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Naturopathic PCOS Specialist Care in Portland, Oregon
PCOS, renamed PMOS (polyendocrine metabolic ovarian syndrome) in 2026, is one of the most common hormone conditions and one of the most commonly dismissed. If you've been told your labs look normal while your cycles, skin, and energy say otherwise, your symptoms are real, and they have a pattern worth finding.
I'm Dr. Andy Turner, ND. I have PCOS myself, and I have been researching this condition for over a decade. PCOS care is the center of my women's health and hormone practice at AndyND in SE Portland, with telemedicine visits available across Oregon any day of the week.
Signs It Might Be PCOS
Patients usually come to me with some version of these:
Long, irregular, or absent period
Dark, coarse hair growth on face, chest, or belly
Deep, painful acne along jaw, neck, chest or back
Hair loss, rising hairline, widening part
Trouble conceiving and not ready to start with IVF
Past PCOS diagnosis, with no plan beyond birth control
You don't need a confirmed diagnosis to book. Working up a suspected case is part of the visit.
I see women and gender-diverse people for PCOS care. Your name, pronouns, and lived experience are respected without assumption.
How I Work up a Suspected PCOS Diagnosis
The workup starts with your history, because your cycle pattern often tells the story before any lab does. From there, we build a testing plan together and review costs before anything is ordered.
Depending on your case, testing may include:
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Comprehensive hormone panels, including androgens
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Full thyroid panel, since thyroid dysfunction can mimic or overlap PCOS
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Metabolic and blood sugar labs
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Nutrient status
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AMH blood testing, discussed below
Standard diagnostic criteria still apply. What differs in my practice is how much time we take: new patient visits run 60 minutes, long enough to map symptoms, history, and priorities instead of rushing to a label.
Trauma-Informed Testing: An Alternative to Transvaginal Ultrasound
Transvaginal ultrasound is part of the standard PCOS workup, and for many patients it is a real barrier. Some of my patients have sexual trauma histories or pelvic pain, a group I see often because I also provide integrative pelvic floor therapy. Not every imaging technician is trauma-informed, and a retraumatizing test is not a neutral event.
When appropriate, I offer AMH (anti-Müllerian hormone) blood testing instead. AMH correlates closely with the antral follicle count that ultrasound measures, and the 2023 international PCOS guideline added serum AMH as an accepted alternative to ultrasound for assessing polycystic ovarian morphology.
Honest limits, stated plainly:
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AMH is not a standard diagnostic lab and cannot diagnose PCOS on its own
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AMH runs naturally high in teens and young adults, which limits its usefulness there
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Some cases still warrant an ultrasound, and I will tell you when yours is one of them
Every exam and test in my practice is consent-based. You set the pace.
What Treatment Looks Like
I organize PCOS treatment around the functional drivers behind your symptoms. This is a clinical working model I use to plan care, not a formal medical taxonomy. The common patterns:
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Insulin-resistant patterns. Blood sugar and metabolic support through nutrition, targeted supplementation, and medication when appropriate. All care operates under a Health At Every Size lens. No weight-loss moralizing, ever.
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Adrenal and stress-driven patterns. Nervous system regulation, sleep support, botanicals, and body-based work like Embodied Alignment when stress physiology is driving the picture.
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Inflammatory patterns. Identifying and addressing inflammation sources, including gut health, with nutrition and botanical support.
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Post-birth-control patterns. Support for cycles that have not returned to rhythm after stopping hormonal contraception.
Treatment plans may include nutrition guidance, botanical medicine, professional-grade supplements through Fullscript, lifestyle and stress support, and prescriptions when clinically appropriate. Root-cause work takes longer than symptom suppression, so expect a phased plan rather than a same-week fix.
What PCOS Care Costs
You'll know the answer before you walk in the door.
Visits are priced on a trust-based, three-tier self-pay scale. No income proof, no application, no monthly membership fee. You choose your tier.
Same care at every tier. HSA and FSA funds are typically eligible. Details on how the tiers work are on the self-pay pricing page.
Currently billed insurance: Regence BCBS of Oregon, Oregon Health Plan (Care Oregon), and Heraya Health (Kaiser). Verify your naturopathic benefits before your visit; details on the insurance page.
Lab costs. Insurance coverage for a full PCOS panel is inconsistent. It may cover screening labs, or fertility labs with an infertility diagnosis, and nothing is guaranteed. I have negotiated reduced self-pay lab rates through Quest Diagnostics so the full workup stays accessible either way. We review expected costs before any lab is ordered.
Not sure this is the right fit? A $45, 15-minute intro consultation lets us find out, and it credits toward a future self-pay visit on request.
Frequently Asked Questions about PCOS
Can a naturopathic doctor treat PCOS?
Yes. Oregon licenses naturopathic doctors as primary care physicians with prescriptive authority, so care can range from nutrition and botanicals through prescription medication when appropriate. No referral is needed.
Is PMOS the same as PCOS?
Yes. PCOS was officially renamed PMOS, polyendocrine metabolic ovarian syndrome, in 2026. I use PCOS on this page because it is still the term most people search for. I wrote about the name change and why it matters.
Can I get worked up for PCOS without a transvaginal ultrasound?
Often, yes. When appropriate, AMH blood testing can stand in for the follicle count an ultrasound provides. AMH cannot diagnose PCOS on its own, and some cases still call for imaging, which we would discuss first.
What labs do you run for PCOS?
Depending on your case: hormone panels including androgens, a full thyroid panel, metabolic and blood sugar labs, nutrient status, and AMH when appropriate. Costs are reviewed before anything is ordered.
Do you see PCOS patients by telehealth?
Yes. Telemedicine visits are available across Oregon any day of the week. Lab review, treatment adjustments, and follow-ups work well virtually.
I was diagnosed years ago and told to take birth control. Is there more that can be done?
Often, yes. Hormonal contraception is one valid option, and it is rarely the only one. A workup of your current labs and symptoms can open up nutrition, botanical, lifestyle, and prescription options matched to your drivers.
Book a PCOS Consultation
Whether you have a decade-old diagnosis or a growing suspicion, we can start with your story and build from there.
Call (971)-366-3308
New patients can also start with the $45 intro consultation to see if the practice is the right fit.