What this is
A real diagnosis first — which for most adults needs no scan — and then treatment aimed at what PCOS does to you: irregular cycles, excess hair, and how your body handles sugar. Thyroid and iron are excluded before anything else, because they mimic it closely.
Who it’s for
- Cycles longer than 35 days, or fewer than eight periods a year
- Excess hair on the face, chest or abdomen
- A PCOS diagnosis made on a scan alone that you’d like reassessed
- Difficulty conceiving alongside irregular cycles
And who it isn’t for
- Anyone currently pregnant — you need obstetric care, not this
- Anyone under 18, where the diagnostic criteria are deliberately different
What happens, week by week
Week 0
Assessment and a blood panel. No scan is ordered.
Week 1
Results with a gynaecologist. Thyroid and iron ruled in or out first.
Month 3
Cycles begin to respond in many people. Excess hair has not changed yet.
Month 6
Sugar handling rechecked. Hair changes start to become visible.
Month 9
Extra hair is usually at its best by now.
Month 12
Full review, with the option to stop.
What’s included, and what isn’t
Programme fee
Shown in writing before you start
- Gynaecologist consultation and a written diagnosis
- Quarterly review with the same clinician
- A nutrition consult where insulin resistance is present
- A prescription only if one is warranted
Billed separately
- First-line panel, collected at home
- The wider hormone panel, only if your reports call for it — at what the lab charges us
- Repeat glucose and insulin at month 6
- Medicines, if prescribed — shipped to you
- Ultrasound, only if the doctor decides it changes the answer
If something is prescribed, we ship it to you — and we tell you what it costs before it goes out.
What the evidence says
The 2023 international PCOS guideline states that ultrasound is not necessary for diagnosis in adults when irregular cycles and clinical or biochemical hyperandrogenism are both present.
International Evidence-based Guideline for PCOS (2023), Monash UniversityWeight loss of 5–10% has been shown to restore ovulatory cycles in a meaningful proportion of women with PCOS and insulin resistance.
International Evidence-based Guideline for PCOS (2023), Monash UniversityQuestions
Possibly. The same ovarian appearance is found in around a third of women who don’t have the condition, and the 2023 guideline says a scan isn’t needed in adults when the other two criteria are met. It’s worth reassessing.
If that’s what the results show, yes. That is a normal outcome of this assessment, not a failed one.
You can stop at any point. Twelve months is how long the full picture takes — cycles at three, sugar at six, hair at nine.
Regulating ovulation can. Whether it’s the right route for you is a clinical decision, and if fertility treatment is indicated we won’t delay you.
Your clinician and you. There are no third-party analytics or advertising tags anywhere in the assessment or your account, and there is a working delete control in your settings.