Hormonal Imbalance and PCOS — Evaluated, Explained, and Managed
The hormones that regulate the menstrual cycle, ovulation, skin, weight, mood, and energy are interconnected with thyroid function, insulin sensitivity, adrenal output, and estrogen metabolism. When one system is dysregulated, others follow. The result is a pattern of symptoms — irregular cycles, acne, weight gain, fatigue, hair changes, mood instability — that is often attributed to stress or aging rather than to an identifiable, treatable hormonal cause.
At Lapeer Women’s Health, Dr. Andrei evaluates hormonal and PCOS-related concerns through targeted laboratory testing, clinical examination, and a thorough symptom history — then builds a management plan based on what is actually driving the picture. The goal is not symptom suppression. It is accurate diagnosis and treatment directed at the mechanism.
The five services in this section cover the most common hormonal presentations Dr. Andrei evaluates and manages — from PCOS and irregular periods to thyroid-menstrual cycle interactions, hormonal imbalance evaluation, and estrogen dominance. Each page explains the clinical approach, what the evaluation involves, and what treatment looks like at LWH.
Five Hormonal Services — All at Lapeer Women’s Health
Select any service below for a full clinical explanation of what the evaluation involves, how Dr. Andrei approaches the diagnosis, and what management looks like at LWH.
Structured evaluation for polycystic ovary syndrome using Rotterdam criteria — cycle assessment, androgen panel, fasting insulin, and ultrasound when indicated. Medical management with oral contraceptives, metformin, and lifestyle guidance tailored to the patient’s symptom profile.
Irregular, absent, or unpredictable cycles in the context of PCOS — evaluating the anovulatory mechanism, addressing cycle irregularity with hormonal or insulin-sensitizing treatment, and managing the downstream effects on endometrial health and fertility.
Targeted evaluation of hormonal contributors to gynecologic symptoms — estrogen, progesterone, testosterone, SHBG, prolactin, and adrenal androgens — ordered in clinical context, interpreted alongside the symptom picture, and acted on at the same visit.
Thyroid dysfunction — both hypothyroidism and hyperthyroidism — disrupts cycle regularity, causes irregular bleeding, affects fertility, and contributes to weight and mood changes. Dr. Andrei evaluates thyroid function as a standard component of the hormonal workup for cycle disorders.
Estrogen excess relative to progesterone — presenting as heavy periods, breast tenderness, bloating, mood changes, and fibroid growth — evaluated through clinical history and targeted lab testing, and managed through hormonal rebalancing and targeted interventions.
Hormonal Care That Starts With the Right Question
Hormonal symptoms are frequently managed before they are diagnosed — a pill prescribed for irregular cycles, an antidepressant for mood changes that are actually driven by estrogen fluctuation, weight management advice for a patient whose insulin resistance has never been tested. Dr. Andrei starts differently.
- Thorough symptom history before any lab is ordered — what has changed, when, and in what pattern
- Targeted lab panels selected for the clinical picture — not a generic hormone screen
- Results reviewed in clinical context — a number in the “normal” range that does not fit the symptom picture is still clinically significant
- Diagnosis before treatment — hormonal management is not initiated without understanding what is being treated
- Treatment adjusted at follow-up based on lab response and symptom change — not set and forgotten
- Conditions that require subspecialty care — endocrinology, reproductive endocrinology — referred with a clear clinical summary
“Hormonal conditions are among the most under-evaluated problems in women’s health — not because the tests are difficult, but because the symptoms are too easily attributed to stress, age, or lifestyle. When a woman has been told her labs are ‘normal’ but continues to have symptoms, that usually means the right questions have not been asked yet.”
- GYN-only practice — every appointment focused on gynecologic and hormonal health
- Board-certified gynecologist with MD and PhD — clinical depth behind every hormonal interpretation
- In-office lab ordering at both Lapeer and Rochester Hills locations
- Results reviewed directly with the patient — not uploaded to a portal without context
- Telehealth available for follow-up visits and result reviews at Rochester Hills on Mondays
- Most major insurance plans accepted for hormonal evaluation and management visits
Questions About Hormonal & PCOS Services at LWH
Hormonal Symptoms Have
Identifiable Causes.
PCOS, irregular periods, hormonal imbalance, thyroid-cycle interaction, and estrogen dominance — evaluated with targeted lab testing and clinical depth at both the Lapeer and Rochester Hills offices.
The information on this page is intended for educational purposes only and does not constitute medical advice. Individual symptoms, diagnoses, and treatment options vary significantly. Reading this content does not establish a physician-patient relationship with Dr. Ramona D. Andrei or Lapeer Women’s Health. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room immediately. Please consult a qualified healthcare provider for advice specific to your situation. Content reviewed by Dr. Ramona D. Andrei, MD PhD FACOG.
Gynecologic care for women of every age
Lapeer Women’s Health — Rochester Hills
2710 S Rochester Rd, Suite 2
Rochester Hills, MI 48307
Serving patients in Lapeer, Rochester Hills, and surrounding communities throughout Southeast Michigan.