Online PCOS (Polycystic Ovary Syndrome) Treatment
Get help managing PCOS (now named PMOS) without a clinic visit. Your Doctors Online gives you access to a board-certified doctor 24/7 who can assess your symptoms, review your health history, and determine whether lab tests or treatment are needed. When appropriate, your prescription can be sent to your chosen pharmacy.
How to get PCOS treatment online
Connect with a board-certified doctor and get a prescription sent to your pharmacy.
1
Describe your Issue
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- PCOS
- Sexual Health
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- UTI
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2
Chat with a Doctor
Connect with a board-certified doctor. You can chat, send pictures and videos.
Hi I’m dr. Nicole. How may I help you?
Hi Dr. Nicole, I am trying to conceive but no luck. Can you help me?
3
Get Prescription
Our online doctors can help you with your medical issues and give you prescriptions.
Prescription
- Clomiphene 50mg
- Take one tablet daily for five days (starting on day 5 of your cycle)
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What are the treatment options for PCOS?
PCOS treatment depends on your symptoms and whether you are trying to get pregnant. There is no single medication that treats every part of PCOS.
- Irregular or missed periods: Birth control pills can help regulate periods and reduce excess androgen levels when pregnancy is not a goal.
- Insulin resistance: Medicines such as Metformin can improve how your body responds to insulin and may help with periods and ovulation.
- Acne and excess hair growth: Anti-androgen medicines can help reduce these symptoms.
- Trouble getting pregnant: Medicines that help trigger ovulation can improve the chances of pregnancy. Further fertility treatment may be considered if these do not work.
- Weight management: Losing even a modest amount of weight can improve insulin resistance, periods, and ovulation for some people.
Your treatment is chosen based on the symptoms you want to manage and your plans for pregnancy. You may be recommended a lab requisition before starting certain treatments.
What PCOS medications can we prescribe online?
PCOS medications work in different ways depending on the symptoms they are prescribed to manage. The choice is based on your symptoms, medical history, current medications, and whether you are trying to become pregnant. When medically appropriate, a doctor can provide an online prescription for the medication that best fits your situation.
Combined birth control pill
Learn More
Biguanide, insulin sensitizer
Learn More Spironolactone, anti-androgen
Learn More Clomiphene, ovulation stimulant
Learn More Letrozole, aromatase inhibitor
Learn More What is PCOS (polycystic ovary syndrome) and what causes it?
PCOS, also called polyendocrine metabolic ovarian syndrome (PMOS), is a hormonal and metabolic condition that can affect your periods, skin, weight, and fertility. Despite the name, you do not need ovarian cysts to have PCOS.
A diagnosis is usually based on a combination of symptoms and test results. Two of these three features are generally needed:
- Irregular or absent periods because you are not ovulating regularly
- High androgen levels or signs such as excess facial or body hair, acne, or hair thinning
- Polycystic ovaries seen on an ultrasound
The exact cause is not fully understood. Genetics, insulin resistance, hormone changes, and other factors can all play a role. When the body becomes less sensitive to insulin, it may produce more insulin than usual. Higher insulin levels can increase androgen production, which can interfere with ovulation and lead to irregular periods and other symptoms.
What are the symptoms of PCOS?
PCOS symptoms can include:
- Irregular or missed periods
- Heavy or very light periods
- Excess facial or body hair
- Acne
- Darkened, velvety skin patches
- Skin tags
- Thinning scalp hair
- Weight gain or difficulty losing weight
- Difficulty getting pregnant
- Sleep apnea
- Low mood or anxiety
How does diet affect PCOS?
There is no single diet that works for everyone, but a balanced eating pattern and regular physical activity can support overall PCOS management.
- Choose balanced meals: Focus on vegetables, whole grains, protein, and healthy fats.
- Limit highly processed foods: Foods high in added sugar and refined carbohydrates can make blood sugar harder to manage.
- Focus on sustainable changes: Even modest weight loss can improve some PCOS symptoms if you are overweight.
- Stay active: Regular exercise can improve insulin sensitivity and overall health.
- Get personalized guidance: An online dietitian consultation can help you build an eating plan around your needs and goals.
