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Home / Hormones / PCOS Treatment

HORMONE CARE IN GILBERT, AZ

PCOS (PMOS) Treatment in Gilbert, AZ

If your periods are irregular, the weight will not move, and you have been told your labs look normal, we start by listening, because you know your body better than anyone. Our licensed naturopathic doctors (NMD) in Gilbert test both halves of PCOS, now officially called PMOS, your hormones and your metabolism together. In office in Gilbert, serving the East Valley, or by telemedicine for patients across the country.

★★★★★
5.0 · 213 Google reviews

Medically reviewed by
Dr. Stephanie Nichols, NMD

Serving
Gilbert & the East Valley

Patient story

Christiana’s PCOS story

Christiana came to Onyx for PCOS (also called PMOS), then sent her sister Juliet, and here they both talk about their visits in their own words. Individual experiences vary.

“I have never felt so heard and listened to from a doctor.”

Christiana J. · Gilbert

Dr. Stephanie Nichols, NMD, smiling at her desk as she talks with a patient about PCOS at Onyx Integrative Medicine in Gilbert, AZ
PCOS, now PMOS

What PCOS is, and why it is now called PMOS

PCOS is a condition of your hormones and your metabolism together. It can involve higher androgen levels, the male-type hormones like testosterone. Ovulation can become unreliable, and insulin can stop working the way it is supposed to. Not every woman has all three.

Which parts you have, and how strongly, is different from one woman to the next. That is why missed periods, acne, extra hair growth, and weight that will not come off can show up in different combinations. And despite the name, you do not need cysts on your ovaries to have PCOS.

You may still see PCOS in your medical records or hear it from another doctor. The terminology is changing, but what matters is understanding what is happening in your body and getting care based on your symptoms, history, and test results.

PCOS diagnosis

How PCOS is diagnosed

Women get told conflicting things about whether they really have PCOS, and the actual process is simpler than the confusion around it. Your doctor looks at your periods, symptoms, hormone levels, and other findings rather than relying on one test.

For adults, the current guideline looks for two of three things: irregular or absent ovulation, higher androgen levels or signs like acne and extra hair growth, and ovaries that look polycystic on an ultrasound. An AMH blood test can also be used instead of an ultrasound in adults.

Two out of three can be enough. You do not automatically need an ultrasound to be diagnosed. Your doctor also rules out conditions such as thyroid problems that can look similar, which is why your whole history matters.

Dr. Chelsea Deveson, NMD, going over results on a laptop with a patient while explaining how PCOS is diagnosed, at Onyx Integrative Medicine in Gilbert, AZ
PCOS symptoms

PCOS symptoms we treat

You do not need every symptom on this list. Most women have a handful, and they tend to arrive together, which is part of why they get waved off one at a time. It is the pattern that matters.
  • Your cycle

    Periods that are irregular, far apart or missing

    Cycles that come every 45 days, or every few months, or stop for a stretch and then return. It is the most common reason women come to us for this, and it is the symptom most often managed rather than explained.

    What we look at: full hormone panel, LH and FSH, thyroid, cycle history

  • Fertility

    Trouble getting pregnant

    PCOS is one of the most common reasons ovulation stops being reliable. It is also one of the most treatable. If this is why you are here, we will be straight with you about your situation and your timeline, and acupuncture for fertility is one of the things we may talk about alongside it.

    What we look at: ovulation history, hormone panel, insulin and blood sugar

  • Skin

    Acne that does not clear with the usual treatments

    Deep, tender breakouts along the jaw and chin that do not respond to the washes and creams that work for other people. When acne is driven by androgens, treating the skin alone rarely gets you there, so the hormone work and the skin treatment run together.

    What we look at: total and free testosterone, SHBG, insulin

  • Hair

    Extra hair growth, and thinning at your scalp

    Coarser hair on your face, chest or stomach, and at the same time hair getting thinner at your part. The two sound like opposites and they come from the same place.

