PCOS Treatment Specialist in San Antonio, TX

PCOS is a common hormonal and metabolic disorder driven by insulin resistance, causing irregular periods and high male-type hormones. Brenda Johnson provides a clear explanation of Polycystic Ovary Syndrome, its symptoms, and the personalized treatment options available. For more information, contact us or request an appointment online. We are conveniently located at 8233 Fredericksburg Rd, San Antonio, TX 78229.

What is PCOS? I hear so much about it on the socials. Can you explain it to me?

Thank you for the timely and important questions about PCOS. In the United States, PCOS affects about 5.2 % of the general population and up to 13 % of women of reproductive age. An estimated 50–70% of women with PCOS in the United States remain undiagnosed.

What is PCOS

Polycystic ovary syndrome or PCOS is an insulin resistance problem that cascades into hormonal and metabolic conditions effecting women with ovaries during their reproductive years. It causes problems with the menstrual cycle and may cause higher male-type hormones called androgens. PCOS is a spectrum disorder, so symptoms and severity vary widely between people.

The Central Role of Insulin Resistance

Insulin resistance means the body’s cells respond poorly to insulin, so the pancreas makes extra insulin; higher insulin worsens insulin resistance and disrupts the hormone balance, increasing free testosterone and disrupting ovulation.

Common Signs and Symptoms

• Period changes: irregular, missed, very light or heavy periods.
• Excess hair and skin changes: unwanted facial or body hair, acne, darkened skin patches (acanthosis nigricans).
• Fertility issues: difficulty conceiving due to irregular ovulation.
• Weight and metabolic signs: belly weight gain, fatigue, high fasting glucose or abnormal cholesterol tests.
• Emotional effects: higher rates of anxiety and depression.

Who Is Affected and When It Starts

PCOS most often begins around puberty and affects people across reproductive years; it occurs in individuals of all body sizes and ethnicities.

What Helps (Practical Steps)

Lifestyle changes that improve insulin sensitivity—regular aerobic and resistance exercise, a balanced diet that moderates blood sugar, and modest weight loss when appropriate—are first-line treatments; hormone optimization and medications such as metformin, GLP-1 and, when indicated, other metabolic or reproductive therapies are effective additions guided by individual goals.

What Helps and What To Expect

• Testing often includes blood tests for glucose, insulin, or an oral glucose tolerance test, lipid checks, and hormone measurements plus an ultrasound when needed.
• First steps are lifestyle changes that improve insulin sensitivity: regular aerobic and resistance exercise, a protein-balanced diet, and modest weight loss when appropriate.
• Medications such as GLP-1, and metformin reduce insulin levels and can lower androgens and improve cycles; hormonal optimization can address symptoms like irregular bleeding and hirsutism.
• Personalized care through hormone optimization to improve menstrual regularity, reduce symptoms, and lower long-term metabolic risk.

Start Today

Start addressing your PCOS today. Let’s sit down and discuss treatment options that lead to a healthier and more beautiful you. We are here to help. For more information, contact us or request an appointment online. We are conveniently located at 8233 Fredericksburg Rd, San Antonio, TX 78229. We serve patients from San Antonio TX, Alamo Heights TX, Balcones Heights TX, Leon Valley TA, Terrell Hills TX, Windcrest TX, and surrounding areas.