Polycystic Ovary Syndrome (PCOS)

PCOS is one of the most common—and most misunderstood—hormonal conditions affecting women. It is complex, life-disrupting, and too often under-diagnosed or poorly treated.

At Coven Women’s Health, we believe women with PCOS deserve earlier diagnosis, clearer answers, and long-term, multidisciplinary care—not dismissal, oversimplification, or one-size-fits-all advice.

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PCOS SUPPORT

What is PCOS?

Polycystic Ovary Syndrome (PCOS) is a complex endocrine disorder that affects up to 1 in 5 women.

It is a leading cause of infertility and is associated with an increased lifetime risk of:

Type 2 diabetes
Cardiovascular disease
Endometrial (uterine) cancer
Metabolic dysfunction and insulin resistance

Despite how common it is, up to 70% of cases may be undiagnosed, and many women see multiple clinicians over many years before receiving a diagnosis—if they receive one at all.

PCOS is not a single disease with a single cause. It is a syndrome, meaning it can look very different from one woman to another.

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A portion of your fee may be eligible for reimbursement through your Extended Health Benefits or Health Spending Account . All services that are eligible for coverage by OHIP will be billed to OHIP.

Signs & Symptoms of PCOS

PCOS can show up in many ways. Common features include:

Irregular, infrequent, or absent menstrual cycles
Difficulty ovulating or conceiving
Acne or persistent adult acne
Excess facial or body hair (hirsutism)
Thinning scalp hair or male-pattern hair loss
Weight gain or difficulty losing weight
Insulin resistance or prediabetes
Fatigue, brain fog, mood changes

If any of these sound familiar, you are not imagining things—and you deserve proper evaluation.

How PCOS Is Diagnosed

PCOS is typically diagnosed using the Rotterdam criteria, which require two of the following three:

Irregular ovulation or menstrual cycles
– Infrequent, unpredictable, or absent periods
Hyperandrogenism (elevated androgens)
– Diagnosed through blood work or physical signs such as acne, excess hair growth, or hair thinning
Polycystic ovaries on ultrasound
– 12+ follicles on one or both ovaries or increased ovarian volume
(Note: polycystic-appearing ovaries alone do not equal PCOS)

Early diagnosis matters. The longer PCOS goes unrecognised, the harder it can be to manage symptoms and reduce long-term health risks.

Who We Can Help

We support women who:

Have been diagnosed with PCOS and feel their care has been fragmented or incomplete
Suspect PCOS but have not received clear answers
Have been told to “just lose weight” or “come back when you want to get pregnant”
Want support beyond fertility—energy, hormones, metabolism, mood, skin, and long-term health
Are looking for evidence-based care that also honours their lived experience

You do not need to be trying to conceive to deserve excellent PCOS care.

How We Treat PCOS at Coven

PCOS requires multidisciplinary, long-term care—not quick fixes.

At Coven Women’s Health, we take a whole-person, hormone-informed approach, combining medical care, nutrition, and coaching to address both symptoms and root contributors.

Our care may include:

Comprehensive hormonal and metabolic assessment
Medical management and diagnostic support with women’s-health clinicians
Nutrition therapy tailored to insulin resistance, inflammation, and hormonal balance
Behavioural and lifestyle support that is realistic and sustainable
Ongoing follow-up to adapt care as your body and goals change

For women who want deeper, structured support, we offer our Feel Powerful PCOS Program—a longer-term, individualized care pathway designed to shorten the path to diagnosis and provide ongoing, integrated support.

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Myths & FAQs About PCOS

PCOS affects metabolic, cardiovascular, and hormonal health across the lifespan—regardless of fertility goals
Weight changes can be a symptom, not the cause. PCOS management should never be reduced to weight alone.
PCOS affects women across all body types.
They are common—but not normal—and should be investigated.
PCOS is a chronic condition, but symptoms and long-term risks can be effectively managed with the right care
Not necessarily. Our model is designed to coordinate care across disciplines so nothing falls through the cracks