Anti-Androgen Therapy for PCOS: Age Guide

Managing PCOS symptoms with anti-androgen therapy varies by age. Here's what you should know:

Teens (12-18): Focus on symptom management without premature diagnosis. Oral contraceptives (OCPs) are first-line treatments for acne and irregular periods. Anti-androgens like spironolactone are added only if OCPs don’t work after 6 months. Monitoring is key, with regular check-ins every 3-6 months.
Young Adults (19-35): Treatment balances symptom control with fertility goals. Spironolactone (50-200 mg daily) and cyproterone acetate are common options, often paired with OCPs or metformin. Anti-androgens are paused if pregnancy is desired. Lifestyle changes like weight management improve outcomes.
Midlife (36-50): Metabolic health monitoring becomes critical. Dosages may be adjusted based on symptom changes or side effects. Spironolactone and OCPs continue to manage symptoms like hirsutism and acne. Mental health support is essential as emotional challenges can persist.
Postmenopause (50+): Some symptoms, like hirsutism, may linger. Anti-androgens may still help but require reevaluation. Alternative treatments, like laser hair removal, can manage persistent issues. Monitoring focuses on metabolic risks and overall health.

Key Takeaways:

Anti-androgen therapy is age-specific and evolves with life stages.
Patience is required - results often take 6-12 months.
Regular monitoring ensures safety and effectiveness.
Mental health support is just as important as physical care.

For personalized treatment and online consultations, platforms like Oana Health offer accessible options tailored to PCOS care.

Treatment of Women with Polycystic Ovarian Syndrome, Daniel Dumesic, MD | UCLAMDChat

UCLAMDChat

Ages 12-18: Early PCOS Management in Adolescents

Managing PCOS in teenagers requires a thoughtful approach, as the natural changes of puberty often resemble PCOS symptoms. The focus should be on addressing symptoms effectively while avoiding premature diagnoses that could lead to unnecessary stress.

Diagnosing PCOS During Adolescence

Diagnosing PCOS in adolescents can be tricky because puberty naturally mimics many of its symptoms. In fact, there are no widely agreed-upon guidelines for diagnosing PCOS within the first two years after a girl gets her first period. This is why doctors need to proceed carefully before making a definitive diagnosis.

For adults, diagnosing PCOS typically requires two out of three criteria: menstrual irregularities, elevated androgens, or polycystic ovaries visible on an ultrasound. However, for adolescents, the criteria are stricter - they must show both irregular cycles and signs of hyperandrogenism. Tools like ultrasounds and anti-Müllerian hormone (AMH) levels, commonly used for adults, aren’t reliable for teenagers.

Doctors often monitor symptoms for 1–2 years after the first period to differentiate normal puberty from PCOS. During this observation period, they track issues like acne, irregular periods, and excess hair growth.

Menstrual patterns that may indicate PCOS include:

Fewer than 21 days or more than 35 days between periods, or fewer than eight cycles per year, in teens more than three years past their first period.
Any single cycle lasting over 90 days, if it’s been more than a year since the first period.
Primary amenorrhea (no period by age 15 or more than three years after breast development begins) could suggest PCOS but isn’t specific to it.

Before confirming a PCOS diagnosis, doctors must rule out other conditions like thyroid disorders and adrenal hyperplasia.

Teens with only one feature of PCOS are often categorized as "at risk" rather than being given a full diagnosis. These individuals still benefit from symptom management and regular follow-ups without the added stress of being labeled with a chronic condition at such a sensitive age.

Once the diagnosis is clear through careful observation, treatment can focus on managing the most troubling symptoms.

First-Line Treatments and When to Use Anti-Androgens

Oral contraceptive pills (OCPs) are typically the first treatment option for teens diagnosed with or at risk for PCOS. They’re particularly effective for managing irregular periods and symptoms caused by elevated androgens. Low-dose OCPs that combine ethinyl estradiol with anti-androgenic progestins often help regulate cycles and reduce acne. Results generally become noticeable after about six months. If the initial type of progestin doesn’t work well, switching to a third or fourth generation progestin may be beneficial.

It’s important to note that treatment should not start before a girl’s first period. Families should be informed of this timeline early on to avoid unrealistic expectations or premature discontinuation of treatment.