    What we look at: androgen panel, SHBG, thyroid, iron studies

  • Metabolic

    Weight around your middle that will not shift

    Weight that stops responding to the eating and the training that used to work. With PCOS this is usually a signal about insulin rather than about effort, and being told to try harder is not a plan.

    What we look at: fasting insulin, blood sugar, thyroid, hormone panel

  • Energy and mood

    Fatigue, sugar cravings and mood swings

    Tired after a full night of sleep, hungry again an hour after eating, and an anxiety or irritability that arrived without a reason you can point to. Blood sugar that swings does all three.

    What we look at: insulin and blood sugar, thyroid, cortisol, nutrient status

  • Skin changes

    Skin tags and dark velvety patches

    Small skin tags, or darker velvety skin at your neck, underarms or groin. These are easy to miss and they are one of the more telling signs that insulin is part of the picture.

    What we look at: fasting insulin, blood sugar, full metabolic panel

PCOS and pregnancy

Can you get pregnant with PCOS?

This is the question people are most anxious to ask, so we will answer it first. Most women with PCOS can get pregnant. PCOS is one of the most common reasons ovulation becomes unreliable, and it is also one of the most treatable ones. Plenty of women with PCOS go on to have healthy pregnancies with the right support.

What that support looks like depends on you. Sometimes steadying insulin and cycles is enough for ovulation to come back on its own. Sometimes it is not, and a fertility specialist is the right next step. We will tell you honestly which one we think you are looking at, and we will make the referral when it is time rather than keeping you here. There is more in our guide to getting pregnant with PCOS.

Dr. Stephanie Nichols, NMD, holding a smiling patient's hands during a visit about PCOS and pregnancy at Onyx Integrative Medicine in Gilbert, AZ

Not sure whether what you are dealing with is PCOS? That is what a first visit is for.

Testing

What we test when we look at PCOS

Here is the honest part, and it is not what most clinics lead with. There is no single blood test that proves you have PCOS. The diagnosis comes from the pattern, and the testing is there to find what is driving it and to rule out the conditions that copy it. We start by listening, because you have probably had this conversation with someone who did not, and then we test wider than a routine visit does.

Full hormone panel

Androgens including total and free testosterone, plus SHBG, estrogen, progesterone, LH and FSH, read together rather than one number at a time.

Insulin and blood sugar

Insulin resistance is common with PCOS and it often drives the weight and the cravings. We measure it directly instead of assuming it from your weight, which is also why PCOS and medical weight loss so often turn out to be the same conversation.

Thyroid function

A thyroid problem can look almost identical to PCOS and can also sit alongside it. We read the full panel, not TSH on its own.

Nutrient and inflammation levels

Vitamin D, iron and B12 affect your hormones, your energy and how well your body responds to treatment. Deficiency mimics several things on your symptom list.

Cycle and ovulation history

Not a checklist on a clipboard. A real conversation about what your periods have done over the years and when things changed.

Your history, read alongside the numbers

Your results inform the assessment. Your doctor reads them next to your history and how you actually feel, then decides the plan with you.

Treatment

How we treat PCOS at Onyx

Your plan is built around what is actually driving your symptoms, your history, and what you want out of this. PCOS is not one condition with one fix, so no two plans here look the same. PCOS is also a lifelong condition and we will not tell you otherwise. What we can do is help you manage it well.

Nutrition that steadies your blood sugar

Built around food you will actually eat, not a diet you will quit in three weeks. Steadier blood sugar is the single change that moves the most symptoms at once.

Targeted supplements

Chosen for what your testing and your history point to, not a shelf of bottles handed to everyone who walks in. Your doctor will tell you what to stop taking as well as what to start.

Herbal and botanical support

Used where your history and the evidence support it, for cycle regularity and hormone balance. Your doctor will be straight with you about what the evidence does and does not show.

Medication, when it helps

We are not against pharmaceuticals. We just do not lead with them by default, and we will say so plainly when one is the right call for you.

Sleep, movement and stress

Practical changes that fit the life you actually have, not a plan that assumes two free hours a day.

