Is PCOS something I can manage long term?

Yes. When the drivers are addressed, symptoms often improve and stay improved.

Perimenopause Support Ontario

Q: What natural treatments do you use?

Plans are personalized but often include inositol, berberine, NAC, omega-3s, vitamin D, magnesium, and sleep and stress support.

Q: How long does it take to feel better?

Many women notice early changes in 4 to 6 weeks. Hormone and cycle improvements continue over several months.

Clear, root-cause care for hormone changes that affect sleep, mood, energy, and weight.

Perimenopause is the transition before menopause when hormones fluctuate rather than decline steadily. This can lead to unpredictable symptoms like weight gain, disrupted sleep, mood changes, night sweats, heavier or irregular periods, and feeling less resilient to stress.

If you’ve been told your labs are normal but you don’t feel like yourself, you’re not imagining it. There are ways to support your body through this phase with clarity and a plan that makes sense.

Book my discovery call

Trusted Perimenopause Support

Rated #1 Naturopathic Doctor in Whitby (RateMDs)

17 Years of Clinical Experience

In-Depth Hormone Testing

Virtual Licensed Naturopath in Ontario

This Care Is for You If

Your periods are still coming but feel different in timing, flow, or symptoms
You are waking during the night or not feeling rested in the morning
Mood changes, anxiety, or irritability feel new or more intense
You experience night sweats or hot flashes
Your weight has shifted despite consistent habits
You were told your labs look normal but you do not feel like yourself

Perimenopause does not look the same for everyone. Your symptoms matter, even if they do not fit a neat checklist.

What Is Actually Happening in Perimenopause

It is a phase of hormone variability that can occurs up to 7-10 years before menopause

Perimenopause is the transition before menopause when hormones fluctuate rather than decline steadily. This can lead to unpredictable symptoms like disrupted sleep, mood changes, night sweats, heavier or irregular periods, and feeling less resilient to stress.

These systems influence one another. That is why symptoms can feel layered and inconsistent, and why addressing hormones alone is often not enough.

I do not treat hormones in isolation. I look at how your whole system is adapting to change.

Why Perimenopause Is Often Missed or Dismissed

Perimenopause is commonly overlooked because it does not follow a predictable pattern.

Hormone levels can change month to month. Progesterone often declines first, while estrogen becomes more variable rather than consistently low. A single blood test may not reflect what is happening day to day.

Many women are told:

this is just stress
this is part of getting older
this is anxiety
everything looks fine

While these experiences are common, they are not insignificant. Understanding what is driving your symptoms is the first step toward meaningful support.

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

My Approach to Perimenopause Care

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

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.

PCOS FAQs

Can you have PCOS with regular periods?

Yes. Many women ovulate regularly and still have PCOS driven by insulin resistance, inflammation, or elevated androgens. Regular cycles do not rule it out.

Why does my blood work look normal if I feel awful?

Basic labs often miss early insulin resistance, hormone imbalances, and thyroid patterns. Symptoms usually show up before tests flag as abnormal.

Can PCOS be missed on ultrasound or routine testing?

Yes. You can have PCOS without cysts or obvious lab abnormalities. Deeper hormone and metabolic testing matters.

What testing do you do that is different?

I look at hormones and metabolism together, including androgens, insulin markers, inflammation, thyroid with antibodies, cycle-timed progesterone, lipids, and your levels of vitamins & minerals.

Do you treat PCOS without birth control?

Yes. Treatment focuses on ovulation, insulin sensitivity, hormone balance, and long-term cycle health, not just symptom suppression.

Can I get pregnant naturally with PCOS?

Often, yes. Many women conceive once insulin resistance improves and ovulation becomes more consistent.

Do you help with insulin resistance and weight resistance?

Yes. Insulin resistance is a common driver of weight struggle, cravings, fatigue, acne, hair changes, and fertility issues in PCOS.

What natural treatments do you use?

Plans are personalized to each individuals hormone and nutrient imbalances, but will include evidence-based supplements.

How long does it take to feel better?

Many women notice early changes in 4–6 weeks. But, hormone and cycle improvements may need several months.

Do I need testing done before booking?

No. Testing can be ordered after your first appointment if needed.

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

1

2

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

3

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.

4

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.