Can I have PCOS even if my labs look normal?

Yes. Many women with PCOS have normal basic blood work. PCOS is diagnosed by a pattern of symptoms, hormone results, and metabolic changes rather than a single lab marker.

Can I have PCOS without cysts on my ovaries?

Yes. You can have PCOS even if your ultrasound looks normal. The condition is defined by irregular ovulation, androgen changes, and metabolic findings, not just by ovarian cysts.

PCOS develops from a mix of insulin resistance, higher androgen levels, and how the ovaries respond to signals from the brain. Genetics, stress, and inflammation can also influence how it shows up in each woman.

How do you test for PCOS properly?

A thorough PCOS assessment usually includes cycle history, physical symptoms, hormone testing, fasting insulin and glucose, lipid panel, and screening for thyroid and prolactin issues. Ultrasound can be helpful but is not always required for diagnosis.

Why is weight loss harder with PCOS?

Insulin resistance, androgen changes, and a slower metabolic rate can make weight easier to gain and harder to lose with PCOS. Targeted nutrition, strength training, blood sugar support, and stress management can make weight more responsive again.

Can I get pregnant naturally with PCOS?

Yes. Many women with PCOS conceive naturally once ovulation improves. Supporting insulin, stress, and hormone balance can help cycles become more predictable and increase natural fertility.

How long does PCOS treatment take to see results?

Most women notice early changes in energy, cravings, or cycles within 6 to 12 weeks. Improvements in skin, hair, weight, and ovulation often build over several months with consistent treatment.

Do supplements help with PCOS?

Some supplements have good research for PCOS, including inositol, omega-3 fatty acids, magnesium, vitamin D, and berberine. The best choices depend on your specific lab results, symptoms, and medications.

PCOS is a chronic condition, but many women can achieve regular cycles, improved fertility, and better metabolic health with the right plan. Symptoms can improve significantly with a personalized approach.

PCOS Testing & Treatment in Ontario

I help women who suspect they have PCOS and women already diagnosed but still dealing with irregular cycles, skin changes, weight shifts, or fertility concerns.

Your symptoms matter. You deserve care that looks deeper and explains what’s actually going on.

Book my PCOS discovery call

Trusted PCOS Support

Rated #1 Naturopathic Doctor in Whitby (RateMDs)

17 years of PCOS and hormone experience

In depth hormone testing to determine your PCOS type

Virtual PCOS Naturopath in Ontario

Why Women Look for Better PCOS Support

If you think you might have PCOS or you already have the diagnosis but still feel lost, you’re in the right place.

Your symptoms are not random. Irregular cycles, skin changes, trouble conceiving, weight shifts, cravings, fatigue, or mood changes are often signs of hormone and insulin patterns that simple blood work doesn’t catch.

PCOS is commonly missed when only basic hormone testing is done or when treatment stops at birth control.

You don’t have to piece this together on your own.

You deserve deeper testing, clear explanations, and a plan that finally fits your symptoms and your body.

What Is PCOS?

Polycystic Ovary Syndrome (PCOS) is a hormonal and metabolic disorder that affects ovulation, insulin function, and androgen levels. PCOS is not about cysts on the ovaries.

How Common Is PCOS?

PCOS is common, underdiagnosed, and often overlooked until symptoms affect fertility or everyday life.

• PCOS affects about 1 in 10 Canadian women
• A single “normal” hormone test doesn’t rule out PCOS

• Signs often show up in the teen years, long before proper hormone or insulin testing is done

• Diagnosis is often delayed until fertility becomes a concern

• Most women have insulin resistance driving their symptoms

• PCOS is one of the leading causes of infertility

You’re not alone, and you’re not difficult to diagnose.

Common PCOS Symptoms

PCOS symptoms usually fall into three key categories: cycle and ovulation changes, skin and hair changes, and metabolic or insulin-related signs.

Cycle and Ovulation Changes

Long cycles or missed periods
Irregular cycles
Light spotting with no real bleed
Difficulty predicting ovulation
Infertility

Skin and Hair Changes

Oily skin
Acne
Dark facial hair growth
Hair on the chest/stomach
Dark patches on the neck, underarms, or groin

Metabolic and Insulin Signs

Feeling shaky, nauseous, or irritable when meals are delayed
Intense carb or sugar cravings
Weight gain around the midsection
Difficulty losing weight despite trying
Energy crashes after eating
Family history of type 2 diabetes

Who I Help

I support women who are looking for real answers about their hormones, metabolism, and fertility.

The Fertility-Focused and Frustrated

Women who are trying to conceive and want real answers

You’re doing the timed intercourse, tracking your cycle, maybe even taking letrozole or metformin.

But ovulation is still irregular, and every month feels like another question mark.

PCOS is one of the most common causes of ovulatory infertility.

