weight gain or difficulty losing weight
  • Endometrial (uterine) lining becoming too thick if periods are very far apart

How is PCOS treated?

There are many ways to manage PCOS, and treatment depends on your symptoms and goals. Some options include:

  • Hormonal birth control to regulate periods, reduce acne, or protect the uterine lining
  • Metformin, a medication that can help with blood sugar and regulate cycles
  • Lifestyle changes—like eating well, staying active, and improving sleep
  • Medications to help with unwanted hair or acne
  • Ovulation support, if you’re trying to become pregnant

We’ll work with you to come up with a plan that fits your needs and health goals. That may include other members of your care team, like your primary doctor or an endocrinologist.

You’re not alone.

PCOS is common, manageable, and different for every person. Whether you’re dealing with irregular periods, skin changes, or are just looking for answers—we’re here to help.

📞 Call us anytime: (301) 681-9101