
PCOS Specialist Columbus, Ohio
Addressing Polycystic Ovary Syndrome at the Root Cause
Clinical Note
PCOS Presents Differently for Every Patient
Some experience one dominant concern. Others manage multiple overlapping challenges. Instead of treating each as separate issues, our role is to understand how these symptoms intersect and then manage them.

PCOS & Fertility: Courtney’s Thoughtful Approach to Fertility Optimization
Courtney Gilbert, PA-C, leads our fertility-focused PCOS care with a measured, root-cause approach, with the goal of creating an environment where conception is supported. She collaborates with your existing OB-GYN, serving as an extension of your care team to offer the time, education and continuity many patients need.
Care begins with advanced diagnostic testing and holistic interventions such as stress management, nutrition planning and inflammation support. Patients may then progress to toxin mitigation, gut healing strategies and, when appropriate, controlled and customized hormone support.
How We Help You Manage PCOS
Advanced Diagnostic Testing
We use in-depth testing to understand hormone patterns, insulin response, gut health, inflammation and toxin burden to create a snapshot of your health, allowing us to address root contributors rather than guess.
We use in-depth testing to understand hormone patterns, insulin response, gut health, inflammation and toxin burden to create a snapshot of your health, allowing us to address root contributors rather than guess.
Nutrition & Movement Support
Patients work with functional dietitian Colleen Bush, RDN to develop realistic nutrition strategies, including meal timing and macronutrient balance, designed to support hormone regulation and insulin sensitivity within a busy schedule.
Patients work with functional dietitian Colleen Bush, RDN to develop realistic nutrition strategies, including meal timing and macronutrient balance, designed to support hormone regulation and insulin sensitivity within a busy schedule.
Hormone Replacement Therapy (HRT)
When appropriate, we use targeted hormone support (including progesterone and anti-androgen strategies) to help regulate cycles and alleviate symptoms using a fully personalized approach.
When appropriate, we use targeted hormone support (including progesterone and anti-androgen strategies) to help regulate cycles and alleviate symptoms using a fully personalized approach.
Weight & Metabolic Support
We offer both medical therapies (like GLP-1s) and non-prescription options to support metabolic health. Surgical interventions are available for those who choose to explore more involved body contouring solutions.
We offer both medical therapies (like GLP-1s) and non-prescription options to support metabolic health. Surgical interventions are available for those who choose to explore more involved body contouring solutions.
Insulin Response & Blood Sugar Regulation
Because insulin resistance plays a significant role in many PCOS cases, we focus on stabilizing blood sugar through nutrition, lifestyle adjustments and medical support when indicated.
Because insulin resistance plays a significant role in many PCOS cases, we focus on stabilizing blood sugar through nutrition, lifestyle adjustments and medical support when indicated.
Additional Aesthetics Enhancements
Acne and unwanted hair growth are an unfortunate reality for many. If these symptoms persist, we have solutions to address them, including laser hair removal and our custom adult acne treatment plan.
Acne and unwanted hair growth are an unfortunate reality for many. If these symptoms persist, we have solutions to address them, including laser hair removal and our custom adult acne treatment plan.

Birth Control Isn’t Your Only Answer
Many patients report that hormone birth control was the first go-to solution they received after their PCOS diagnosis. While birth control can be helpful for some patients, it certainly is not the only way to manage PCOS symptoms.
Instead, we focus on addressing hormonal patterns, insulin resistance, inflammation and lifestyle contributors. This allows many patients to achieve symptom relief without relying solely on cycle suppression.
FAQs About PCOS & PCOS Treatments
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Donaldson does not contract directly with insurance plans. We operate on a fee-for-service model because insurance structures often limit the time, testing and personalized care required to address complex conditions like PCOS at the root cause. This allows you direct access to your care team, comprehensive diagnostic testing and individualized treatment plans without surprise restrictions or coverage-driven compromises.
Many patients are able to use Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) for qualified services. Financing options are also available, and our team is always happy to discuss the best options for you.
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PCOS is one of the most common hormonal conditions affecting women, with research estimating that up to 1 in 10 women of reproductive age meet diagnostic criteria, though many remain undiagnosed. Rather than having a single cause, this condition typically develops from a combination of interconnected factors, including:
- Genetic predisposition
- Insulin resistance and blood sugar dysregulation
- Hormonal signaling imbalances
- Chronic inflammation
- Stress and cortisol dysregulation
- Gut health and microbiome disruption
- Environmental and endocrine-disrupting toxin exposure
PCOS is complex and common. It is not caused by anything you did wrong, nor is it a reflection of your discipline, choices or character.
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When appropriate, we use targeted hormone support (including progesterone and anti-androgen strategies) to help regulate cycles and alleviate symptoms using a fully personalized approach.
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No. There is technically no cure, but symptoms can often be managed so effectively that PCOS has minimal impact on daily life and long-term health.
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Many patients notice changes within a few months, though timelines vary depending on breadth of symptoms, severity of symptoms, dedication to the personalized treatment plan and other underlying contributors or preexisting conditions.
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Yes, despite what some online forums may tell you. The focus is on how carbohydrates are consumed (including type, timing and pairing) to support insulin response.
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Yes, in some cases. GLP-1 medications have shown promise in improving several concerns that commonly overlap with PCOS, including insulin resistance, weight management, androgen-related symptoms and menstrual cycle regulation. Emerging research suggests these medications may be helpful for patients whose PCOS is strongly influenced by metabolic dysfunction.
That said, GLP-1 medications are not FDA-approved for the treatment of PCOS, and current data is still evolving. Additionally, there is not enough evidence at this time to confidently recommend GLP-1 therapies for patients whose primary PCOS concern is fertility. For this reason, we approach GLP-1 use thoughtfully; it is one potential tool within a comprehensive, individualized treatment plan that may be used.
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Unmanaged PCOS is associated with an increased risk of long-term health concerns, including:
- Insulin resistance
- Type 2 diabetes
- Cardiovascular disease
- Metabolic complications
Beyond measurable health risks, untreated PCOS — especially PCOS-related obesity — can continue to impact daily quality of life through persistent fatigue, mood changes, weight challenges and hormone-related symptoms. Proactively addressing PCOS allows many patients to not only reduce future health risks but also improve overall wellbeing and day-to-day function.
We Can Get This Under Control. Together.
PCOS does not define you. It doesn’t have to control your quality of life. As your PCOS specialist in Columbus, Ohio, we lead with science, empathy and education, ensuring your love your body more and understand it better.
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