Assessment and management of the metabolic aspects of PCOS
Insulin resistance can quietly drive so much of PCOS — fatigue, cravings, stubborn weight, skin changes — often without anyone connecting the dots. If you’ve felt dismissed, or told to simply “eat less and move more”, it’s time for a proper look.
Our Metabolic Health Clinic goes beyond a standard blood test: consultant-led screening and an ongoing plan that treats the whole picture, not just the numbers on a lab report.
You deserve to be screened properly, whatever your weight or shape — and to be taken seriously when you ask for it.
International PCOS guidelines recommend regular screening for glucose abnormalities and cardiovascular risk in women with PCOS, regardless of body weight — insulin resistance can affect women with PCOS at a healthy weight too. We screen on that basis, not on how you look.
Improving insulin resistance often brings benefits beyond the metabolic markers themselves — many women also notice steadier cycles, easier fertility and calmer skin, though individual response varies. Your consultant may suggest combining this pathway with PCOS Fertility & Ovulation Induction, PCOS Weight Management, or PCOS Acne & Skin Health, and will stay with you for ongoing review, not just a one-off test.
For our wider metabolic and endocrine services beyond PCOS
No. Insulin resistance can affect women with PCOS across the weight spectrum, so we screen everyone rather than only women who are overweight.
Typically fasting glucose and insulin, sometimes an oral glucose tolerance test, along with HbA1c and a lipid profile for a fuller picture.
No. Several evidence-based options exist, including nutritional and lifestyle changes and, in some cases, medication such as metformin or inositol — your consultant will explain what fits your situation.
Given the long-term diabetes and cardiovascular risk linked to PCOS, periodic review is generally recommended, with frequency set based on your own results.
Often, yes — cycle regularity, fertility and skin symptoms can all improve alongside metabolic markers, though this varies from person to person.
Book your PCOS Metabolic Health assessment and start treating the cause, with a team that takes your symptoms seriously.
