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PCOS Care -- Bedford, TX

PCOS Care That Finally Makes Sense

Irregular cycles, stubborn weight, acne along the jawline, unwanted hair growth -- PCOS shows up differently for everyone, and it's not diagnosed by a single test. We run a full panel, walk you through what it means, and build a real management plan around it.

1 in 10 Women of reproductive age have PCOS
~70% Of cases go undiagnosed
Full Panel Not a single test -- a real workup
Cash-Pay No insurance hassle

PCOS Doesn't Look the Same for Everyone

PCOS is a hormonal condition, not just a fertility issue -- and it's diagnosed by a combination of symptoms and labs, not one single test. That's exactly why it gets missed so often: a "normal" hormone panel doesn't rule it out if the right markers weren't checked, and irregular periods alone are frequently written off as stress.

We look at the full picture -- cycle history, symptoms, and a complete hormone panel -- before making any diagnosis or building a plan.

Common Signs of PCOS

  • Irregular, infrequent, or absent periods
  • Difficulty losing weight despite consistent effort
  • Acne along the jawline, chin, or chest
  • Excess facial or body hair growth (hirsutism)
  • Thinning hair on the scalp
  • Difficulty getting pregnant
  • Skin tags or darkened skin patches (neck, armpits)
  • Mood changes tied to hormonal fluctuation

From Symptoms to a Real Plan

PCOS is diagnosed by ruling things in and out -- not by guessing off one lab.

1

Initial Consultation

Brittany reviews your cycle history, symptoms, and health goals in detail.

2

Full Hormone Panel

We order relevant androgens, LH/FSH, and metabolic markers -- the labs actually used to evaluate PCOS, not just a generic panel.

3

Results Review

We walk through your results together and build a treatment plan around your specific goals -- cycle regulation, fertility, skin, or all three.

4

Ongoing Management

PCOS is managed long-term. We recheck labs and adjust your plan as your body responds.

Is This the Right Next Step for You?

You May Be a Good Fit If...

  • You have irregular, infrequent, or absent periods
  • You're dealing with hormonal acne, excess hair growth, or scalp thinning
  • You've struggled to lose weight despite consistent effort
  • You want a real diagnosis, not just "it's probably stress"

Important Considerations

  • PCOS is managed long-term -- this isn't a one-visit fix
  • A pelvic ultrasound may be needed as part of diagnosis and is coordinated with imaging outside our office
  • Active fertility treatment (like ovulation induction) is coordinated with a reproductive specialist
  • Regular follow-up labs are required to safely adjust treatment
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Managing PCOS Long-Term?

PCOS care works best with an ongoing provider relationship. Happy Health Clinic's DPC membership includes at-cost labs and direct access to Brittany between visits -- built for exactly this kind of long-term management.

See DPC Membership →

Frequently Asked Questions

PCOS is typically diagnosed when you meet at least two of three criteria: irregular or absent ovulation, signs of excess androgens (like acne or excess hair growth, or elevated labs), and polycystic-appearing ovaries on ultrasound. It's not a single blood test -- it's a clinical picture built from your symptoms, labs, and history.
This depends on your symptoms, but typically includes androgens (like total and free testosterone, DHEA-S), LH and FSH, and metabolic markers like fasting insulin and glucose, since insulin resistance is common with PCOS. We tailor the panel to your specific history.
Treatment depends on your goals. Options can include hormonal birth control to regulate cycles and manage acne, metformin or other insulin-sensitizing medications, spironolactone for excess hair growth or acne, and lifestyle and nutrition guidance. We'll go over what makes sense for you specifically.
We can help optimize your overall metabolic and hormonal health, which often supports more regular ovulation. For active fertility treatment like ovulation induction, we'll coordinate a referral to a reproductive specialist alongside your care here.
Often, yes -- hormonal acne along the jawline and chin is a common PCOS symptom driven by excess androgens. If acne is your main concern, we can also treat it directly -- see our Acne Management page for more on that approach.
No -- you can book a one-off consultation and lab review as a cash-pay visit. That said, PCOS is usually managed over months or years, and our DPC membership (at-cost labs, direct provider access) tends to be the more affordable path for patients who know they'll need ongoing care.

Ready to Get a Real Answer?

Get a full PCOS workup, explained in plain language, from Brittany Adams, APRN FNP-C. Cash-pay, no insurance required, same-day or next-day appointments.

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