PCOS Care in Manhattan Beach
Polycystic ovary syndrome (PCOS) is one of the most common hormonal conditions in women of reproductive age, and it often goes undiagnosed for years. It can affect your cycle, skin, weight, energy, and fertility. At Cove Midwifery and Women's Health in Manhattan Beach, CA , we take a whole-person approach to PCOS, combining careful evaluation, lifestyle and nutrition support, and coordinated physician care to help you feel your best and plan for the future.
What Is PCOS?
PCOS is a hormonal imbalance that typically involves irregular or absent ovulation, higher levels of androgens (hormones such as testosterone), and often ovaries with many small follicles on ultrasound. Insulin resistance plays a role for many women with PCOS, which is why it is closely linked to metabolism. The exact cause is not fully understood, but genetics and lifestyle both contribute.
Common Signs and Symptoms
- Irregular, infrequent, or absent periods
- Difficulty getting pregnant
- Acne or oily skin
- Excess hair growth on the face, chest, or abdomen
- Thinning hair on the scalp
- Weight gain or difficulty losing weight
- Darkened patches of skin on the neck or underarms
- Fatigue and mood changes
Diagnosis
PCOS is usually diagnosed when at least two of these three features are present: irregular ovulation, signs of elevated androgens, and polycystic-appearing ovaries on ultrasound, after other causes are ruled out. Your evaluation may include a detailed history, physical exam, blood work for hormones, thyroid, blood sugar, and cholesterol, and an ultrasound. Our in-practice Board-Certified OB/GYNs are available for consultation on more complex cases.
A Holistic Treatment Plan
There is no single cure for PCOS, but symptoms can be managed very effectively. Your plan may include:
- Nutrition and movement: Balanced, blood-sugar-friendly eating and regular activity, which can improve ovulation even with modest changes. Nutritional consultants are available through the Cove Concierge Membership.
- Cycle regulation: Hormonal or non-hormonal options to protect the uterine lining and regulate bleeding, discussed through well-woman gynecology.
- Insulin support: Medication such as metformin or supplements like inositol when appropriate.
- Symptom relief: Treatment for acne and unwanted hair growth.
- Emotional support: PCOS is linked to higher rates of anxiety and depression, and we screen and support you.
PCOS, Fertility, and Pregnancy
Many women with PCOS conceive, sometimes with support. Fertility and preconception counseling helps optimize ovulation and health before trying, and we coordinate with reproductive endocrinologists when needed. PCOS raises the risk of gestational diabetes and high blood pressure in pregnancy, so our prenatal care includes careful screening. Some women with PCOS also notice supply differences while nursing, which our lactation support team can address. Browse all conditions we treat.
PCOS FAQs
How common is PCOS?
PCOS affects an estimated 1 in 10 women of reproductive age, and many are not diagnosed until they try to conceive.
Can I get pregnant if I have PCOS?
Yes. Many women with PCOS conceive naturally or with support. Preconception counseling helps optimize your chances.
Does PCOS mean I have cysts on my ovaries?
Not true cysts. The ovaries may show many small follicles, but not every woman with PCOS has this finding.
Can lifestyle changes improve PCOS?
Yes. Even modest weight changes, balanced nutrition, and regular exercise can improve cycles, insulin resistance, and symptoms.
Does PCOS affect pregnancy?
PCOS increases the risk of gestational diabetes and high blood pressure in pregnancy, so we screen carefully during prenatal care.
Is PCOS linked to other health problems?
PCOS is associated with higher risk of type 2 diabetes, high cholesterol, and sleep apnea, so ongoing screening is important.
Does PCOS go away after menopause?
Cycle-related symptoms change after menopause, but metabolic risks such as insulin resistance may continue and should still be monitored.
Take Charge of Your PCOS
With the right support, PCOS is very manageable. Call Cove Midwifery and Women's Health at (844) 808-COVE or request an appointment to start your personalized plan.