Anti-androgens, such as spironolactone, should only be considered if OCPs or cosmetic treatments for excess hair fail to show results after six months. For moderate-to-severe hirsutism, hormonal therapy and anti-androgens can sometimes be started together instead of waiting for sequential treatments.

For excess hair growth, combined oral contraceptives and cosmetic procedures like laser or light-based therapies are the first steps. These treatments may take up to 12 months to show significant results before anti-androgens are introduced.

It’s crucial to address symptoms like acne and unwanted hair during the diagnostic process rather than delaying treatment. If OCPs don’t provide sufficient improvement after six months, additional options like hair removal therapies or anti-androgens can be added. Spironolactone, a commonly used anti-androgen, is generally dosed at 50-200 mg daily for adults, but adolescent dosing should be guided by a specialist.

Metformin may also be used for teens with PCOS or those at risk, especially if metabolic issues or cycle irregularities are present. This medication targets insulin resistance, which often contributes to PCOS symptoms.

Ongoing evaluations ensure that treatments remain effective and that the adolescent's overall well-being is supported.

Monitoring and Safety for Adolescent Patients

Regular follow-ups are key to ensuring that treatments are both safe and effective. During the initial phase of treatment, teens should be seen every 3-6 months to monitor for side effects and assess progress. Once their condition stabilizes, annual check-ins are typically sufficient.

Routine monitoring of serum androgens isn’t recommended for follow-ups. Instead, doctors focus on visible improvements in symptoms like acne, excess hair, and menstrual regularity. This approach minimizes unnecessary blood tests while still tracking the effectiveness of treatment.

Follow-ups should also include discussions about medication tolerance, symptom changes, and any side effects. These visits provide a chance to adjust treatments and address any concerns raised by the teen or their family.

Mental health screening is an essential part of managing PCOS in adolescents. Studies show a high prevalence of depression in this group, so it’s important to screen for depressive symptoms using validated tools. This should be done during the initial evaluation and at follow-up visits.

Visible symptoms like acne and excess hair can significantly impact self-esteem, especially during adolescence. Combined with the challenges of managing a chronic condition, these factors can take a toll on mental health. A comprehensive approach that addresses both physical and emotional well-being is essential.

As teens transition into adulthood, their treatment plans and diagnostic criteria will evolve to align with their changing needs. Adult diagnostic tools, such as ultrasounds, become more applicable, and treatments can be adjusted based on symptoms, fertility goals, and metabolic health. This ensures that care remains tailored and effective as they grow older.

Ages 19-35: Treatment Options for Young Adults

As women move into adulthood, managing PCOS often involves balancing symptom control with fertility planning. Treatment options broaden significantly compared to adolescence, offering more flexibility in medication combinations and tailored approaches to meet individual needs.

Common Anti-Androgens and Dosage Ranges

For women aged 19–35 with PCOS, spironolactone is a widely prescribed anti-androgen. Taken orally at doses ranging from 50 to 200 mg daily, it helps manage hyperandrogenism by blocking androgen receptors. This can reduce symptoms like excess hair growth, acne, and oily skin.

Another option, cyproterone acetate, is effective in addressing hyperandrogenism-related symptoms, such as unwanted facial hair. Its dosage is customized based on individual response and is often paired with combined oral contraceptives (COCPs).

When prescribing anti-androgens, healthcare providers consider factors like symptom severity, cost, availability, and patient tolerance. Treatment typically starts at lower doses and is adjusted based on how well the patient responds and any side effects. Results with these medications take time - hair improvement, for example, may take up to 12 months.

Combination Therapies for Enhanced Results

COCPs are often the first choice for PCOS treatment in this age group. They combine ethinyl estradiol with progestin, providing anti-androgenic effects regardless of the progestin generation used. Studies show that combining COCPs with anti-androgens like spironolactone (50–100 mg daily), finasteride (5 mg daily), or bicalutamide (50 mg daily) enhances the management of hyperandrogenism compared to COCPs alone. These combinations have been effective over 6–12 months in clinical trials.

If COCPs or cosmetic treatments don’t yield results after six months, anti-androgens may be added to the regimen. Metformin can also play a key role, addressing metabolic aspects of PCOS by promoting ovulation, aiding in weight management, and lowering pregnancy-related risks. Together, COCPs, anti-androgens, and metformin create a comprehensive approach to managing both hormonal and metabolic symptoms.

