Supporting metabolic wellbeing is an important part of menopause-focused PCOS care. Women with a history of PCOS may have a higher likelihood of:

• Insulin resistance
• Changes in cholesterol levels
• Weight redistribution, particularly around the abdomen
• Increased long-term risk of cardiovascular disease

Even subtle lifestyle adjustments can help maintain metabolic health and reduce long-term risk. Regular monitoring of blood sugar, cholesterol, blood pressure, and weight allows your healthcare team to offer proactive guidance and support your heart and metabolic health through midlife.

Lifestyle forms the foundation of care and supports hormonal, metabolic, and emotional wellbeing.

• Nutrition — Balanced, sustainable eating patterns help manage weight, support metabolic health, and maintain energy.
• Physical Activity — Regular movement helps with hormone balance, metabolism, mood, and energy:
  • Aim for 150 minutes per week of moderate-intensity activity (like brisk walking) or 75 minutes of vigorous exercise
    • Include strength training twice a week
    • Reduce prolonged sitting wherever possible

Even modest changes, such as small increases in activity or a 5–10% weight loss if appropriate, can improve cycles, energy, and overall wellbeing.

Living with PCOS can affect confidence, mood, and how you feel about your body. This is very common and often under-recognised.

Support may include:

• Discussing mood, stress, or anxiety openly with your healthcare team
• Accessing therapy, such as cognitive behavioural therapy, if helpful
• Addressing physical symptoms that affect confidence, such as excess hair growth or acne

Emotional wellbeing is an important part of PCOS care and is considered alongside physical symptoms.

PCOS is diagnosed using clinical criteria that consider menstrual patterns, symptoms of androgen excess, and hormone blood tests. Ultrasound may be helpful in some cases but is not always required.

Diagnosis often takes time, particularly if symptoms are subtle or fluctuate.

Yes. PCOS can be present from adolescence or become more noticeable later due to hormonal changes, stress, weight changes, or insulin resistance. Some women are diagnosed in their 30s or 40s after years of unexplained symptoms.

PCOS can affect ovulation, which may make it harder to conceive for some women. However, many women with PCOS do conceive naturally or with support.

Specialist care helps clarify ovulation patterns and supports fertility planning where needed.

A new patient menopause specialist consultation is £295 for 45 minutes. Follow-up options are £225 for 30 minutes.

Yes. Our doctors at Menopause Care are British Menopause Society-accredited and appear on the BMS specialist register.

No. You can self-refer for a private appointment. Clinic letters can be shared with your GP if you wish.

Yes. Online consultations provide access to experienced perimenopause clinicians across the UK, with the same clinical standards as in-person appointments.

Menopause Care has clinics across the UK, including locations in London (Mayfair, Barnes, and Wimbledon), as well as Manchester, Sheffield, and Glasgow.

Your clinician will take a full medical history, discuss your symptoms in detail, and assess your individual risk factors. You will receive a personalised treatment plan and clear next steps, including options for lifestyle support, non-hormonal treatment, and hormone therapy where appropriate.

Hormonal treatment for PCOS is not the same as menopausal hormone therapy. It may involve cycle-regulating hormones or medications that support ovulation, reduce androgen effects, or protect the womb lining.

Your clinician will explain which options are appropriate for you.

Yes. PCOS can be associated with insulin resistance, type 2 diabetes, cardiovascular risk, and endometrial changes if cycles are very infrequent.

Ongoing care focuses on both symptom control and long-term health protection.

Yes. Some symptoms overlap, such as irregular cycles, acne, mood changes, or weight shifts. Specialist assessment helps distinguish between PCOS, perimenopause, or a combination of both.

PCOS is a long-term condition, but symptoms can usually be managed effectively with the right support. Treatment is personalised and reviewed over time to remain appropriate.

No. PCOS care is not only about fertility. Support is available for symptom management, cycle regulation, metabolic health, and overall wellbeing at any stage of life.

That is completely fine. Many people want clarity first. The first appointment is designed to give you a clear clinical assessment and a personalised plan, even if you decide not to start treatment straight away.

You may benefit from specialist advice if your periods are irregular, symptoms are affecting daily life, previous treatments have not helped, or you want a clearer understanding of your hormones and long-term health.

Yes. Menopause Care can provide prescriptions directly through our in-house pharmacy, ensuring you receive your treatment safely, conveniently, and without delay. Our clinicians review your treatment regularly and tailor it to your individual needs, so you can feel confident that your care is both personalised and seamless.