Support while you are trying to conceive

If pregnancy is the goal, the plan is aimed at getting ovulation back rather than only at the symptoms, and we refer to a fertility specialist when that is the right next step.

What to expect

What happens from your first visit onward

The sequence is the same for everyone. What changes is which panels your history calls for and where the results point.

 

Your first visit runs 75 minutes

You will finish your sentences. We go through your symptoms, your cycle history, your medications and everything else you have already tried, including what other doctors have told you.

 

Testing that fits your case

Your doctor orders the panel your symptoms and history call for. Most patients complete lab work locally in Gilbert, and lab work is often billable to your insurance even though our visits are not.

 

We read the results together

All results are reviewed at a follow-up appointment, on the screen, with you. You will hear what we think is going on, what we would do about it, and what happens if you would rather wait.

 

We check in and adjust

Follow-up visits and retesting are part of the plan, not an add-on you have to ask for. If something is not working, we change it rather than waiting for your next annual.

Responses vary from person to person. Some patients notice a difference in the first 4 to 12 weeks, and others take longer. Follow-up testing is how we track yours rather than guessing at it.

Why Onyx for PCOS

Why Gilbert and East Valley women choose Onyx for PCOS care

Most women we see for PCOS have already been somewhere else. A lot of them were told to lose some weight and come back when they want to get pregnant. If that is you, you are the patient we see most often, and you are not out of options. We start by listening, then we test more broadly, because with PCOS the answer usually sits in markers a standard panel skips. And if your symptoms turn out to be driven by something other than PCOS, we will tell you that too.
  • A 75-minute first visitLong enough to get through all of it, not only the one line on the intake form.
  • Hormones and metabolism tested togetherPCOS lives in both, so we read androgens, insulin, thyroid and nutrients side by side rather than picking one.
  • Results read next to your historyYour results inform the assessment and your doctor decides what to prescribe, rather than a number deciding it for them.
  • Three licensed naturopathic doctorsSeeing PCOS patients at the Gilbert clinic, or by telemedicine for patients across the country.

Meet your doctors

Dr. Stephanie Nichols, NMD

Onyx's founder, working mainly in women's hormones, thyroid health, and PCOS (also called PMOS). Dr. Stephanie will ask what you think is going on, because patients are usually closer to right than they expect.

Founder · Naturopathic Physician

Dr. Kasey Nichols, NMD

Connects hormones, digestion, metabolism and mindset. Dr. Kasey works the insulin and blood sugar side of PCOS that so often rides along with the cycle symptoms, and treats thyroid and gut concerns at the root.

Co-Founder · Naturopathic Physician

Dr. Chelsea Deveson, NMD

Focused on the root causes of chronic disease. Dr. Chelsea treats PCOS (also called PMOS), thyroid conditions, adrenal fatigue, perimenopause, and digestive issues with individualized, lab-guided care.

Naturopathic Physician · Root-Cause Care

In their own words

What our patients say

Real Onyx patients, talking about their own care. They are not all PCOS patients, and individual experiences vary.
Read all reviews

Greg & Debbie · Gilbert

00:00 / 01:16

“She’s giving me my husband back.”

Chris · Gilbert

00:00 / 01:01

“It was more time than I had ever spent with one practitioner discussing my health.”

Laura · Gilbert

00:00 / 01:29

“We came up with an amazing plan for how I get my gut health back in check.”

Christiana J. · Gilbert

00:00 / 01:41

“I have never felt so heard and listened to from a doctor.”

Angela H. · Gilbert

00:00 / 01:45

“I left there with a plan immediately.”

Kelly · Gilbert

00:00 / 01:02

“I wanted to feel good 365 days a year.”

Patient · Gilbert

00:00 / 00:38

“I recommend Onyx to a lot of my friends, and I already have.”

Sheldon · Gilbert

00:00 / 00:53

“He wanted to dive into actually what was wrong with me.”

Patient · Gilbert

00:00 / 02:10

“Dr. Stephanie has sat with me for hours and actually dug in.”