Lifestyle changes, such as improvements in diet, exercise, and behavior, enhance the effectiveness of medications. Weight management, in particular, can amplify the benefits of anti-androgen therapy.

For those looking for convenience, companies like Oana Health offer combination treatment options. Their Metformin & Spironolactone pack combines an insulin sensitizer with an anti-androgen, prescribed by licensed professionals and delivered directly to your door.

Fertility Considerations While on Anti-Androgens

If pregnancy is a goal, anti-androgens must be discontinued, as they can interfere with ovulation. Instead, medications like letrozole (2.5–10 mg daily for five days per cycle) and clomiphene citrate (50–150 mg daily for five days per cycle) are commonly used for ovulation induction. Both require close medical supervision and are typically reviewed annually.

Unlike anti-androgens, metformin can continue during fertility-focused treatments, as it supports ovulation and overall metabolic health. Planning ahead with your healthcare provider ensures a smooth transition from symptom management to fertility treatment, with the option to resume anti-androgen therapy after pregnancy or when conception is no longer being pursued.

Mental health monitoring is also important for adults with PCOS, along with awareness of the slightly increased risk of endometrial hyperplasia and cancer. While routine screening for these conditions isn’t generally recommended, ongoing care and timely adjustments to treatment remain crucial as priorities shift over time.

Ages 36-50: Long-Term Management and Treatment Adjustments

Women between the ages of 36 and 50 often face distinct challenges when managing PCOS. As symptoms evolve and health risks shift, treatment strategies need to adapt. This stage also brings new considerations, like addressing persistent symptoms, managing emerging metabolic concerns, and preparing for the transition to perimenopause.

Adjusting Dosage Based on Symptom Response

For women in this age group, anti-androgen dosages are typically consistent with those prescribed to younger adults, though adjustments become more frequent. For example, spironolactone is commonly prescribed at 50 mg once or twice daily. Other medications, such as cyproterone acetate and flutamide, may be paired with oral contraceptive pills (OCPs). The goal here is to maintain long-term symptom control rather than achieve quick fixes. Dosages may be increased if symptoms worsen or reduced if side effects occur.

Combination oral contraceptives (COCPs) can be optimized for better results, particularly those containing drospirenone or low-androgen progestins like desogestrel or norgestimate. These are especially effective in managing acne and hirsutism. However, improvements often take time - around six months to see noticeable changes. Spironolactone therapy may continue for up to two years, with reviews every 3–6 months initially, followed by annual check-ins. Consistent monitoring ensures the treatment remains effective and safe.

Monitoring Metabolic and Psychological Health

As treatments are adjusted, comprehensive monitoring becomes essential. For instance, spironolactone carries a risk of hyperkalemia, so serum potassium and kidney function should be checked at baseline, then at 3–6 months, and annually thereafter. Women in this age group are also at an increased risk for metabolic syndrome and type 2 diabetes. Regular screenings, including glucose tolerance tests, lipid profiles, and blood pressure checks, are critical. Depending on the anti-androgen used, liver function tests may also be necessary.

Heart health takes on greater importance, given the cardiovascular risks tied to hormonal therapies in PCOS. While women with PCOS face a higher likelihood of endometrial hyperplasia and cancer, routine screening isn't recommended. Instead, patients should be informed about these risks and advised to report any concerning symptoms.

Mental health is another key focus. Psychological screening should be part of routine care, with referrals to mental health professionals as needed. Support groups or counseling tailored to PCOS can also provide valuable assistance. However, repeated androgen level testing is generally not recommended, as it offers limited clinical value.

Transitioning to Perimenopause

As women near perimenopause, treatment plans often need to be reassessed. Hormonal fluctuations during this phase can impact both PCOS symptoms and the effectiveness of therapies. Adjustments to COCP formulations may be necessary to accommodate changing estrogen levels. Metformin remains a vital tool for managing insulin resistance, a central aspect of PCOS. Additionally, the timing for withdrawing COCPs should be discussed, especially if hypogonadism is a concern.

Metformin plays a growing role during this transition. While anti-androgens address symptoms like hirsutism and acne, metformin helps manage insulin resistance and reduces the risk of progressing to type 2 diabetes or metabolic syndrome. A combined approach - anti-androgens, metformin, and lifestyle changes - offers a well-rounded strategy. For example, Oana Health provides a Metformin & Spironolactone pack for convenient home delivery.

