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PCOS Treatment Platform

PCOS Treatment Online — Expert Care from Home

Personalized PCOS treatment plans prescribed by licensed physicians who specialize in hormonal health. From insulin sensitizers to targeted support for acne, facial hair, and hair thinning, find options matched to your symptoms.

Licensed PCOS Specialists
Personalized Combination Plans
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Find Your PCOS Treatment

Treatments from $22/month · Free shipping · $20 doctor visit

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Understanding PCOS

Polycystic Ovary Syndrome affects 1 in 10 women of reproductive age. It’s driven by insulin resistance and elevated androgens — 70% of women with PCOS have insulin resistance.

What Is PCOS?

  • Affects 1 in 10 women of reproductive age
  • Driven by insulin resistance and elevated androgens
  • 70% of women with PCOS have insulin resistance
  • Symptoms vary widely — personalized treatment matters

Common PCOS Symptoms

  • Irregular or missing periods
  • Weight gain and difficulty losing weight
  • Hormonal acne (especially jawline and chin)
  • Unwanted facial hair growth
  • Hair thinning or shedding
  • Mood changes, fatigue, brain fog
Confident woman managing PCOS

PCOS Treatment Options — Matched to Your Symptoms

From metabolic support to hormonal symptom care. Your Oana physician will help determine what is appropriate for you.

Proven Standard
$22/month

Metformin ER

The foundation of PCOS treatment. Improves insulin sensitivity, helps regulate periods, and supports lower androgen levels. Extended Release formula reduces stomach side effects.

Best for: Insulin resistance, irregular periods, affordable care
Start Metformin
$32/month

MetSpiro Combo

Metformin + Spironolactone together. Addresses both the metabolic and hormonal sides of PCOS — insulin resistance plus acne, facial hair, and hair thinning.

Best for: Multiple symptoms, comprehensive treatment
Start MetSpiro
$17/month

Spironolactone

Anti-androgen medication that treats PCOS acne, excess facial hair, and hair thinning by blocking the hormones causing these symptoms.

Best for: Acne, facial hair, hair thinning
Start Spiro
$119/month

Eflornithine Cream

FDA-studied prescription cream that slows unwanted facial hair growth. Same active ingredient as Vaniqa.

Best for: Facial hair / hirsutism
Start Eflornithine

Not sure which is right for you?

Metformin has been a common PCOS option for decades, and many women also need targeted support for androgen-related symptoms like acne, unwanted facial hair, or hair thinning. Your Oana physician can help determine whether one treatment or a combination approach matches your symptoms and goals.

Take Our 5-Minute PCOS Assessment

The Evolution of PCOS Treatment

PCOS treatment works best when it considers both metabolic and hormonal symptoms.

1

Insulin Resistance Is the Root

PCOS is fundamentally driven by insulin resistance, which increases androgen production and triggers symptoms like irregular periods, acne, weight gain, and unwanted hair.

2

Metformin: The Proven Foundation

For decades, metformin has been the standard PCOS treatment. It improves insulin sensitivity and lowers blood sugar, helping ease symptoms over time.

3

Combination Care Can Help

Some women benefit from pairing metabolic support with anti-androgen or hair-growth treatments. Your physician can decide whether a combination makes sense for your symptom pattern.

4

Personalized to You

Your Oana physician evaluates your specific symptoms, health history, and goals to recommend the right medication — whether that’s metformin, spironolactone, eflornithine, oral minoxidil, or a combination approach.

How Oana Works

Tell us about your PCOS
Step 1

Tell Us About Your PCOS

Complete your online health intake. Share your symptoms, medical history, and treatment goals. No video call required.

Get a personalized PCOS plan
Step 2

Get a Personalized Plan

A licensed physician who specializes in PCOS reviews your case within 1–2 business days and recommends the right medication(s) for your symptoms.

PCOS treatment ships free
Step 3

Treatment Ships Free

Your personalized PCOS medications arrive at your door with free shipping. Automatic refills and ongoing physician support keep you on track.

Real Results from Real Women

Women across the country are managing their PCOS symptoms with personalized treatment from Oana

“My Oana physician helped me think about my PCOS as more than one symptom. We discussed metformin and hormonal symptom support, and I finally felt like the plan matched what I was dealing with.”

Danielle W., 32Verified Patient

“I spent months on an endocrinologist waitlist. Oana had me on a treatment plan within a week. The doctors actually understand PCOS and don’t brush off my symptoms.”

Nicole R., 33Verified Patient

Common Questions About PCOS Treatment

What’s the most effective PCOS treatment?

The best treatment depends on your symptoms, health history, and goals. Metformin may be considered for insulin resistance and irregular cycles, while spironolactone, eflornithine, or oral minoxidil may be considered for androgen-related symptoms.

How is metformin used for PCOS?

Metformin improves insulin sensitivity by reducing glucose production in the liver. In PCOS care, physicians may consider it when insulin resistance, irregular periods, or metabolic symptoms are part of the picture. Use for PCOS is off-label and based on physician judgment.

Can I combine PCOS medications?

Your physician may recommend a combination when your symptoms involve more than one pathway, such as insulin resistance plus acne, unwanted facial hair, or hair thinning. Any plan depends on your intake and physician review.

How much does PCOS treatment cost?

Metformin ER starts at $22/month, and other PCOS treatments vary by medication. Plans include free shipping, a $20 online doctor consultation, and ongoing physician support. No insurance is required.

What symptoms can Oana help evaluate?

Oana can evaluate common PCOS concerns like irregular cycles, acne, unwanted facial hair, hair thinning, and metabolic symptoms. A licensed physician determines what treatment is appropriate, if any.

How quickly will I see results?

Timelines vary by medication, symptom, and individual response. Metformin and hormone-focused treatments typically take consistent use over weeks to months, and your physician can discuss what to expect for your plan.

Why Women Choose Oana for PCOS

PCOS-Focused Care

Specialized physicians who understand PCOS deeply, not as an afterthought.

Personalized Treatment Options

From metformin to targeted hormonal symptom support, your plan can reflect the symptoms you actually have.

No Waitlists

Skip the endocrinologist backlog. Expert PCOS care from your phone.

Transparent Pricing

Metformin from $22/mo. No insurance required. Free shipping. Cancel anytime.

Ready to Take Control of Your PCOS?

Find your personalized treatment plan with a physician who actually understands your condition

Find Your Treatment Plan
Free Shipping Cancel Anytime $20 Doctor Visit

Treatment decisions, including whether to prescribe any medication, are made solely by licensed physicians based on review of your individual health intake. Use of medications for PCOS may be off-label where noted. No prescription is guaranteed.