Is it Necessary for You to See an Endocrinologist for PCOS?


Navigating the complexities of Polycystic Ovary Syndrome (PCOS) often prompts individuals to contemplate seeking specialized care. As a condition intricately linked to hormonal imbalances, the question arises: Is it necessary for you to see an endocrinologist for PCOS? The answer is that PCOS can impact various systems within the body, including the ovaries, adrenal glands, and the hypothalamus-pituitary-ovarian (HPO) axis. The endocrine system, responsible for regulating hormone production and function, plays a crucial role in developing and expressing PCOS. As a result, PCOS is categorized as an endocrinological disorder and is usually overseen by endocrinologists or PCOS specialists with expertise in hormonal disorders. 

Understanding the role of endocrinologists in managing PCOS and their expertise in hormonal disorders is crucial for making informed decisions about your healthcare. Today, we will explore PCOS, the role of endocrinologists, how an endocrinologist can treat PCOS, the risks of PCOS if left untreated, and how PCOS is diagnosed and treated.

What is PCOS?

Polycystic Ovary Syndrome (PCOS) is a prevalent hormonal disorder that impacts female fertility and is frequently identified during adolescence. It manifests through the excess production of hormones by the ovaries, resulting in hyperandrogenism, disrupted ovulation, cyst formation, and fertility challenges. Individuals with PCOS often exhibit insulin resistance, prompting heightened insulin production from the pancreas, which further amplifies androgen release by the ovaries. Symptoms of elevated androgens encompass facial hair growth, acne, obesity, irregular menstrual cycles, and infertility due to ovulation failure. While some individuals with PCOS may display only a subset or none of these symptoms, the presence of irregular periods and signs of hyperandrogenism may suggest a PCOS diagnosis. It’s essential to clarify that, contrary to its name, not all individuals with PCOS will develop cysts on their ovaries.

What is the Role of an Endocrinologist?

An endocrinologist is a medical professional specializing in diagnosing and treating hormone-related diseases and conditions. Their expertise extends to various endocrine disorders, including diabetes mellitus, thyroid dysfunction, obesity, osteoporosis, adrenal disorders, lipid disorders, metabolic abnormalities, growth disorders, and issues related to sexual function and reproduction. Endocrinologists focus on restoring hormonal balance within the body systems, conducting thorough tests to identify problems, determining optimal treatment plans, and guiding patients through lifestyle changes that may enhance their medical conditions.

In addition to patient care, many endocrinologists engage in basic, clinical, and translational research to advance understanding of endocrine diseases, leading to improved treatment options. While some endocrinologists address a broad spectrum of endocrine disorders, others specialize in specific areas such as PCOS, diabetes, infertility, or endocrine oncology.

Can an Endocrinologist Treat PCOS?

Yes, Polycystic Ovary Syndrome (PCOS) can be treated by an endocrinologist. Endocrinologists are medical specialists who focus on hormonal disorders, and PCOS is a condition involving hormonal imbalances, particularly related to insulin resistance and androgen excess. The treatment approach may vary depending on the individual’s specific symptoms and concerns, but it often involves a combination of lifestyle modifications, medications, and sometimes surgical interventions.

Is there any risk of PCOS if left untreated?

It is crucial to note that Polycystic Ovary Syndrome (PCOS) has enduring consequences, contributing to a heightened risk of metabolic syndrome, type 2 diabetes, and potentially cardiovascular disease and endometrial cancer. Women affected by PCOS may also encounter psychological symptoms, including anxiety and depression, stemming from the condition’s impact on both their physical and emotional well-being. Consequently, any woman displaying symptoms such as hirsutism, treatment-resistant acne, menstrual irregularities, or obesity should undergo a comprehensive evaluation for PCOS and approach the condition with due seriousness.

How is PCOS Diagnosed? 

Endocrinologists or PCOS specialists diagnose through a process of exclusion, wherein other potential causes with similar symptoms are systematically eliminated. This involves ruling out disorders that may lead to abnormal periods or hyperandrogenism symptoms, such as thyroid disease, congenital adrenal hyperplasia, elevated prolactin levels, and androgen-secreting tumors. The diagnostic process for PCOS initiates with a thorough assessment, encompassing a detailed patient history, physical examination, and laboratory tests measuring prolactin levels, thyroid hormones, and androgens, among other factors. Only upon eliminating these alternative conditions can a conclusive diagnosis of PCOS be confidently established.

How is PCOS Treated?

The strategy for addressing Polycystic Ovary Syndrome (PCOS) entails managing symptoms and monitoring their development. Emphasis is placed on embracing the “Four Pillars” of a healthy lifestyle, which encompasses, among other things, adopting a well-balanced diet with limited carbohydrate intake, engaging in a mix of strength training and cardiovascular exercise, sustaining a healthy weight, and mitigating stress through adequate, quality sleep. Additionally, medications may be recommended as deemed necessary.


For individuals dealing with Polycystic Ovary Syndrome (PCOS), seeking guidance from either a gynecologist or an endocrinologist is advisable. A gynecologist focusing on the female reproductive system possesses expertise in managing conditions related to women’s health. On the other hand, an endocrinologist specializing in the endocrine system brings in-depth knowledge of hormones and glands that regulate diverse bodily functions, offering a comprehensive perspective on hormonal disorders such as PCOS. Consulting with either of these PCOS Specialists ensures a tailored approach to address the specific aspects of PCOS and its impact on reproductive and hormonal health.