Elise M. Brett, MD, PC

Endocrinologists & Diabetes Specialists located in Upper East Side, New York, NY

Between 5-10% of American women between the ages of 15-44 have polycystic ovary syndrome (PCOS), which causes fertility and metabolism problems. At Elise M. Brett, MD, PC, in the Upper East Side of Manhattan, Dr. Brett, a board-certified and fellowship-trained endocrinologist, diagnoses PCOS and offers customized treatments to address your specific needs. Call the New York City office or schedule a consultation online today for expert treatment for PCOS.


What is polycystic ovary syndrome (PCOS)?

PCOS is a hormonal imbalance that causes metabolism and fertility problems. The condition gets its name because it causes cysts to form inside your ovaries that prevent your eggs from maturing and being released.

When you have PCOS, your estrogen and progesterone levels are lower than usual, but your testosterone and androgen levels are high.

PCOS has a strong link to insulin resistance (prediabetes and Type 2 diabetes). When your body doesn’t use insulin correctly, your pancreas makes more insulin to keep up with your body’s demands. The extra insulin triggers increased male hormone production in your ovaries.

What are the signs of PCOS?

One of the most common signs of PCOS is an irregular menstrual cycle. Some women with PCOS have fewer than eight periods in a year.

Additionally, your infrequent periods are heavy since your uterine lining has more time to accumulate. The hormonal abnormalities of PCOS also cause acne, weight gain, excessive body hair growth, and thinning hair on your scalp.

PCOS also increases your risk for other health problems such as infertility, metabolic syndrome, sleep apnea, and endometrial cancer. The abnormal hormones and negative symptoms also contribute to depression and anxiety.

How is PCOS diagnosed?

Dr. Brett assesses your hormone levels with blood tests to measure your estrogen, progesterone, and testosterone levels. She also orders blood tests to evaluate your cholesterol, triglyceride, and insulin levels.

She also talks to you about your symptoms, overall health, and lifestyle. If necessary, she may order ultrasounds or pelvic exams for more information about your ovaries.

How is PCOS treated?

Every woman with PCOS needs a unique approach to treatment. Dr. Brett creates a customized treatment plan to address your specific needs and concerns.

For example, she can provide hormonal therapies to address your hormonal abnormalities, cosmetic issues, metabolic problems, and weight issues. If you’re trying to have a baby, she can tailor your treatment to improve your ovulation and chances of conceiving.

Dr. Brett also recommends nutritional changes and supplements to enhance your overall health and support healthy hormone production.

If you’re concerned about PCOS, call Elise M. Brett, MD, PC or make an appointment online today for expert hormonal assessments and personalized treatments.