Polycystic Ovarian Syndrome (PCOS)
PCOS Care at UVM Health
Polycystic Ovarian Syndrome (PCOS) is a common hormonal condition that occurs when the ovaries produce higher-than-usual levels of androgens (male hormones). This hormonal imbalance can lead to irregular menstrual cycles, difficulty ovulating and the development of small cysts on the ovaries. PCOS is a long-term condition, but symptoms can be managed effectively with treatment and lifestyle changes.
Why Choose UVM Health?
At University of Vermont Health, our gynecologists provide high-quality care in a supportive, compassionate environment. We listen carefully to your concerns and use a personalized approach to protect your health and quality of life. With locations across Vermont and northern New York, expert care is always within reach.
As a leading gynecology program in the region, we offer:
- Experienced gynecologic professionals: Our board-certified gynecologists have extensive experience diagnosing and treating a full range of gynecologic conditions, including complex cases of PCOS.
- Access to subspecialists: As part of a health system anchored by an academic medical center, your care team can easily collaborate with other medical specialists when needed. Our shared medical record ensures coordinated referrals and seamless access to advanced gynecologic care.
- Supportive whole-person care: Gynecologic conditions can affect many aspects of daily life. We connect patients with supportive services — physical therapy, pain management, social work and psychological counseling — available throughout UVM Health and in local communities.
PCOS Symptoms
Common symptoms include:
- Irregular or missed periods
- Heavy or prolonged menstrual bleeding
- Excess hair growth on the face, chest or abdomen
- Acne or oily skin
- Weight gain or difficulty losing weight
- Thinning hair or hair loss on the scalp
- Darkened or thickened skin in areas such as the neck and underarms
- Difficulty becoming pregnant due to irregular ovulation
Having one or more symptoms does not always mean you have PCOS. A health care provider can help make an accurate diagnosis.
Diagnosing PCOS
Your provider will ask about your symptoms, menstrual cycles, medical history and family history. A pelvic exam may be performed to check for tenderness or masses.
Testing may include:
- Blood tests: To check hormone levels, cholesterol changes and insulin resistance
- Ultrasound: To identify and measure enlarged ovaries or small ovarian cysts
A diagnosis is often made using the “Rotterdam criteria,” which looks for at least two of the following: irregular ovulation, signs of high androgen levels or polycystic ovaries on ultrasound.
PCOS Treatment
Treatment for PCOS focuses on managing symptoms and improving overall health. Your provider will work closely with you to design a treatment plan that fits your needs and helps manage symptoms effectively. Treatment options may include:
Regular exercise and a balanced diet with heart-healthy foods can improve symptoms. Even modest weight loss can help regulate hormones and insulin resistance. Quitting smoking is an important step to improve your health.
Learn more about Wellness & Prevention resources at UVM Health
- Hormonal birth control: To regulate periods and reduce acne or excess hair growth
- Metformin: To reduce insulin resistance and help regulate cycles
- Fertility medications: If trying to get pregnant
- Anti-androgen medications: To reduce hair growth and acne
Locations Near You
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75 Park Street
Elizabethtown, NY 12932
101 Adirondack Drive
Suite 1
Ticonderoga, NY 12883
111 Colchester Avenue
Main Campus, Main Pavilion, Level 4
Burlington, VT 05401-1473
206 Cornelia Street
Suite 105
Plattsburgh, NY 12901-2779
111 Colchester Avenue
Main Campus, Main Pavilion, Level 4
Burlington, VT 05401-1473
16 Third Street
Suite C
Malone, NY 12953-1305
130 Fisher Road
MOB-A, Suite 1-4
Berlin, VT 05602-9000
116 Porter Drive
Middlebury, VT 05753-8501