Shared decision-making is critical at this stage. Women should discuss their goals with healthcare providers, weighing the pros and cons of reducing medication as menopause approaches versus maintaining current therapies for symptom control. Some may choose to taper off anti-androgens as natural hormonal changes reduce androgen levels, while others may prefer to continue treatment if symptoms persist. Regardless of the approach, lifestyle management - such as maintaining a healthy weight, exercising regularly, and improving dietary habits - remains a cornerstone of effective care.

Age 50+: Reassessing Anti-Androgen Therapy After Menopause

As women transition through menopause, the role of anti-androgen therapy often requires reevaluation. The natural hormonal shifts that occur during this stage may lessen the need for certain treatments. However, menopause does not mark the end of PCOS. For many women, symptoms persist and continue to require attention.

PCOS Symptoms That Persist After Menopause

Even after menopause, PCOS symptoms can linger. Studies show that clinical and biochemical hyperandrogenism may persist in postmenopausal women with PCOS. Elevated androgen levels - and the symptoms tied to them - don’t necessarily fade just because menstrual cycles have stopped.

Hirsutism is a common concern that often continues postmenopause. In some cases, unwanted facial and body hair may even worsen due to the relative increase in androgens as estrogen levels decline. Acne may also persist, and thinning scalp hair can become more noticeable, which can be distressing and impact overall quality of life. Women who experienced relief from anti-androgen therapies earlier in life might need to revisit their treatment options as they age. This stage of life calls for a shift in how we approach treatment strategies.

Modified Diagnosis and Treatment Approaches

Diagnosing PCOS after menopause requires a different approach. Since menstrual irregularities naturally cease at menopause, clinicians must rely on a woman’s past clinical history rather than current menstrual patterns. A diagnosis is typically supported by a history of PCOS, such as a previous diagnosis or a long-standing history of oligomenorrhea combined with hyperandrogenism or polycystic ovarian morphology during the reproductive years (usually between ages 20–40).

Treatment priorities also evolve. While fertility concerns dominate during younger years, postmenopausal care focuses on managing symptoms and maintaining metabolic health. Decisions about continuing anti-androgen therapy should be tailored to each individual. Current research doesn’t provide clear guidelines on whether to stop or continue these therapies at menopause. Factors like symptom severity, therapy duration, overall health, and metabolic or cardiovascular risks should guide this decision.

For some women, medications like spironolactone may still be helpful for managing hirsutism or acne. Others may find it appropriate to discontinue therapy if symptoms have resolved or become less bothersome with age. The key is open communication with a healthcare provider to determine the best course of action.

It’s important to set realistic expectations for those who continue therapy. Anti-androgen treatments may take longer - up to six months - to show results due to age-related changes. While these therapies can help manage symptoms, they cannot reverse all changes associated with aging.

Regular monitoring remains crucial. Women should undergo routine checks for metabolic markers and medication side effects. Additionally, postmenopausal women with PCOS should be aware of the increased risk of endometrial hyperplasia. Although the risk of developing endometrial cancer is low, any abnormal vaginal bleeding should be promptly evaluated.

Alternative Symptom Management Options

For women who reduce or stop hormonal therapies, alternative options can help manage symptoms. Cosmetic treatments like laser hair removal and electrolysis offer long-term solutions for hirsutism without the need for ongoing medication.

Topical treatments are another option. For instance, Hairless Hype cream combines Eflornithine, Metformin lotion, and Azelaic Acid to slow unwanted hair growth. Clinical studies have shown that this prescription-grade treatment can produce noticeable results in as little as eight weeks, with 81% of women seeing significant improvement within a year.

For those dealing with hair thinning, oral Minoxidil offers a non-hormonal alternative. This can be particularly useful for women who have stopped spironolactone but still want to address scalp hair loss.

Lifestyle changes remain a cornerstone of PCOS management. Maintaining a healthy weight, engaging in regular exercise, and adopting a balanced diet can help address metabolic concerns and improve overall health.

Psychological well-being is another key aspect of care. Persistent symptoms like hirsutism or acne can affect body image and quality of life. Counseling, therapy, or support groups can be valuable resources for addressing these challenges.

At this stage, shared decision-making becomes even more important. Treatment choices should reflect personal priorities and quality of life. For personalized guidance, consider consulting with a licensed provider through Oana Health's telehealth services.

