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Florida Endocrine Consultants, PLLC

Board Certified Internal Medicine & Endocrinology servicing throughout the State of Florida.

Polycystic ovary syndrome (PCOS) affects your menstrual periods, causes infertility, and increases your risk for chronic diseases. At Florida Endocrine Consultants, PLLC, Ana Silva, DO, specializes in treating endocrine problems such as PCOS. Dr. Silva offers comprehensive medical and nutritional support for PCOS from her web-based practice, allowing women throughout Florida to receive treatment without going to a medical office. Dr. Silva also gives you direct 24/7 cell phone access once you become an established concierge patient. If you need expert help for PCOS, schedule an appointment using the online booking tool.


What causes PCOS?

PCOS is an endocrine disorder that develops when women have high levels of insulin and androgens (male hormones). Women normally produce a small amount of androgens, but at high levels you can disrupt the pituitary-ovarian feedback. As a result, ovulation and menstruation stop or become irregular.

What symptoms develop due to PCOS?

When you have PCOS, you experience at least two of the three primary symptoms:

Abnormal menstrual periods

You may have heavy, irregular, or infrequent periods, or no periods at all.

Ovarian cysts with or without physical symptoms

Women with PCOS may or may not have ovarian cysts. You can also have ovarian cysts and not have PCOS. Ovarian cysts may not cause symptoms, but if they do, you experience pelvic pain, bloating, or pressure in your lower abdomen.

Excessive androgen symptoms

Women with high levels of androgens develop symptoms such as hair loss, acne, and dark hair growth on their face, chest, abdomen, and upper thighs. Excessive, unwanted hair growth, a condition called hirsutism, affects more than 70% of women with PCOS.

Does PCOS cause health problems?

PCOS increases your risk for health conditions such as:

  • Infertility
  • Weight gain
  • Type 2 diabetes
  • High cholesterol
  • High blood pressure
  • Endometrial cancer
  • Cardiovascular disease

If untreated, the hormone imbalances associated with PCOS create cycles that continue to make the problem worse. For example, insulin resistance leads to weight gain and weight gain worsens insulin resistance.

How is PCOS treated?

As an endocrinologist, Dr. Silva has the expertise to create an effective and customized treatment plan that addresses your individual PCOS symptoms. 

In addition to balancing your hormone levels, Dr. Silva provides comprehensive care that includes:

Nutrition counseling

Changing your diet can alleviate problems such as high cholesterol, high blood sugar, and hypertension. Nutrition counseling also helps you lose weight. Weight loss alone may improve your menstrual cycles, improve insulin levels, and relieve PCOS symptoms.


Hormonal birth control methods, anti-androgen medicines, and metformin are three examples of medications that may be used to treat PCOS symptoms. These drugs can help regulate your menstrual cycles, improve acne, reduce hirsutism and hair loss, and treat insulin resistance. Metformin may also help you lose weight and improve your cholesterol levels.

If you suffer from irregular periods, hirsutism, or pelvic pain, Dr. Silva offers the help you need through telehealth services, as well as 24/7 access to her via cell phone if you’re a concierge member. You can easily schedule an appointment at your convenience using the online booking tool.


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