PCOS is not one condition. There are four distinct phenotypes – with different root causes, different lab patterns, and different treatment approaches. If you’re treating the wrong driver, you won’t see results.

What Type of PCOS Do You Have?
Take the Free Quiz 2 minutes · Instant resultsThe same treatment doesn’t work
for every type of PCOS.
Women with insulin-resistant PCOS respond well to inositol and berberine. Women with adrenal-driven PCOS need cortisol regulation — not insulin sensitizers. Treating the wrong mechanism is why so many women feel stuck despite doing everything right.
Prioritizes: inositol, berberine, low-glycemic diet, resistance training, HOMA-IR normalization.
Prioritizes: HPA axis regulation, cortisol testing, adaptogenic support, sleep optimization.
Prioritizes: 5-alpha reductase inhibition (zinc, spearmint), dairy reduction, SHBG optimization.
Prioritizes: LH normalization, B vitamin repletion from OCP depletion, cycle restoration. Often temporary.
Two minutes.
Clinically meaningful results.
A complete guide to all four phenotypes
— in plain language.
Take the quiz.
Know your type.
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Dr. Frank has spent 26 years helping women identify the root cause of their PCOS not just manage the symptoms. Her background in medical laboratory science means she interprets labs at a level of detail most practitioners don’t. The PCOS type quiz draws on the Rotterdam Criteria and current clinical research to give you a meaningful starting point for understanding your own hormonal picture.
Type of PCOS References
Cussen L, McDonnell T, Bennett G, Thompson CJ, Sherlock M, O’Reilly MW. Approach to androgen excess in women: Clinical and biochemical insights. Clin Endocrinol (Oxf). 2022 Aug;97(2):174-186. doi: 10.1111/cen.14710. Epub 2022 Mar 29. PMID: 35349173; PMCID: PMC9541126.