PCOS & Hormonal Imbalances Care at Upperline Health
For a lot of women, this is the first time someone finally connects the dots they have been carrying for years. Whether it turns out to be PCOS, another hormonal imbalance, or the shift into perimenopause and menopause, our endocrinology team helps you understand what your body is doing and build a plan that fits your life. You can see a hormone specialist close to home in Florida, Indiana, Kentucky, or Michigan.
What is PCOS?
PCOS, or polycystic ovary syndrome, is one of the most common hormonal conditions in women of reproductive age. It develops when hormones fall out of balance, very often alongside insulin resistance, and that imbalance can interrupt ovulation and lead to irregular periods, excess hair growth, acne, and changes in weight. The encouraging news we share with patients is that PCOS is very manageable. When we treat the hormone and insulin patterns driving it, both the symptoms and your long-term health tend to improve together.
What Is a Hormonal Imbalance?
Because so many hormones talk to one another, the symptoms can be confusing and easy to brush off. Connecting them is exactly what an endocrinologist is trained to do: order the right panel, read it in context, and pinpoint what is actually behind how you feel.
Who Checks Hormone Levels?
A hormone doctor is called an endocrinologist, and we are the specialists who order and interpret full hormone panels covering the thyroid, sex hormones, cortisol, and pituitary function. If a primary care visit or an at-home test raised a question about your hormones, an endocrinologist can run the right tests and walk you through what the numbers really mean for you.
PCOS Symptoms and How It’s Diagnosed
PCOS looks a little different in everyone, which is part of what makes it tricky to pin down. The signs we see most often include:
- Irregular, infrequent, or missed periods
- Excess hair growth on the face or body, or thinning hair on the scalp
- Acne or persistently oily skin
- Weight gain, or real difficulty losing weight
- Trouble getting pregnant
- Signs of insulin resistance, such as darkened patches of skin
There is no single test that diagnoses PCOS. We put the picture together by reviewing your symptoms and cycle history, checking hormone and glucose levels, sometimes ordering a pelvic ultrasound, and ruling out other conditions that can look similar.
PCOS Treatment Options
Because weight and insulin resistance so often fuel PCOS symptoms, medically supervised weight management is frequently part of the plan, and we coordinate with gynecology whenever reproductive concerns are part of the picture. The aim is care that covers the whole condition, not just one piece of it.
PCOS and Insulin Resistance: the Metabolic Crossover
Improving insulin resistance is one of the most effective things we can do, because it tends to ease PCOS symptoms and lower diabetes risk at the same time. Since our endocrinologists also lead Diabetes Management, we keep an eye on that metabolic trajectory over the years and step in early. The same team treating your PCOS can help keep diabetes from developing later.
Perimenopause, Menopause, and Hormone Therapy
The hormonal shifts of perimenopause and menopause can bring hot flashes, sleep and mood changes, weight changes, and concerns about bone density. Endocrinologists treat menopause, especially when it involves hormone replacement therapy, bone health, or the metabolic changes that come with this stage of life, and we support women through the transition with a plan built around their own symptoms and history.
When Should a Woman See an Endocrinologist?
It is worth seeing an endocrinologist for irregular periods, unexplained weight changes, ongoing fatigue, hair loss or excess hair growth, fertility challenges, thyroid concerns, or the symptoms of perimenopause and menopause. That is especially true when the symptoms stick around, or when your primary care doctor or gynecologist suggests a specialist take a closer look at your hormones.
Ongoing Support Between Visits With Upperline Plus
So much of life with a hormonal condition happens between visits. Through Upperline Plus, a connected care team works right alongside the doctors you already see. They help coordinate your care, follow up on medications and lab results, and answer questions by phone or telehealth. It is not a separate program or a new set of doctors. It is an extra layer of support that comes with the care you already receive.
What to Expect at Your First Visi
Your first visit is really just a conversation. It helps to bring your cycle history, a list of your medications, and any recent labs or at-home hormone results. Your provider will listen, order the right hormone and metabolic testing, explain what is happening, and build a plan around your goals, with follow-up to adjust as you go.
Meet our Endocrinology Team
Every one of our endocrinologists diagnoses and treats PCOS and hormonal imbalances, always by addressing the hormone and insulin patterns underneath. They are board-certified physicians who take the time to know you and your history, and who coordinate easily with gynecology and the rest of your care team.
| Provider | Title | Clinic locations | Profile |
| Sohail Ali, MD | Endocrinologist | Altamonte Springs, FL | View Profile |
| Matthew Crabtree, DO | Endocrinologist | Bowling Green, KY | View Profile |
| George Grunberger, MD | Endocrinologist | Bloomfield Hills, MI | View Profile |
| Amer Kassar, MD | Endocrinologist | Valparaiso, Hobart, Munster IN | View Profile |
| Mahek Kermalli, MMS, PA-C | Physician Assistant | Altamonte Springs, FL | View Profile |
| Anjana Myneni, MD, FACE | Endocrinologist | Bloomfield Hills, MI | View Profile |
| Amy Tobin, DO, FACE | Endocrinologist | Bloomfield Hills, MI | View Profile |
Endocrinology Clinics Near You
Our endocrinology teams care for patients across Florida, Indiana, Kentucky, and Michigan, and we stay connected between visits no matter where you live. Choose your area to see clinics, book a visit, and meet the providers who care for your community.
Locations closest to
Frequently Asked Questions
Yes. Endocrinologists diagnose and treat PCOS by addressing the hormone imbalances, insulin resistance, and long-term metabolic risk underneath the condition, not just the symptoms. Care often includes lab testing, medication, lifestyle guidance, and coordination with gynecology when reproductive concerns are part of the picture.
Both can help, and they bring different strengths. Gynecologists focus on menstrual and reproductive symptoms, while endocrinologists focus on the underlying hormonal and metabolic causes, including insulin resistance. Many women with complex PCOS do best when the two work together.
Yes, especially when it involves hormone replacement therapy, bone density, or the metabolic changes that come with menopause. Endocrinologists support women through perimenopause and menopause with a plan tailored to their symptoms and health history.
Gynecologists usually manage menopause symptoms first. It makes sense to add an endocrinologist when symptoms are severe, when hormone therapy is complicated, or when thyroid or bone-density concerns come into play.
Endocrinologists order and interpret full hormone panels, including thyroid, sex hormones, cortisol, and pituitary function. They are the specialists who diagnose hormonal imbalances and identify what is driving your symptoms.
Consider an endocrinologist for irregular periods, unexplained weight changes, fatigue, thyroid nodules, PCOS symptoms, hair loss or excess hair growth, fertility challenges, or hormonal changes around menopause, especially when the symptoms persist.
Yes. Endocrinologists specialize in diagnosing hormonal imbalances through blood work, imaging, and clinical evaluation, and then treating the underlying cause.
Yes. Most women with PCOS have some insulin resistance, which raises the long-term risk of prediabetes and type 2 diabetes. Treating that insulin and metabolic pattern early improves PCOS symptoms and helps protect future health, which is one of the main reasons PCOS is managed by endocrinologists.
Ready to Get Answers?
When evaluating a potential PCOS diagnosis, managing a chronic hormonal imbalance, or navigating the transitions of perimenopause and menopause, our endocrinology clinical team is available to provide comprehensive diagnostic evaluation and personalized therapeutic guidance.