PCOS (PMOS) Treatment in Toronto – Naturopathic Care for Hormonal Balance
Personalized, root-cause treatment for Polycystic Ovary Syndrome (PCOS), focused on hormone balance, insulin resistance, and long-term metabolic health.
Dr. Makoto Trotter, ND has over 20 years of clinical experience treating PCOS and complex hormonal conditions in patients. Book a complimentary 15-minute consultation to discuss your symptoms and next steps.
A note on terminology: In May 2026, The Lancet published a global consensus renaming polycystic ovary syndrome (PCOS) to polyendocrine metabolic ovarian syndrome (PMOS). The new name reflects what naturopathic medicine has long recognized – that this is a whole-body endocrine and metabolic condition, not simply an ovarian one. A three-year transition is underway. You may see both terms used – they refer to the same condition.
What is PCOS?
Polycystic Ovary Syndrome (PCOS) is a common hormonal and metabolic condition that can affect ovulation, menstrual regularity, and androgen levels. It often overlaps with PMS, particularly when cycles are irregular or symptoms are more persistent throughout the month. PCOS also commonly co-occurs with endometriosis – both conditions involve estrogen imbalance and chronic pelvic inflammation, and it is not uncommon for patients to present with features of both.
Common features of PCOS may include:
- Irregular or absent periods
- Acne or oily skin
- Changes in hair growth (face or body)
- Difficulty with weight regulation
- Blood sugar instability or insulin resistance (diabetes)
Because PCOS is strongly influenced by metabolic and hormonal factors, a root-cause approach focuses on supporting blood sugar balance, reducing inflammation, and improving hormonal signaling rather than addressing symptoms in isolation. Diet and lifestyle modifications are the interventions that consistently make the biggest impact on correcting a picture of PCOS.
It is also worth noting that thyroid dysfunction – particularly Hashimoto’s thyroiditis – presents with many overlapping symptoms including irregular cycles, fatigue, and weight changes, and is routinely assessed as part of a comprehensive PCOS workup at our clinic.
Who This Treatment Is For
This approach may be appropriate if you are experiencing:
- Irregular or absent menstrual cycles
- Acne or androgen-related symptoms
- Difficulty with weight or blood sugar balance
- Suspected or diagnosed PCOS
- Fertility challenges related to ovulation
Women with PCOS in their late 30s and 40s may also be entering perimenopause, which can significantly shift the hormonal picture.
Symptoms of Polycystic Ovary Syndrome (PCOS)
PCOS can present differently from person to person, but common symptoms include:
- Irregular or absent menstrual cycles
- Acne or oily skin
- Excess hair growth (face, chest, or abdomen)
- Hair thinning or loss on the scalp
- Weight gain or difficulty losing weight
- Fatigue or low energy
- Blood sugar instability and cravings
- Fertility challenges or irregular ovulation
Many patients with PCOS notice symptoms such as cravings, energy crashes, or worsening symptoms in the second half of their cycle, which can reflect underlying insulin and hormonal patterns.
What Causes PCOS?
PCOS is a complex condition involving hormonal, metabolic, and inflammatory factors:
Hormonal factors
- Elevated androgens (male-pattern hormones)
- Disrupted ovulation and progesterone signaling
- Thyroid conditions such as Hashimoto’s hypothyroidism may contribute to overlapping symptoms.
Metabolic factors
- Insulin resistance and blood sugar dysregulation
Nervous system & stress
- Chronic stress impacting cortisol and hormone balance
Inflammation
- Low-grade inflammation affecting ovarian function and metabolism
PCOS can often be left undiagnosed in patients for years since it is not a clear and obvious diagnosis.
Feeling unsure about your next step?
Book a complimentary 15-minute meet & greet to discuss your symptoms and see if this approach is right for you.
Our Naturopathic Approach to Treating PCOS
Treatment focuses on identifying and addressing the underlying drivers of PCOS rather than managing symptoms alone.
This includes:
- Improving insulin sensitivity to support ovulation and reduce androgen excess (learn more about naturopathic diabetes and blood sugar support)
- Supporting regular menstrual cycles and hormonal balance
- Reducing inflammation associated with metabolic dysfunction
- Addressing stress and cortisol patterns impacting hormone signaling
- Using targeted nutrition, supplementation, and lifestyle strategies
After a detailed initial assessment with Dr.Makoto Trotter, ND, a treatment plan is personalized based on your symptoms, history, and goals.
Testing for PCOS
Testing may be recommended to better understand hormonal and metabolic patterns.
