PCOS & Hyperandrogenic States:
Sequoia Medical 360

Precision Care for Polycystic Ovary Syndrome and Related Hormonal Imbalances in Westchester, NY

Polycystic Ovary Syndrome (PCOS) is one of the most common endocrine disorders in women of reproductive age, yet it remains one of the most misunderstood. Affecting up to 1 in 10 women, PCOS is far more than an issue of irregular cycles — it is a complex hormonal and metabolic condition that can affect fertility, weight, skin, mood, and long-term health.

At Sequoia Medical 360, we provide comprehensive, concierge-level care for PCOS and related hyperandrogen states (conditions where excess male hormones are present). Our approach goes beyond symptom management, uncovering the root drivers of imbalance and creating precision treatment plans to restore harmony and protect long-term health.

What Is PCOS?

PCOS is characterized by a combination of:

Irregular or absent ovulation (leading to irregular menstrual cycles).
Signs of elevated androgens (male hormones such as testosterone), including acne, excess facial/body hair, or hair thinning.
Polycystic ovaries on ultrasound (enlarged ovaries containing multiple small follicles).

Not every patient has all three features, which makes accurate diagnosis essential. PCOS is also strongly linked to insulin resistance, metabolic syndrome, and increased cardiovascular risk — factors that can be overlooked in traditional gynecology-centered care.

Symptoms & Impact of PCOS

PCOS can affect nearly every dimension of health. Common symptoms include:

Irregular or missed periods.
Difficulty conceiving (infertility).
Excess facial or body hair (hirsutism).
Acne or oily skin.
Weight gain or difficulty losing weight.
Hair thinning on the scalp.
Fatigue, mood changes, or sleep issues.

Beyond symptoms, PCOS significantly raises risk for:

Type 2 diabetes & prediabetes (due to insulin resistance).
Dyslipidemia (high triglycerides, low HDL cholesterol).
Metabolic syndrome & hypertension.
Endometrial cancer (from unopposed estrogen with irregular cycles).
Anxiety & depression.

Other Hyperandrogen States We Treat

PCOS is the most common cause of excess androgen in women, but not the only one. At Sequoia, we evaluate for other conditions that can mimic or overlap with PCOS, including:

Non-classic congenital adrenal hyperplasia (CAH).
Adrenal or ovarian androgen-secreting tumors (rare but serious).
Cushing’s syndrome.
Thyroid and pituitary disorders contributing to menstrual irregularities.

Advanced Diagnostic Approach at Sequoia Medical 360

A diagnosis of PCOS is not just about checking boxes. At Sequoia, we take a deeper look:

Comprehensive Hormonal Panels: Testosterone (total & free), DHEAS, LH, FSH, prolactin, TSH, estradiol, AMH when appropriate.
Adrenal or ovarian androgen-Metabolic Evaluation: Fasting insulin, HOMA-IR index, oral glucose tolerance test, lipid panels (including ApoB, Lp(a)), hs-CRP for inflammation.secreting tumors (rare but serious).
Body Composition Analysis (InBody 770): Differentiates visceral fat from lean muscle, providing insight into cardiometabolic risk.
Pelvic Ultrasound: Coordinated when indicated to evaluate ovarian morphology.

This integrative assessment gives us a complete map of hormonal and metabolic health, ensuring no contributing factor is overlooked.

Precision Treatment for PCOS

There is no one-size-fits-all solution to PCOS. Our concierge model allows us to personalize care across multiple dimensions:

Lifestyle & Nutrition
Low-glycemic, anti-inflammatory nutrition frameworks designed to improve insulin sensitivity.
Targeted weight management programs that focus on fat loss while preserving muscle.
Exercise prescriptions prioritizing strength training and aerobic conditioning to optimize metabolism.
Pharmacologic Support
Insulin sensitizers such as metformin or newer agents (GLP-1/GIP receptor agonists, SGLT2 inhibitors) when clinically appropriate.
Hormonal therapies (e.g., oral contraceptives, progesterone support) to regulate cycles and reduce endometrial cancer risk.
Anti-androgens (spironolactone, finasteride) for symptom relief in patients with acne or hirsutism, with careful monitoring.

Fertility Optimization

For women desiring pregnancy, we collaborate with OB/GYN and fertility specialists while providing the endocrine backbone of care:

Ovulation induction when indicated.
Preconception counseling on metabolic and cardiovascular health.
Close monitoring to reduce pregnancy risks associated with PCOS.

Long-Term Health Protection

At Sequoia, we emphasize that PCOS is not only a reproductive condition — it is a lifelong metabolic and cardiovascular risk factor. That’s why our care includes:

Early screening and prevention of diabetes, high blood pressure, and dyslipidemia.
Bone and cardiovascular health monitoring across the lifespan.
Integrated mental health support and resources for anxiety, depression, and body image concerns often linked to PCOS.

The Sequoia Medical 360 Advantage in PCOS Care

Choosing Sequoia means you receive:

Quadruple board-certified leadership in Endocrinology, Obesity Medicine, Lipidology, and Internal Medicine.
Dual fellowship expertise in Preventive Cardiology and Endocrinology/Metabolism.
Direct Physician Counsel: Ample, scheduled exam time and streamlined communication to review results with the depth your physiology requires.
Cutting-edge tools: continuous glucose monitoring (CGM), InBody 770 body composition, and advanced lab panels.
Whole-person focus: not only restoring cycles and fertility, but protecting lifelong heart, bone, and metabolic health.

Take Control of PCOS & Hormonal Balance

PCOS may be common, but it does not have to define your future. With the right diagnosis, advanced tools, and expert guidance, you can restore balance, protect your health, and thrive.

Based in Bronxville, Sequoia Medical 360 proudly serves all of Westchester — and all of New York via telehealth.

Meet Dr. Mathews
The Sequoia Standard
Request Enrollment
SQMed360.com
Located in Bronxville, serving Westchester & all of New York State.
(914) 292-0300
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