Polycystic ovary syndrome (PCOS)

The reasons most women come to see me, and how I approach them.

Irregular periods, excess androgens and a metabolism that needs attention.

PCOS is the most common hormonal disorder in women of reproductive age. It can cause irregular or absent periods, acne, excess hair, difficulty ovulating and insulin resistance, and it also affects mood.

I diagnose it using international criteria after ruling out other causes. Care starts with diet, exercise and sleep, and is completed with supplements or medication depending on your symptoms and whether you plan to get pregnant.

Frequently asked questions

The scan showed a lot of follicles. Does that mean I have PCOS?

No. The image is only one part: the diagnosis is made using the international criteria and after ruling out other causes that produce similar symptoms. Ovaries with many follicles are not enough on their own.

What does insulin have to do with an ovarian problem?

PCOS is not only gynaecological: insulin resistance is part of the picture, just like irregular periods, acne or excess hair. That is why care starts with diet, exercise and sleep rather than with a drug.

I have PCOS and I want to get pregnant. Does that change the treatment?

Yes. PCOS can make ovulation harder, so your pregnancy plans are one of the first things I ask about: whatever is added afterwards — supplements or medication — depends on your symptoms and on whether you are trying now or later.

Other areas of care

Premenstrual syndrome and premenstrual dysphoric disorder (PMS and PMDD)
When the days before your period change your body, your mood and your life.
Endometriosis and adenomyosis
An inflammatory disease that takes far too long to diagnose and deserves a complete approach.
Uterine fibroids
The most common benign tumours of the uterus: often they only need monitoring.
Menopause and genitourinary syndrome
A stage to live well informed and without fear, caring for your intimate health too.
Chronic pelvic pain
Pain that stays in your pelvis for months is never normal and always deserves investigation.
Recurrent vulvovaginal candidiasis
Itching, burning and discharge that keep coming back despite treatment.
Sexual dysfunction with a physical cause
Pain during sex, dryness or low desire often have a physical cause that can be treated.
Preconception consultation
Preparing your body before trying for a pregnancy.
Active cellular nutrition and environmental medicine
Diet, lifestyle and environment as the foundation of any treatment.

Whether a test or treatment is right for you is decided together, in consultation, after assessing your case. This page is for information only and does not replace a medical assessment.

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