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.
Treatments from $22/month · Free shipping · $20 doctor visit
Trusted by Leading Publications


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

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.
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.
MetSpiro Combo
Metformin + Spironolactone together. Addresses both the metabolic and hormonal sides of PCOS — insulin resistance plus acne, facial hair, and hair thinning.
Spironolactone
Anti-androgen medication that treats PCOS acne, excess facial hair, and hair thinning by blocking the hormones causing these symptoms.
Eflornithine Cream
FDA-studied prescription cream that slows unwanted facial hair growth. Same active ingredient as Vaniqa.
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 AssessmentThe Evolution of PCOS Treatment
PCOS treatment works best when it considers both metabolic and hormonal symptoms.
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.
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.
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.
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
Complete your online health intake. Share your symptoms, medical history, and treatment goals. No video call required.

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.

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.”
“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.”
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 PlanTreatment 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.




