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.
How care is organized once you are in the office
The first full visit is an evaluation. For pain and injury that means a history, movement testing, and the hands-on exam that fits the complaint, which may include joint motion, nerve tension, and orthopedic tests. You leave with an explanation of what we think is driving the problem and a short plan, often including something you do at home. Adjustments, soft tissue work, and exercise are tools inside that plan. They are not a package you are expected to buy before anyone has examined you.
If the main issue is hormones, digestion, energy, or an autoimmune diagnosis you already carry, the visit leans on history and on which labs are actually worth running. DUTCH, GI-MAP, thyroid panels, and the rest of the functional lab menu are chosen from the story, not ordered as a bundle. Medication changes stay with the physician who prescribed them. FRI is out of network with most plans. Many Newport patients pay with HSA or FSA funds, and we provide a superbill for whatever reimbursement your plan allows.
Where Newport patients usually go next on this site
People driving up from the peninsula and Corona del Mar often start with neck pain or shoulder pain after paddling and desk time, or with lower back pain after long sits in the car. Harbor athletes looking for a tissue exam rather than a generic rub sometimes book Active Release Technique or a gait and postural look when the foot and hip are part of the story.
Others are not here for a joint at all. Perimenopause and gut health questions are common alongside training, and the matching lab pages are DUTCH hormone testing and GI-MAP stool testing. If you want the wider map of the city, the Newport Beach chiropractor page ties the three pillars together. The doctors' backgrounds are on the about page.
What a Newport Beach week actually asks of the body
Newport Beach is not one neighborhood. Corona del Mar climbs away from the water, Balboa Peninsula is flat and windy, Newport Coast sits on hills above the toll road, and the streets around Eastbluff, Big Canyon, and Fashion Island mix short drives with long desk blocks. People paddle in the harbor, ride the Back Bay loop, play tennis, or swim before a day of meetings. That mix shows up in the history we take: which shoulder loads a paddle, which hip complains on the hills, which neck tightens after a commute that ends at a screen. None of those details is a diagnosis. They tell us which movements to test.
Food and schedule questions belong in the same visit when symptoms are not only mechanical. A late dinner after a harbor event, an early paddle, and a short night are ordinary Newport weeks. If you are also dealing with cycle changes, reflux, or a fatigue that does not match your training, the Functional Medicine side of the clinic can look at labs chosen from that story. The manual care and the lab conversation happen in the same practice, so you are not retelling the history in two buildings.
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 Newport Beach
PCOS is handled at the Mission Viejo clinic, not in a satellite office in Newport Beach. The related pages below stay on that same visit and add the methods or neighboring problems that usually come up in the history.
- Newport Beach chiropractor
How people from Newport Beach 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.
