Understanding PCOS
Personalized, evidence-based care for cycle irregularities, metabolic health, and fertility goals.
PCOS is a common hormonal condition that can affect menstrual cycles, skin and hair, weight, and fertility. Because symptoms vary widely, many women go years without a clear diagnosis. At Westside Women’s Health, we focus on clarity and a plan tailored to your goals.
Fast Facts About PCOS
One of the most common causes of irregular periods
Often associated with insulin resistance and androgen excess
Symptoms range from mild to significant and can change over time
Management is individualized based on life stage and goals
Common Symptoms
- Infrequent, irregular, or prolonged menstrual cycles
- Acne or increased facial/body hair
- Hair thinning on the scalp
- Weight changes or difficulty losing weight
- Fertility challenges or anovulation
- Darkened skin in body folds (acanthosis nigricans)
Why It Matters
PCOS can impact day-to-day well-being and long-term health. In addition to menstrual and skin changes, it can be associated with insulin resistance and metabolic risk. With the right plan, many symptoms can be improved, and fertility goals can be supported.
Diagnosis & Evaluation
Diagnosis is based on a combination of history, exam, and testing. Your clinician may review menstrual patterns, evaluate for androgen-related signs, and order labs to assess hormones and metabolic markers. Pelvic ultrasound may be used to assess ovarian appearance, though it is not required for every patient.
PCOS vs. Typical Irregular Cycles
PCOS
- Persistent cycle irregularity with signs of androgen excess
- Possible insulin resistance or metabolic risk factors
- Ovulation may be infrequent or absent
- Management often includes lifestyle and medical therapy
Typical Irregular Cycles
- Occasional irregularity during stress or life changes
- No consistent signs of androgen excess
- Ovulation generally resumes without intervention
- Often improves once triggers resolve
Treatment Options
Care is individualized. Approaches may include nutrition and activity strategies to support insulin sensitivity, medications to regulate cycles or reduce androgen effects, and targeted options to support ovulation if pregnancy is desired. Skin and hair concerns can be addressed with specific therapies. The plan depends on your priorities, whether symptom relief, cycle regularity, or fertility.
What to Bring to Your Appointment
- ✓Cycle history (period dates and flow patterns)
- ✓List of current medications and supplements
- ✓Recent labs or imaging if available
- ✓Personal goals (cycle regularity, skin/hair concerns, fertility)
Frequently Asked Questions
1Does PCOS mean I can’t get pregnant?
Many people with PCOS conceive. If ovulation is infrequent, there are effective strategies and treatments that can support fertility.
2Do I need an ultrasound to be diagnosed?
Not always. Diagnosis is based on a combination of symptoms, exam findings, and lab results. Ultrasound can be helpful in some cases but is not required for everyone.
3Can lifestyle changes help?
Nutrition, activity, sleep, and stress management can support insulin sensitivity and hormone balance. These are often combined with medical therapy for best results.
4Will symptoms improve over time?
With a tailored plan, many symptoms can be reduced and cycles can become more predictable. Follow-up helps adjust the approach as your needs change.
Get a Personalized PCOS Plan
Whether your goal is predictable cycles, clearer skin, or support for pregnancy, we’ll build a plan that fits your life.
Book an Appointment