PCOS Treatment in Miami, FL
Polycystic ovary syndrome (PCOS) is the most common hormonal disorder in women of reproductive age, affecting 1 in 10 women. Dr. Sidiq Aldabbagh provides expert PCOS diagnosis, management, and individualized treatment plans at both Miami locations.
What Is PCOS?
PCOS is a complex hormonal condition characterized by irregular or absent menstrual periods, elevated androgen (male hormone) levels causing acne or excess hair growth, and polycystic ovaries visible on ultrasound. It is also associated with insulin resistance, weight gain, and an increased risk of type 2 diabetes and cardiovascular disease.
PCOS Diagnosis
Diagnosis is based on the Rotterdam criteria, requiring at least 2 of 3 features: irregular periods, elevated androgens (by blood test or clinical signs), and polycystic ovaries on ultrasound. Dr. Aldabbagh orders a comprehensive hormonal panel (LH, FSH, testosterone, DHEAS, prolactin, thyroid, insulin, fasting glucose) to rule out other causes and establish your hormonal profile.
Medical Treatment Options
Treatment is individualized based on your goals — whether symptom management, pregnancy, or metabolic health. Hormonal options include combined oral contraceptives (to regulate cycles and reduce androgens), progestin therapy, and anti-androgens like spironolactone for acne and hair growth. Metformin is often used for insulin resistance.
PCOS & Fertility
PCOS is the leading cause of anovulatory infertility. If pregnancy is your goal, Dr. Aldabbagh uses ovulation induction with letrozole (first-line) or clomiphene citrate, timed intercourse monitoring, and in-office monitoring with ultrasound. Referral to reproductive endocrinology is coordinated when needed.
Lifestyle & Long-Term Management
Even modest weight loss (5–10% of body weight) significantly improves PCOS symptoms and restores menstrual regularity in many women. Dr. Aldabbagh provides structured lifestyle counseling including dietary guidance, exercise recommendations, and monitoring of metabolic health markers annually.
Frequently Asked Questions
Common PCOS symptoms include irregular or absent periods, excess facial or body hair (hirsutism), acne, weight gain (especially around the abdomen), hair thinning or loss, difficulty getting pregnant, and darkening of skin in body creases (acanthosis nigricans). Not all women have all symptoms.
PCOS is diagnosed using the Rotterdam criteria — you need at least 2 of: irregular periods, elevated androgen levels, and polycystic ovaries on ultrasound. Dr. Aldabbagh performs blood tests and a pelvic ultrasound and rules out other conditions like thyroid disease and adrenal disorders.
Yes — PCOS is the most common cause of female infertility due to irregular or absent ovulation. However, most women with PCOS can successfully conceive with ovulation induction treatment. Dr. Aldabbagh provides fertility treatment including letrozole and monitored cycles.
PCOS is a chronic condition with no cure, but its symptoms are very effectively managed with the right combination of hormonal medications, metformin, lifestyle changes, and monitoring. Many women with PCOS lead completely normal, healthy lives with proper management.
Not always, but insulin resistance — common in PCOS — promotes fat storage and makes weight loss harder. Lean PCOS (normal weight) does occur in about 20% of cases. Regardless of weight, metabolic health monitoring is important for all women with PCOS.
Combined oral contraceptive pills (estrogen + progestin) are the first-line hormonal treatment for PCOS in women not trying to conceive. They regulate periods, reduce androgens (improving acne and hair growth), and protect the uterine lining. Dr. Aldabbagh will select the best formulation for your needs.
Yes. The majority of women with PCOS can become pregnant with appropriate treatment. Ovulation induction with letrozole is successful in about 60–70% of women per treatment cycle. Weight loss, when applicable, also significantly improves fertility outcomes in PCOS.
PCOS increases the risk of type 2 diabetes, high blood pressure, high cholesterol, endometrial cancer (due to irregular periods), and cardiovascular disease. Dr. Aldabbagh monitors these risks with annual blood work and recommends appropriate preventive strategies.
A low-glycemic index (low-GI) diet that reduces blood sugar spikes is most beneficial for PCOS. This includes reducing refined carbohydrates and sugar, increasing fiber, vegetables, lean proteins, and healthy fats. Anti-inflammatory foods (berries, fatty fish, nuts) may also help.
Yes — metformin (a diabetes medication) is commonly prescribed for PCOS to reduce insulin resistance, lower androgen levels, improve menstrual regularity, and support weight management. It is not FDA-approved specifically for PCOS but is widely used off-label with strong evidence.
Schedule Your Appointment Today
New patients welcome at both Miami locations. Bilingual care in English, Spanish & Arabic.