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Functional Medicine · Irvine, CA

PCOS Treatment in Irvine, CA

PCOS often shows up as irregular cycles, acne or unwanted hair, and a metabolic picture that includes waist size and glucose. Diagnosis using formal criteria belongs to your physician. This page describes how labs, food, and inflammation are reviewed beside that diagnosis, without a hormone dose or a promised result. For patients coming from Irvine, the office is about 12 miles away, 20–35 minutes, by I-5 south, or the 133 to the 73, toward Mission Viejo.

Cycle irregularity and androgen signs

You may go months without a period, then bleed heavily, or you may never know when the next cycle will start. Acne along the jaw, hair growth on the face or abdomen, and thinning hair at the scalp are the androgen signs people actually report. Those clues are not a self-diagnosis.

Ovulation can be infrequent, which is why cycles stretch out. Drs. Sani Kohen, D.C. and Tara Kohen, D.C. ask how long this has been true, what changed with weight or stress, and which physician, if any, has already used the Rotterdam criteria. FRI does not apply that diagnosis in place of your doctor.

Metabolism sits beside the ovaries

Many people with this pattern also watch glucose, triglycerides, and waist size. Hunger can spike, energy can crash after meals, and weight can gather at the middle even when you feel you are eating carefully. That metabolic context is part of the story, not a character flaw.

A page on metabolic syndrome covers the cluster your physician may already be tracking. PCOS and that cluster overlap often enough to ask about both, and they are not the same label. Sleep apnea, which is more common when this pattern is present, should be evaluated by a physician if you snore and stay tired.

Labs FRI can organize with your physician

DUTCH hormone testing can describe androgen and progesterone metabolites and the cortisol curve across a day. It does not replace an ultrasound or the diagnostic criteria your physician uses. It adds a hormone pattern to symptoms you can point to on a calendar.

Advanced bloodwork may include glucose markers, lipids, and a thyroid panel when fatigue or cycle changes could have more than one driver. FRI does not invent cutoffs. Abnormal results go back to the physician who manages diagnosis and any prescription.

Food and inflammation without a canned plan

Nutrition is discussed from your labs, your cycle, and what you can sustain. Some people do better with a steadier meal rhythm and more protein at breakfast. That is an individual conversation. There is no brand protocol, no supplement dose, and no bioidentical hormone recipe on this page.

Functional medicine at FRI does not replace a primary physician, endocrinologist, gastroenterologist, or mental health clinician. If a clinician has prescribed metformin or a contraceptive for this pattern, you do not stop it because of a visit here. Nutrition and supplementation stays beside that care.

What to expect when you are seen for PCOS

A complimentary 20-minute consultation lets you ask whether FRI fits before any test is ordered. The practice is out of network. Superbills are provided, and HSA or FSA funds can be used. Hours are Monday–Thursday, 9–6.

Bring cycle dates, prior labs, and the name of the physician following you. Testing is chosen from that history. You should expect a talk about food and sleep, not a promise about fertility or a number on the scale.

Desk symptoms and training symptoms, handled separately

Corrective exercise and DNS are how we retrain sitting and breathing patterns after the exam shows they matter. Chiropractic adjustments are used when a joint is not moving, not as a subscription. Carpal tunnel symptoms get a neck screen and a nerve exam, because a keyboard is not automatically the wrist.

The same city asks functional medicine questions: thyroid, burnout-style fatigue people want explained, and gut symptoms after years of desk lunches. Those are history-first visits. The hub page is the Irvine chiropractor page.

Insurance and coordination

Many Irvine employers offer HSA or FSA accounts. Those cards work here. We are still out of network and we still give a superbill rather than billing your plan directly. Lab work is quoted before it is ordered. We will not tell you to stop a medication from your Irvine physician.

Drs. Sani and Tara Kohen lead the clinic. Training details are on the about page. If you want to see the rehab gym before you drive the 5, use the office page.

Business parks, village trails, and a city built for sitting

Irvine's villages do not share a body. Woodbridge and University Park are older loops and pools. Turtle Rock and Quail Hill have more grade. The Spectrum and the Great Park are newer and more spread out. The job, for a lot of patients, is a campus along Jamboree, Barranca, or the Irvine Business Complex: long meetings, a badge, and a walk that is only from the garage. Neck, upper back, and headache complaints often start there. Knee and hip complaints often start on the village trails people use to undo the job.