This path looks at hormones, insulin, thyroid, nutrient status, and lifestyle patterns that directly impact your ability to conceive.

You get clarity, a plan, and support that bridges conventional and integrative care.

Woman experiencing acne and symptoms that may be related to undiagnosed PCOS.

The Undiagnosed but Symptomatic

You haven’t been diagnosed, but something feels off.

Your cycles are unpredictable.
Your skin is breaking out.
Your hair is thinning.
Your cravings are intense.
Your weight changes don’t make sense.

Maybe you were told “your blood work is normal,” even though your symptoms keep stacking up.

This path gives you proper testing, a full evaluation, and a straightforward explanation of what’s going on with your hormones and metabolism.

Woman diagnosed with PCOS who is still struggling with ongoing symptoms.

The Diagnosed but Still Struggling

You’ve been told you have PCOS.
You might be taking medication or supplements.

But your cycles are still irregular.
Your skin is acting up. Your energy is low.
Your weight won’t budge no matter how disciplined you are.

You’re doing everything you can, yet nothing seems to change.

Most women in this spot have never had a full look at the underlying hormone and insulin patterns driving their symptoms.

This path helps you understand your PCOS type and gives you a clear, personalized plan.

My Approach:
A Whole-Body, Root-Cause PCOS Investigation

A proper PCOS investigation looks beyond basic labs.
It examines how your ovaries, adrenals, thyroid, and metabolic system are working together.
It also considers stress, sleep, nutrition, and inflammation, because these directly influence your hormones.

When we understand your pattern, treatment becomes clear and personal.
You finally see why you feel the way you do and what your body needs to shift.

What We Look At Together

Hormone levels that affect cycles and ovulation

Nutrient levels that impact energy, mood, and fertility

Insulin resistance and metabolic health

Androgen markers linked to acne, & hair changes

Inflammation and stress patterns

No two women with PCOS have the same experience. Your plan is built around your symptoms, your labs, and your goals.

Why Women Choose This Approach

Women choose this PCOS approach because it offers deeper hormone and metabolic testing, clear explanations, and personalized treatment they can trust.

• Women are looking for more treatment options than just birth control

• Clear explanations that make their symptoms finally make sense
• Testing that looks beyond the surface
• A personalized plan that includes nutrition & research-backed supplements
• Support for your type of PCOS and your health goals
• A warm, straightforward approach that blends evidence and real-life support
• Virtual care that makes appointments easy and accessible

• Compassionate care that educates & empowers

The Transformation

Women choose this PCOS treatment because it helps them feel more balanced, regulate their cycles, and finally see real changes in their energy, skin, fertility, mood, and metabolism

Most women describe feeling:

• regular periods
• more stable in their energy and mood
• fewer cravings and better blood sugar control
• clearer skin and healthier hair
• lighter and less inflamed in their body
• calmer and more in control of stress
• more confident about their fertility and their next steps

This isn’t about perfect hormones.

It’s about feeling like yourself again, with a clear plan that supports your body instead of fighting it.

Case Studies

Irregular Cycles and Confusing Symptoms

K.H. a 31yo female came in because over the past 6 months her periods were irregular, she was noticing acne, and weight changes that didn’t make sense. She came to me feeling frustrated with the lack of testing and treatment options from her medical doctor.

What we found
Hormone testing revealed: her testosterone and insulin were elevated, progesterone levels were low.

What we worked on
• a nutrition plan that supported blood sugar
• evidence-based supplements for insulin resistance
• stress and sleep strategies

Results
After about 6 months, her cycles became regular again, her acne improved, and she lost 20lbs.

Next Steps

Discovery Call

During this complimentary phone call we will discuss your health goals and how I would approach helping you. I want to make sure it is a good fit to work together. Click here to book your discovery call

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Your initial appointment is a 60-minute virtual visit where we review your full health history, symptoms, past labs, and concerns. You’ll leave knowing what testing you actually need and the first steps to start feeling better.

Click here to learn more about this appointment

Initial Appointment

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Review of Findings

This is the appointment where everything comes together. We go through your lab results line by line, explain what’s been missed, and connect your symptoms to your numbers. You’ll get a clear diagnosis when appropriate and a personalized plan with nutrition, lifestyle, and evidence-based supplements that fits your real life.

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Follow-up Appointments

These appointments are done generally after you have completed some repeat blood work, at about the 2-3 month mark.

About Dr. Jessica Nesbitt ND

I am a naturopathic doctor with 17 years of experience helping women understand their hormones, PCOS, nutrients and metabolism.

I focus on root-cause testing, evidence based treatment and personalized care. I work virtually with women across Ontario who want answers, clarity and a plan that finally makes sense for their body.

I specialize in PCOS, Insulin Resistance and Fertility.