A patient comes in frustrated. She's tired, her cycles are off, she's gaining weight she can't explain, and she finally found someone who seemed to take it seriously — they ordered a DUTCH test. She paid close to $500 out of her own pocket, waited a few weeks, and got back a thick, color-coded report with dozens of hormone results.

Then she brought it to me. And we had to order different labs anyway.

Polycystic ovary syndrome affects approximately 1 in 10 women of reproductive age. It is the most common endocrine disorder in women. It drives infertility, metabolic disease, type 2 diabetes, cardiovascular risk, anxiety, depression, and a relentless daily burden of symptoms — irregular periods, hair loss, acne, weight gain that doesn't respond to effort, and a medical system that often dismisses all of it. And yet, there is not a single FDA-approved medication specifically indicated for PCOS.

Not one.