Monitoring and Safety Guidelines for Anti-Androgen Therapy

Using anti-androgen therapy safely means staying on top of regular monitoring throughout the treatment process. Like all therapies for PCOS, this approach needs to be tailored to the individual, with periodic reviews to weigh the benefits against any risks. What needs to be monitored depends on the specific medication, your age, and overall health. These guidelines build on established recommendations to ensure treatment remains both effective and safe over time.

Key Parameters to Monitor

Different medications call for different monitoring strategies, and knowing what to track is crucial for achieving the best results.

Potassium levels and kidney function: If you're taking spironolactone, keeping an eye on potassium and kidney markers like creatinine and BUN is essential. Spironolactone can lead to high potassium (hyperkalemia), which, in turn, may cause dangerous heart rhythm issues. Regular checks, starting with baseline readings and followed by periodic testing, help ensure your kidneys are functioning well and potassium levels stay in check.
Liver function tests: Medications like cyproterone acetate or flutamide can impact liver health. Blood tests that measure liver enzymes and proteins are necessary, especially in the early stages of treatment. Once your therapy stabilizes, annual tests are usually enough, although more frequent checks might be needed initially.
Metabolic markers: If you're also using metformin, monitoring fasting glucose and hemoglobin A1C is critical. These tests help track blood sugar levels and potential diabetes risk, which is already heightened in those with PCOS.
Blood pressure: This is particularly important for spironolactone users. Regular blood pressure checks, whether at home or during doctor visits, can catch any concerning changes early on.
Serum androgen levels: Measuring testosterone and androstenedione at the start of treatment can help confirm hyperandrogenism. However, in adults, ongoing hormone level checks are less useful than assessing clinical symptoms like acne, hirsutism, and menstrual patterns to gauge treatment success.

Monitoring Frequency by Age

How often you need monitoring depends on your age and life stage. Adolescents, young adults, and perimenopausal women each have different needs.

Adolescents (ages 12-18): The American College of Obstetricians and Gynecologists suggests monitoring every 3–6 months until symptoms stabilize, followed by annual checks. Because diagnosing PCOS in teens can be tricky, a 3-month break from combined oral contraceptives might be needed to reassess symptoms, especially if hyperandrogenism isn’t clear.
Young adults (ages 19-35): During the first three months of therapy, regular check-ins allow healthcare providers to evaluate how well the treatment is working and whether side effects are manageable. It can take up to six months to see the full benefits of anti-androgen therapy. Once stabilized, monitoring can shift to every six months or annually. For spironolactone users, an annual review with a PCOS specialist is recommended.
Perimenopausal women (ages 36-50 and beyond): Hormonal fluctuations during this stage may require more frequent monitoring - every three to four months. This helps manage changes in medication effectiveness and side effects. Routine annual screenings for glucose levels, thyroid function, and lipid profiles (every 1-2 years) are also essential.

If you're on combination therapy (e.g., anti-androgens with metformin or oral contraceptives), monitoring multiple parameters becomes even more important. After the initial three-month stabilization period, checks can typically shift to every six months.

Managing Side Effects and Risks

Anti-androgen therapy can come with side effects, but understanding them makes it easier to manage your treatment effectively.

Spironolactone: Common side effects include dizziness, fatigue, headaches, and menstrual changes, especially in the first few months. These usually improve within 3–6 months. Taking the medication with food or before bed might help reduce symptoms like dizziness or fatigue.
Cyproterone acetate: You might experience nausea, breast tenderness, or mood swings. If these symptoms persist, your healthcare provider can adjust your dose or explore other options.

For adolescents, a conservative approach to side effects is key. Instead of stopping treatment, adjustments can be made based on symptom severity. If combined oral contraceptives or cosmetic treatments for hirsutism don’t work well after six months, additional anti-androgens may be added.

Young adults experiencing side effects like dizziness may benefit from dose adjustments or changes to when they take their medication. Promptly reporting these issues to your doctor is crucial. For perimenopausal women, side effects can be more pronounced due to fluctuating estrogen levels, making closer monitoring and dose changes necessary.

