Polycystic Ovary Syndrome (PCOS)

Comprehensive Care. Personalized Treatment. Real Answers.

PCOS is one of the most common hormonal conditions affecting women — yet it is frequently misunderstood, overlooked, or treated with a one-size-fits-all approach.

At Haven OBGYN, we understand that PCOS affects far more than menstrual cycles. We offer comprehensive diagnosis, ultrasound evaluation, personalized treatment plans, fertility support, and metabolic guidance, all delivered with compassion and clinical expertise.

PCOS Affects More Than Periods

Whether your goals include regulating your cycles, managing symptoms, improving metabolic health, or conceiving, we are here to support you every step of the way.

Hormones

Ovulation

Fertility

Weight & Metabolism

Skin & Hair

Mood

Long-Term Health

What Is PCOS?

PCOS is a hormonal and metabolic condition characterized by:

  • Irregular or absent ovulation
  • Elevated androgen (male hormone) levels
  • Polycystic-appearing ovaries on ultrasound

There is no single "type" of PCOS — which is why treatment must be individualized.

PCOS Looks Different for Every Woman

Some have irregular periods but normal weight

Others have regular cycles but difficulty conceiving

Some struggle with acne or excess hair growth

Others have metabolic symptoms or weight changes

Common Symptoms of PCOS

If these symptoms resonate with you, you're not alone — and support is available.

Menstrual Irregularities
  • Irregular periods
  • Missed periods
  • Heavy or prolonged bleeding
  • Light or unpredictable bleeding
Ovulation Issues
  • Difficulty predicting ovulation
  • Trouble getting pregnant
  • No signs of ovulation
Hormonal Symptoms
  • Acne
  • Excess hair growth
  • Hair thinning
  • Darkened skin patches
Metabolic Symptoms
  • Weight gain or difficulty losing weight
  • Blood sugar imbalance
  • Carb cravings
  • Fatigue
Emotional Symptoms
  • Mood swings
  • Anxiety
  • Depression
  • Body image concerns

How We Diagnose PCOS

Diagnosis requires careful evaluation using the internationally accepted Rotterdam criteria.

Medical History & Symptom Review

Cycles, skin/hair changes, weight patterns, metabolic concerns, fertility goals.

Physical Exam

Trauma-informed and optional — your comfort and consent come first.

2D + 3D Ultrasound

Ultrasound helps evaluate:

Ovarian follicle count
Ovarian size
Uterine lining
Coexisting conditions

3D imaging may offer helpful additional detail for ovarian and uterine assessment.

Learn About Our Ultrasound
Comprehensive Bloodwork

We assess multiple hormones and metabolic markers:

Testosterone
DHEA-S
AMH
LH/FSH
Estradiol
TSH
Glucose / A1C
Lipid panel

Treatment Options for PCOS

PCOS treatment is tailored to your symptoms, goals, and lifestyle. We make decisions together through shared decision-making.

1
Cycle Regulation

To help regulate periods and reduce long-term risks such as endometrial hyperplasia:

Combined birth control pills
Hormonal patch or ring
Progestin-only pills
Hormonal IUD
Cyclic progesterone therapy

Cycle regulation may also help with acne, bleeding patterns, and androgen-related symptoms.

2
Fertility Support & Ovulation Induction

For patients trying to conceive, we offer:

Ovulation tracking
Follicle ultrasound monitoring
Hormone evaluation
Letrozole (first-line for PCOS)
Clomiphene
Timed intercourse guidance

Letrozole is often highly effective in helping promote ovulation in PCOS, depending on the individual case.

Learn About Fertility Care
3
Metabolic Health & Weight Management

PCOS is closely linked to insulin resistance and metabolic health. We offer:

Nutrition and lifestyle strategies
Exercise recommendations
Sleep optimization
Insulin resistance evaluation
Metformin (when appropriate)

Even small metabolic improvements may help reduce PCOS symptoms over time.

4
Hormonal & Androgen Management

For acne, excess hair growth, or hormonal imbalance:

  • Combined hormonal therapy
  • Anti-androgen medications
  • Topical treatments
  • Coordination for laser hair removal
5
Skin, Hair & Emotional Wellness

PCOS affects both health and confidence. We address:

  • Hormone balancing
  • Acne management
  • Mood and anxiety support
  • Mental health referral when helpful

PCOS & Fertility

Many women with PCOS can conceive naturally with guidance and cycle optimization. Others may benefit from:

Ovulation induction
Follicle monitoring
Addressing insulin resistance
Collaborative care with reproductive endocrinology (REI)

PCOS is a very common and often highly treatable cause of infertility.

PCOS & Midlife

Perimenopause can reveal or intensify PCOS-related symptoms. We evaluate:

  • Endometrial health
  • Metabolic risk
  • Bleeding changes
  • Thyroid and hormone balance
  • Menopause transition symptoms
Long-Term Health with PCOS

We focus on long-term prevention and monitoring:

  • Endometrial hyperplasia
  • Metabolic syndrome
  • Type 2 diabetes
  • High cholesterol
  • Cardiovascular risk

Early, thoughtful intervention can support long-term wellbeing.

What Makes Haven Different

Whole-Person PCOS Care

We address hormones, metabolism, fertility, mental health, and long-term risks.

On-Site 2D & 3D Ultrasound

Convenient evaluation that supports timely next steps.

Expertise in Ovulation & Fertility Management

Evidence-based, first-line treatments for PCOS-related infertility.

Integrated Metabolic Support

Nutrition, weight, sleep, and insulin-resistance evaluation.

Supportive, Nonjudgmental Care

Our goal is that you feel heard, supported, and never dismissed.

Individualized Plans

PCOS is not one disease — and your care should reflect that.

When to See a Specialist

We're here to help you understand your body and regain balance.

Irregular or missed periods
Difficulty getting pregnant
Acne or excess hair growth
Weight gain or carb cravings
Fatigue or brain fog
Pelvic pain
Heavy or prolonged periods
Concerns about long-term health

Take the First Step Toward Clarity & Balance

You deserve compassionate, expert care. Schedule your PCOS evaluation today.