FAQs About Polycystic Ovary Syndrome (PCOS)
How to treat PCOS acne without birth control?
PCOS acne can be treated without birth control. A doctor may prescribe a topical retinoid, a topical antibacterial, or an oral antibiotic, depending on how severe the acne is. Daily skin care also helps, including a non-comedogenic, oil-free cleanser and moisturizer applied to clean skin. Treating insulin resistance and losing a modest amount of weight can lower androgen levels, which may improve acne over time.
What is the treatment for PCOS and endometriosis?
PCOS and endometriosis are separate conditions, and it is possible to have both. Birth control pills are used for both because they suppress ovulation and keep the lining of the uterus thin, which can reduce pain and heavy bleeding. Endometriosis tissue that continues to cause pain may be removed surgically. Over-the-counter pain relievers can ease cramping but do not treat either condition.
How to treat high testosterone in PCOS?
High androgen levels cause much of the excess hair growth, acne, and scalp hair thinning in PCOS, so lowering them can improve several symptoms at once. Birth control pills lower androgen levels and are the main long-term option when pregnancy is not a goal. Anti-androgen medicines can be added and are usually used with reliable contraception. Losing a modest amount of weight and staying active can also lower androgen levels by improving insulin resistance. Spearmint tea, zinc, and similar remedies are often suggested online but are not part of standard treatment.
What happens if PCOS goes untreated?
Untreated PCOS can raise your long-term risk of type 2 diabetes, high blood pressure, high cholesterol, and cancer of the lining of the uterus. That risk comes from periods that do not arrive, which leaves the lining to build up. Fertility can be affected as well, though PCOS is one of the most common treatable causes of infertility. Treatment is aimed at managing symptoms and lowering these risks.
What are the treatments for PCOS-related skin problems?
PCOS affects the skin in several ways, and each is treated differently. Acne is managed with topical or oral acne medication, and oral contraceptives can help when it flares before a period. Darkened, velvety skin patches are a sign of high insulin levels and improve when insulin resistance is treated, not with a cream. Excess facial and body hair responds to anti-androgen medicines and to hair removal methods such as laser or electrolysis.
How to treat PCOS insulin resistance?
Insulin resistance in PCOS is treated with diet changes, regular physical activity, weight loss where there is weight to lose, and medicines such as Metformin that improve insulin sensitivity. These medicines can also make periods more regular, and some people begin ovulating again after four to six months. Treating insulin resistance matters because it links PCOS to type 2 diabetes.
What are the best treatments for PCOS to enhance fertility and increase the chances of getting pregnant?
Clomiphene is usually the first medicine tried. It is the only medication FDA-approved for PCOS-related infertility and is taken as 50 mg daily for five days early in your cycle. Letrozole is a common alternative and leads to ovulation and live birth more often than clomiphene, though it is not FDA-approved for this use. Metformin can improve ovulation but does not raise pregnancy rates on its own. If medicines do not work, in vitro fertilization may be considered. Losing a modest amount of weight can improve the chances of pregnancy, alongside any of these.
Can PCOS be treated on its own?
PCOS does not go away on its own and there is no cure, so treatment focuses on managing symptoms and lowering long-term health risks. Diet changes and regular physical activity work on the insulin resistance behind many of the symptoms, and if you are overweight, losing a modest amount of weight can help periods return. Without treatment, symptoms usually continue and metabolic risks build over time, so a plan is worth having even in mild cases.
What is the treatment for PCOS for girls?
For teenagers, PCOS is usually treated with birth control pills, which regulate periods, lower androgen levels, and help with acne and excess hair growth. They do not work for everyone, and an anti-androgen or an insulin-sensitizing medicine may be added. Diagnosis is more cautious at this age, because irregular cycles are common in the first few years after periods start.
How do you treat PCOS without going to the doctor?
PCOS can be managed at home by reducing the carbohydrates in your diet, staying at a balanced weight to reduce insulin resistance and androgen levels, and increasing your day-to-day physical activity. You can consult our doctor online at Your Doctors Online for the treatment of PCOS.
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