Menstrual irregularities: These are common early in treatment but usually improve over time. If irregular bleeding lasts beyond six months or becomes heavy, consult your doctor. Women with PCOS should also be aware of a slightly increased risk of endometrial hyperplasia and endometrial cancer, though the overall risk remains low. Any unusual uterine bleeding should be evaluated promptly.
Psychological health: Emotional well-being is an important part of managing PCOS. If you notice mood swings, anxiety, or depression while on anti-androgen therapy, talk to your provider. It can be tough to separate medication side effects from the emotional challenges of PCOS or life stressors, but all deserve attention.

Long-term monitoring should include annual glucose screenings due to the metabolic risks associated with PCOS and anti-androgen use. Bone density checks may also be necessary for women with prolonged amenorrhea or those at risk for osteoporosis.

For a personalized monitoring plan, consult a licensed provider through Oana Health’s telehealth services.

Conclusion

Managing PCOS with anti-androgens is not a one-size-fits-all approach - it needs to adapt to your age, symptoms, and personal goals. As your body changes from adolescence through menopause, your treatment plan should adjust accordingly to meet your evolving needs.

For teenagers, starting with a cautious approach is key. Combined oral contraceptives are often the first step, with anti-androgens introduced only if symptoms persist after six months. In young adulthood, there’s more room for flexibility, with options like spironolactone often paired with lifestyle changes and other medications. By your late 30s and 40s, keeping an eye on metabolic health becomes increasingly important, and treatment plans may need to shift as your body approaches perimenopause. Regular check-ins with your healthcare provider ensure that your care stays aligned with these changes.

Patience is critical at every stage. Anti-androgen therapies typically take around six months to show their full effects, and consistent monitoring ensures that your treatment remains both safe and effective.

It’s also important to address mental health alongside physical symptoms. PCOS often comes with mood swings, anxiety, and depression, so a comprehensive care plan should include support for your emotional well-being.

Ultimately, successful PCOS management revolves around personalization. Your treatment plan should reflect your unique circumstances, preferences, and life stage. Collaborating with your healthcare provider ensures that your goals - whether that’s reducing acne, managing unwanted hair, regulating your cycle, or preparing for pregnancy - are at the center of your care.

If you’re looking for expert guidance, Oana Health offers telehealth services tailored to hormonal health. Through a simple online consultation, you can receive science-based, personalized treatment plans, including anti-androgen options like spironolactone and topical spironolactone. With treatments starting at just $14 per month, free shipping, and automatic refills, Oana Health makes managing PCOS easier and more accessible than ever.

FAQs

How does anti-androgen therapy work for managing PCOS symptoms in different age groups?

Anti-androgen therapy is often used to manage PCOS symptoms such as unwanted facial hair, acne, and hair thinning. However, the treatment approach can differ based on age. For younger individuals, the focus is typically on regulating hormones and addressing long-term health concerns early. For adults, the treatment may involve more tailored dosages and additional attention to issues like weight management or insulin resistance.

No matter the age, regular check-ins with a healthcare provider are crucial. These appointments help track progress, fine-tune the treatment plan, and address any side effects that may arise. This personalized approach ensures the therapy remains both safe and effective for each person.

What should women with PCOS know about using anti-androgen therapy if they are planning to get pregnant?

Anti-androgen therapy isn't typically advised for women with PCOS who are trying to get pregnant. These medications can disrupt ovulation and may carry risks during pregnancy. If you're planning to start a family, it's essential to work closely with your healthcare provider to adjust your treatment plan. They can guide you on safely stopping anti-androgens and suggest other ways to manage your symptoms.

Your doctor might focus on treatments that address issues like insulin resistance or hormonal imbalances, which can be managed safely while trying to conceive. Regular check-ins and a tailored approach are key to supporting your overall health and fertility journey.

What are the common side effects of anti-androgen therapy for PCOS, and how can they be managed at different ages?

Anti-androgen therapy for PCOS can sometimes lead to side effects like fatigue, changes in menstrual cycles, mild weight gain, or mood swings. The intensity and type of these effects often depend on factors like age and overall health. For instance, younger individuals might notice more pronounced hormonal fluctuations, while older adults could experience changes in skin or hair health.

Managing these side effects starts with regular check-ins with a healthcare provider. Adjusting medication dosages, adopting healthier lifestyle habits - such as maintaining a balanced diet and staying active - or combining treatments can help reduce discomfort. Always work closely with a licensed medical professional to ensure your treatment plan fits your unique needs and stage of life.