Your Guide to Understanding and Managing PCOS

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A woman with PCOS sitting calmly and reflecting while focusing on managing her health and fertility during PCOS Awareness Month.

September is PCOS Awareness Month, a time to spotlight one of the most common hormonal conditions affecting people of reproductive age. Polycystic Ovary Syndrome (PCOS) impacts health in many ways — from menstrual cycles and metabolism to fertility and emotional well-being.

At Reproductive Partners Fertility Center – San Diego, we see firsthand how confusing PCOS can feel. That’s why we’ve created this guide to managing PCOS, answering the most frequently asked questions patients search online.

What is PCOS?

PCOS is a hormonal and metabolic disorder. It’s typically diagnosed when someone has at least two of the following:

  • Irregular or absent ovulation (leading to irregular periods)
  • Elevated androgen (testosterone) levels, which may cause acne or excess hair growth
  • Ovaries that appear “polycystic” (with many small fluid-filled follicles) on ultrasound

PCOS affects 6–13% of people of reproductive age, yet many remain undiagnosed for years. Early awareness is key for better outcomes in fertility and long-term health.

What are the most common symptoms of PCOS?

The symptoms can vary, but the most common include:

  • Irregular or absent menstrual cycles
  • Acne or oily skin
  • Excess hair growth (hirsutism) or thinning hair on the scalp
  • Weight gain or difficulty losing weight
  • Darkened skin patches or skin tags
  • Fertility challenges

If you’re experiencing two or more of these symptoms, it’s worth speaking with a fertility specialist. Identifying PCOS early can help prevent complications and improve your chances of conceiving when you’re ready.

What causes PCOS?

The exact cause isn’t fully understood, but several factors play a role:

  • Insulin resistance: When the body doesn’t use insulin effectively, it produces more, which can increase androgen levels and disrupt ovulation.
  • Genetics: PCOS often runs in families.
  • Hormonal imbalance: Higher levels of androgens disrupt ovulation, leading to irregular cycles.

These imbalances don’t just affect fertility — they can also increase risks for type 2 diabetes, heart disease, and other long-term health issues if left unmanaged.

How is PCOS diagnosed?

There’s no single test for PCOS. Diagnosis usually includes:

  • Reviewing your medical history and symptoms
  • Blood tests to measure hormone, cholesterol, and insulin levels
  • Pelvic ultrasound to evaluate ovaries and follicles

At RPSD, our physicians use a comprehensive approach, not only confirming diagnosis but also focusing on how PCOS impacts your fertility goals.

How does PCOS affect fertility?

PCOS is one of the leading causes of infertility due to irregular ovulation or no ovulation at all. Without ovulation, it’s difficult to conceive naturally. However, the good news is that many people with PCOS go on to have successful pregnancies with the right treatment plan.

Treatment may include:

  • Ovulation induction medications (such as letrozole or clomiphene)
  • Lifestyle modifications to support ovulation and hormonal balance
  • IVF (in vitro fertilization) when other approaches aren’t effective

Our team at RPSD has helped thousands of patients with PCOS build their families.

What is the best treatment for PCOS?

Treatment depends on your symptoms and goals:

  • For cycle regulation & symptom management: Hormonal birth control can help regulate periods, improve acne, and reduce excess hair growth. Metformin may help with insulin resistance.
  • For fertility: Medications like letrozole or clomiphene can stimulate ovulation. If needed, IVF can bypass ovulation issues and optimize success.
  • For overall health: A balanced diet, regular exercise, and modest weight loss (5–10%) can improve symptoms and fertility outcomes.

What lifestyle changes help manage PCOS?

Lifestyle management is one of the most effective long-term strategies. Helpful changes include:

  • Balanced diet: Focus on whole foods, lean protein, and low-glycemic carbs to manage insulin levels.
  • Regular movement: Aerobic exercise and strength training improve insulin sensitivity and support weight management.
  • Stress reduction: Stress can worsen hormonal imbalance; yoga, meditation, or acupuncture may help.

At RPSD, we often partner with acupuncturists, nutritionists, and wellness providers to support holistic PCOS care.

Can PCOS be cured?

PCOS cannot be “cured,” but it can be effectively managed. With the right combination of lifestyle support, medication, and fertility treatments when needed, most people live healthy lives and achieve their family-building goals.

What should I do if I suspect I have PCOS?

If you notice irregular periods, symptoms of hormone imbalance, or fertility concerns, schedule an appointment with a reproductive endocrinologist. Early diagnosis can help:

  • Prevent long-term health complications
  • Provide options for symptom relief
  • Protect and preserve fertility

PCOS is complex, but you don’t have to navigate it alone. During PCOS Awareness Month, take the opportunity to learn, share, and seek support. Whether you’re trying to conceive now, planning for the future, or simply aiming for better health, the right care makes all the difference.

At Reproductive Partners Fertility Center – San Diego, we’re here to guide you every step of the way. Contact us today to learn how we can support your fertility journey.

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