Polycystic Ovaries

Polycystic Ovaries

Introduction: Why PCOS Needs More Than Birth Control Pills

PCOS affects 1 in 10 women, yet most are only offered symptom management. At Patients Medical in NYC, we uncover the hidden metabolic and endocrine imbalances driving your PCOS—from insulin resistance to gut dysbiosis—and create personalized plans to:
✔ Restore regular ovulation
✔ Reverse insulin resistance
✔ Reduce androgen excess (hirsutism, acne)
✔ Improve fertility naturally

We treat the whole endocrine system, not just your symptoms.

What Is PCOS?

PCOS is a hormonal and metabolic disorder characterized by:

    • Ovarian cysts (multiple immature follicles)
    • Hyperandrogenism (elevated testosterone/DHE)
    • Ovulatory dysfunction (irregular/absent periods)
      PCOS Subtypes:
      • Insulin-Resistant PCOS (most common)
      • Post-Pill PCOS (after stopping birth control)
      • Inflammatory PCOS (high CRP, gut issues)
      • Adrenal PCOS (high DHEA, normal ovaries)

Common PCOS Symptoms

Root Causes: Why Do You Have PCOS?

Functional medicine identifies why your hormones are imbalanced:

  • Insulin Resistance (affects 70% of PCOS cases)
  • Gut Dysbiosis (leaky gut → inflammation → hormone disruption)
  • Toxin Overload (endocrine disruptors mimic estrogen)
  • Chronic Stress (high cortisol → high androgens)
  • Nutrient Deficiencies (inositol, magnesium, zinc)
  • MTHFR Mutations (impairs folate metabolism)

Advanced Diagnostic Testing

We use cutting-edge labs most doctors don’t run:

DUTCH Hormone Test (estrogen, progesterone metabolites)

Insulin Response Test (not just fasting glucose)

GI-MAP Stool Test (gut microbiome analysis)

Heavy Metal Testing (mercury, lead)

MTHFR & Genetic SNPs

Thyroid Antibodies (linked to 40% of PCOS cases)

Integrative PCOS Treatments

Insulin Resistance Reversal

  • Myo-inositol + D-chiro inositol (40:1 ratio)
  • Berberine (natural metformin alternative)
  • Continuous Glucose Monitoring (personalized diet tweaks)

Androgen Reduction

  • Spearmint tea (clinically shown to lower testosterone)
  • Zinc + Saw Palmetto (blocks 5-alpha reductase)
  • Acupuncture (reduces LH:FSH ratio)

Gut-Hormone Healing

  • Probiotics (L. reuteri improves ovulation)
  • Glutamine + Zinc Carnosine (repairs leaky gut)
  • Liver detox support (NAC, milk thistle)

Stress & Adrenal Support

  • Adaptogens (ashwagandha, rhodiola)
  • Mind-body therapies (vagus nerve exercises)

Fertility Optimization

  • Red light therapy (improves egg quality)
  • CoQ10 + NAC (mitochondrial support)

Case Study: Sarah's PCOS Transformation

Sarah, 28, had 3 years of irregular periods, acne and 50-lb weight gain. Standard treatment was birth control pills. Our testing revealed:

  • Severe insulin resistance (HOMA-IR 4.1)
  • Leaky gut + SIBO
  • MTHFR mutation

After 6 months of treatment (personalized keto diet, inositol, gut healing):

  • Regular 28-day cycles returned
  • Lost 38 lbs
  • Conceived naturally after 2 years of infertility

Testimonials

Frequently Asked Questions

Many patients achieve complete symptom remission by addressing root causes.

No—we help patients transition off safely while balancing hormones naturally.

Berberine and inositol often work better with fewer side effects.

Many tests (hormones, insulin) are covered. We provide superbills.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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