Recent reviews on Google

★★★★★

“Dr. Chelsea has been great to work with this past year. She really listens to everything I explain to her. Her ability to ask the right questions of me in order for her to have an accurate picture of my health is comprehensive.”

Vicki V.Google review

★★★★★

“Dr. Stephanie truly cares about her patients wellbeing. She is knowledgeable and supportive. She made me feel comfortable and hopeful that we can work on my health to improve things for the better. Couldn’t recommend enough!!!”

AriannaGoogle review

★★★★★

“The people who work here are an outstanding group of professionals. I look forward to seeing all of their smiling faces. Dr Chelsea is always warm and receptive and concerned about my health and well-being.”

Maria B.Google review

Locations

PCOS care near you in Gilbert and the East Valley

Onyx Integrative Medicine & Aesthetics is on W Elliot Rd in Gilbert and sees PCOS patients in office from across the East Valley. Naturopathic care is also available by telemedicine for patients across the country, so the drive does not have to decide whether you get evaluated.

GilbertChandlerMesaQueen CreekTempeSan Tan ValleyApache Junction

Onyx Integrative Medicine & Aesthetics1425 W Elliot Rd Ste. 104, Gilbert, AZ 85233(480) 531-2557

Frequently Asked Questions

PCOS (PMOS)

Onyx is primarily a self-pay clinic for appointments. Lab work is often billable to your insurance even though our visits are not, and coverage depends on your plan and your diagnosis codes. Many patients use HSA or FSA funds, and we can provide documentation you can submit to your insurer for out-of-network consideration.

Cost depends on your testing and your treatment plan, and we go over the full picture with you before anything begins. A deposit secures your appointment and applies toward that visit. We do not run free consultations, because your first appointment is a real clinical evaluation rather than a sales conversation.

No. Irregular ovulation and higher androgen levels together are enough, and if a scan is hard to arrange, an AMH blood test can stand in for it in adults. That mismatch between the old name and the actual criteria is a large part of why the condition was renamed PMOS in 2026.

Yes. PMOS, short for polyendocrine metabolic ovarian syndrome, is the new official name for what was called polycystic ovary syndrome. The diagnosis and the treatment are unchanged. You will see both names used for the next few years, so if your chart still says PCOS, nothing is wrong.

Often, yes. The pill is a legitimate tool and it works well for some women, particularly for cycle control and acne. It does not address the insulin and metabolic side, which is where a lot of PCOS symptoms start. We look at that side first, then talk with you about whether a medication belongs in your plan.

Yes. Most women with PCOS (also called PMOS) are able to get pregnant. We are proud to share our high success rate in helping women with PCOS regain their fertility and go on to a successful pregnancy. For some women, ovulation returns once insulin levels and cycles stabilize. Others need a fertility specialist. If you fall in this group, we refer you out so you get the right care without delay. If pregnancy is your main goal, tell us at your first visit. This helps us decide which tests to run first and how fast to move.

It depends on what is driving your symptoms and which parts of the plan you start with. PCOS has several causes working together, so we plan for care over 3 to 12 months rather than a quick fix. Tell your doctor which symptom you most want to move, because that is what your follow-up testing is built around.

A naturopathic doctor, an endocrinologist or a gynecologist can all evaluate PCOS. At Onyx you see a licensed naturopathic doctor (NMD), who is trained to look at how your systems interact and typically spends considerably longer with you than a standard primary care appointment allows. We order broader testing, go through it with you, and treat hormones alongside metabolism, nutrition and stress rather than as separate specialties.

Start here

Want a straight answer about your PCOS?

You do not have to keep guessing, and you do not have to accept normal labs as an answer. Book your first visit with a licensed naturopathic doctor in Gilbert.

This page is for general education. It is not medical advice and it does not create a doctor and patient relationship. Naturopathic care is individual, so nothing here describes what your own plan or results would be. Talk with a licensed clinician about your own situation, and call 911 or go to an emergency room if you think you are having a medical emergency.

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