3737 Camino Del Rio S, Suite 109, San Diego, CA 92108

PCOS

PCOS affects up to 1 in 10 women of reproductive age, making it one of the most common hormonal disorders. While there’s no cure, the right management plan can help regulate your cycles, reduce symptoms, and lower your risk of long-term complications.

Overview

Polycystic ovary syndrome (PCOS) is a hormonal condition that affects how your ovaries function. Women with PCOS typically have higher levels of androgens (sometimes called “male hormones,” though all women produce them), which can disrupt ovulation and cause a range of symptoms.

Despite the name, not everyone with PCOS has ovarian cysts. The condition is diagnosed based on a combination of symptoms, hormone levels, and sometimes ultrasound findings. PCOS looks different in every woman—some experience primarily menstrual irregularities, while others struggle more with skin or weight-related symptoms.

Left unmanaged, PCOS can increase your risk of type 2 diabetes, heart disease, and endometrial cancer. The good news is that lifestyle modifications, medication, and ongoing care can significantly improve both symptoms and long-term health outcomes.

Common Symptoms

  • Irregular, infrequent, or absent periods
  • Heavy bleeding when periods do occur
  • Difficulty getting pregnant due to irregular ovulation
  • Excess facial or body hair (hirsutism)
  • Thinning hair on the scalp
  • Acne, especially along the jawline, chin, or back
  • Weight gain or difficulty losing weight, particularly around the midsection
  • Darkening of skin in body creases (neck, groin, under breasts)
  • Skin tags
  • Fatigue and low energy
  • Mood changes, including anxiety and depression

How we help

Managing PCOS starts with understanding how the condition affects you specifically. We begin with a thorough evaluation of your symptoms, menstrual history, and health goals, along with any necessary lab work to assess hormone levels and metabolic markers.

From there, we create a personalized plan that may include lifestyle recommendations (nutrition, exercise, stress management), medications to regulate cycles or address specific symptoms, and coordination with specialists if needed. For women trying to conceive, we offer fertility support and can coordinate with reproductive endocrinologists when appropriate.

PCOS is a lifelong condition, but it doesn’t have to control your life. With the right support, most women find effective ways to manage their symptoms and protect their health for the long term.

FAQ's

Do I need an ultrasound to diagnose PCOS?

Not always. Diagnosis can be based on symptoms and labs; ultrasound may be helpful in some cases.

Can PCOS cause irregular periods?

The exact cause isn't fully understood, but PCOS likely results from a combination of genetic and environmental factors. Insulin resistance plays a significant role for many women, which is why lifestyle modifications often help manage symptoms.

What can help symptoms?

Treatment may include cycle regulation, acne/androgen support, lifestyle strategies, and fertility planning when desired.