We do not treat Irvine as a single activity level. A cyclist on the San Diego Creek trail and a software lead who has not exercised since a move from Woodbridge need different exams. Neck pain and headaches are common desk presentations. Hip and SI pain shows up when someone adds mileage fast. Say which village and which campus.

South on the 5 or the 73 from Irvine

From central and north Irvine, I-5 south toward Mission Viejo is the simple drive. From the south villages and from many business parks, the 133 to the 73 toll road is often cleaner. About 12 miles. Twenty minutes is realistic off peak. Thirty-five is realistic when the 5 is slow through Lake Forest. The office is 26400 La Alameda, Suite 100, Mission Viejo, CA 92691. Building parking. Monday through Thursday, 9 to 6.

Irvine patients are used to efficient clinics. This one is deliberately less efficient. An exam takes time. If you need to be back on Jamboree for a meeting, book a morning visit and leave a buffer. Phone (949) 312-1754. The 20-minute consultation is the right first step if you are shopping for a style of care rather than ready for testing.

Questions patients ask

Can FRI diagnose PCOS for me?

No. The Rotterdam criteria, and the decision to use them, belong to the diagnosing physician. FRI can help you organize symptoms, cycle history, and labs such as a DUTCH test and advanced bloodwork. Those results can be shared with your physician. They are not a substitute for an exam, an ultrasound, or a formal diagnosis.

Will a DUTCH test replace my other labs?

It answers a different question. Dried urine can show hormone metabolites and a cortisol curve. It does not replace glucose testing, lipids, or the imaging your physician may order. FRI reads the DUTCH pattern next to bleeding dates and androgen symptoms. Medication, if any, stays with the prescriber.

Do you prescribe hormones for PCOS?

FRI does not set bioidentical hormone doses or any other hormone prescription. If you and your physician are considering that care, the dose and the monitoring belong in that medical relationship. Here the work is nutrition, lab context, sleep, and inflammation questions. You will not be handed a protocol copied from a book.

What if weight is the reason I called?

Weight can be part of the metabolic picture, and it is not the only measure that matters. Cycle regularity, energy after meals, and lab trends are discussed without a promised loss in pounds. Pain that stops you from training can be addressed with corrective work in the same office. No GLP-1 claim is made here.

Related care for Irvine

PCOS is handled at the Mission Viejo clinic, not in a satellite office in Irvine. The related pages below stay on that same visit and add the methods or neighboring problems that usually come up in the history.

  • Irvine chiropractor

    How people from Irvine reach 26400 La Alameda and what the three pillars cover.

  • PCOS clinical overview

    The non-geographic condition page, if you want the clinic-wide explanation without the drive.

  • Functional Medicine

    The pillar this problem sits in at Functional Restoration Institute.

  • Metabolic Syndrome in this city

    Metabolic syndrome is a cluster your physician recognizes: waist size, blood pressure, glucose, triglycerides, and HDL cholesterol. FRI does not replace that.

  • Hormonal Imbalance in this city

    Hormone symptoms rarely live in one gland. Cycle changes, thin sleep, temperature swings, and uneven energy often reflect how sex hormones, cortisol,.

  • Weight Loss in this city

    Weight is a metabolic conversation, not a willpower score. Thyroid pace, glucose, sleep, hormones, and muscle all change how your body handles.

  • Thyroid Dysfunction in this city

    Thyroid trouble is not one feeling. A slow pace can leave you cold, heavy, and constipated. A fast pace can leave you.

  • DUTCH Hormone Testing

    The DUTCH test uses dried urine collected across a day to look at sex hormones, their metabolites, and the shape of cortisol.

Talk with the doctors before you commit to care

The complimentary 20-minute consultation is at 26400 La Alameda, Suite 100, Mission Viejo. Call (949) 312-1754.

Functional Restoration Institute serves patients across Orange County from our Mission Viejo clinic, including Irvine and surrounding Orange County communities.