Testing may include:
- Hormone assessment (estrogen, progesterone, androgens)
- Blood glucose and insulin markers
- Thyroid function
- Inflammatory markers
When testing is helpful:
- Irregular or absent cycles
- Persistent symptoms despite treatment
- Fertility concerns
- Unclear diagnosis
These test can be ordered via Lifelabs bloodwork through our Toronto clinic (or potentially through your doctor) or through the comprehensive DUTCH hormone test.
Related Conditions
PCOS can overlap with or be confused with other hormonal conditions:
PMS (Premenstrual Syndrome)
Cyclical symptoms such as mood changes, bloating, and fatigue may coexist with PCOS, particularly when ovulation is inconsistent.
PMDD (Premenstrual Dysphoric Disorder)
A more severe form of PMS involving significant mood symptoms, often linked to sensitivity to hormonal fluctuations.
Endometriosis
A chronic inflammatory condition associated with pelvic pain and painful periods, which may coexist with PCOS in some cases.
Fatty Liver (aka NAFLD or MASLD)
Women with PCOS have significantly elevated rates of non-alcoholic fatty liver disease driven by insulin resistance – both are assessed together at our clinic.
What Patients Typically Experience
With a targeted approach, patients often work toward:
- More regular menstrual cycles
- Improved skin and reduced acne
- Better energy and fewer cravings
- More stable mood
- Improved metabolic health
- Support for fertility and ovulation
How Treatment Works
- Comprehensive assessment of symptoms, cycle history, and health background
- Review of existing lab work and discussion of testing (if needed)
- Personalized treatment plan targeting hormonal and metabolic factors
- Ongoing support and adjustments based on progress
Every step of the way, we will communicate with you to ensure that we are on the same page and the treatment plan is realistic and makes sense for you.
Frequently Asked Questions
What is PMOS and how is it different from PCOS?
In May 2026, The Lancet published a global consensus renaming polycystic ovary syndrome (PCOS) to polyendocrine metabolic ovarian syndrome (PMOS). The new name formally acknowledges what research has long supported – that this is a whole-body endocrine and metabolic condition involving multiple interacting systems including the hypothalamic-pituitary-ovarian axis, pancreatic insulin signalling, adrenal androgen production, and gut-hormone interactions. The term “polycystic ovary” was misleading – what appear as cysts on ultrasound are actually immature follicles, and cysts are not even a required diagnostic feature. A three-year transition to the new name is underway. At our clinic, Dr. Trotter has always assessed and treated this condition through the broader polyendocrine and metabolic lens that PMOS now formally describes.
Does the name change from PCOS to PMOS affect my diagnosis or treatment?
Not at our clinic – the naturopathic approach has always addressed the full hormonal and metabolic picture that PMOS now formally describes. For patients receiving conventional care, the name change should eventually prompt broader metabolic screening and longer-term cardiovascular monitoring than PCOS management typically included. If you have an existing PCOS diagnosis, it remains valid during the transition period – the two terms currently refer to the same condition.
What causes PCOS? PCOS is caused by a combination of insulin resistance, hormonal imbalance (including elevated androgens), inflammation, and stress-related factors. Because these drivers vary from patient to patient, a personalized assessment is key to effective treatment.
Can PCOS be treated naturally? Yes. Naturopathic treatment for PCOS focuses on improving insulin sensitivity, regulating hormones, reducing inflammation, and supporting ovulation through targeted nutrition, lifestyle, and supplementation.
Do I need testing for PCOS? Testing is not always required but is often helpful to assess hormones, blood sugar, and metabolic patterns — especially when symptoms are persistent, unclear, or affecting fertility. Dr. Trotter can requisition comprehensive panels through LifeLabs and may recommend the DUTCH hormone test for a more detailed picture of how hormones are being produced and metabolized.
How long does treatment take? Most patients begin to see improvements in symptoms such as cycle regularity, energy, and skin within a few months, depending on the underlying drivers and consistency of treatment.
Can PCOS affect fertility? Yes. PCOS can interfere with ovulation, but many patients are able to improve ovulation and fertility with targeted treatment that addresses hormonal and metabolic imbalances. Dr. Trotter works collaboratively with fertility clinics and reproductive endocrinologists where relevant.
If your symptoms extend beyond hormones alone, you can review other conditions treated to better understand possible connections.
Looking for support with PCOS?
PCOS is a complex hormonal condition often influenced by insulin regulation, inflammation, and lifestyle factors. A personalized naturopathic approach can help identify underlying contributors and support more balanced cycles and metabolic health.
👉 Book a consultation to get a tailored treatment plan.