Endocrine and PCOS treatment

A collaborative approach to optimize metabolic and reproductive health

What is PCOS?

Polycystic ovary syndrome (PCOS) is a hormonal disorder common among women of reproductive age. Affecting around 8% of women, the signs and symptoms of PCOS can vary, and may include:

  • infrequent, prolonged menstrual periods
  • excess male hormone (androgen) levels
  • numerous ovarian cysts, failure to ovulate
  • excessive hair growth
  • weight gain
  • acne

How is PCOS diagnosed?

PCOS can be challenging to diagnose because there is no one single diagnostic test.

The diagnosis is made based on the presence of 2 out of 3 of the following criteria:

  • Irregular menstrual cycles (less than eight menstrual cycles per year)
  • Symptoms or blood tests that indicate male hormone levels above the expected range for females
  • Pelvic Ultrasound showing specific features such as many “cysts,” “follicles,” or large ovaries

How is PCOS treated?

While receiving news that you have this condition may be worrisome at first, it is important to know that this condition is not a life-sentence for symptoms. PCOS symptoms can be managed, and most women will be able to conceive and have a healthy pregnancy. This may be achieved with lifestyle changes. Some women may require medications or additional fertility therapy in order to conceive.

When it comes to fertility, it can be useful to review your plans with a specialist to personalize your therapy and optimize your reproductive plan.

There is no one-size-fits-all approach to PCOS. Not every drug or treatment is guaranteed to work for everyone, but there are many tools to help women with PCOS achieve successful pregnancies.

If you think you may have PCOS or have been diagnosed and are trying to conceive, our experts are here to help you prepare your fertility plan and grow your family.

Meet our Endocrinologist

Dr. Alyse Goldberg

Dr. Alyse Goldberg obtained her Medical Degree from the University of Toronto and completed her residency training in Internal Medicine at Western University where she served as one of the chief medical residents. She return to University of Toronto to complete her training in Endocrinology and then a clinical fellowship focusing on reproductive endocrinology at Women’s College Hospital.

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