Polycystic ovary syndrome, commonly called PCOS, is a hormonal condition that can affect menstrual cycles, skin, hair growth and metabolic health. Its effects vary, and symptoms may change throughout life. Dr. Alexandro Zarruk provides care for PCOS, with a focus on its hormonal and metabolic aspects and their relationship to long-term health.
Recognizing the different features of PCOS
PCOS can involve irregular or infrequent periods, acne, increased facial or body hair, or thinning scalp hair. Some people experience difficulty becoming pregnant because ovulation is irregular. The condition can occur at different body weights, and its impact differs from one person to another.
The name can cause confusion. An ultrasound appearance alone does not establish the diagnosis, and a person can have PCOS without polycystic-appearing ovaries. Symptoms, clinical findings and appropriate investigations need to be considered together.
Why metabolic health matters
Many people with PCOS have insulin resistance, which means the body responds less effectively to insulin. The pancreas may compensate by producing more. This can interact with reproductive hormones and contribute to symptoms. Insulin resistance is also associated with an increased risk of type 2 diabetes.
Assessment therefore considers blood sugar and cardiovascular risk factors, including blood pressure and cholesterol. These concerns remain relevant even when menstrual or skin symptoms are the main reason for seeking care.
How assessment helps clarify the diagnosis
Evaluation may include your menstrual history, symptom pattern, family history and medication use. Blood tests can help assess hormonal and metabolic concerns and identify other conditions that may cause similar symptoms. Ultrasound may be appropriate in some circumstances, depending on age and clinical findings.
An assessment also provides space to discuss how symptoms affect daily life, emotional well-being and personal goals. These priorities help determine which aspects of treatment deserve attention first.
A care plan that reflects your needs
Management may include support for nutrition, physical activity and sleep, together with medication for specific symptoms or metabolic concerns. Some treatments help manage insulin resistance, while others address menstrual irregularity or the effects of elevated androgen levels. Treatment choices depend on your medical history and whether pregnancy is a goal.
PCOS often benefits from ongoing follow-up, and some concerns require coordinated care with other professionals. Monitoring allows symptoms and metabolic risk factors to be reviewed as needs change. Contact Dr. Zarruk's office to discuss care for the hormonal and metabolic aspects of PCOS.