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PMOS (formerly PCOS) · Ontario · Virtual

Naturopathic care for PMOS in Ontario

  • Dr. Victoria Posavad, ND
  • Dr. George Makrides, ND
  • Dr. Yehia Al-Hashmi, ND
Naturopathic Doctors accepting new patients across Ontario

PMOS is the condition you may know as PCOS: irregular or missing cycles, jawline breakouts, unwanted hair, thinning at the crown, and weight that won't shift. If you've been offered the pill and nothing else, a regulated Naturopathic Doctor takes the time to find which drivers are active for you and builds a care plan around your goals.

Not sure if naturopathic care is for you?

Or take the 2-minute PMOS quiz
Regulation

Every Naturopathic Doctor here is registered with the College of Naturopaths of Ontario.

Coverage

Direct billing with more than 30 insurers. Insurance-ready receipts for the rest.

Access

First appointments within days. No referral, no waitlist, anywhere in Ontario.

01Does this sound familiar

The six things we hear the most.

You've been told your ovaries look polycystic, or you haven't been told anything at all. Here's what people in that spot tell us first.

  1. 01Cycles that are irregular, late or missing
  2. 02Jawline breakouts that don't respond to skincare
  3. 03Unwanted facial or body hair, or thinning at the crown
  4. 04Weight that won't shift no matter what you do
  5. 05Cravings, energy crashes and afternoon fatigue
  6. 06Trouble conceiving, or worry about it later

Often with company: low mood or anxiety, poor sleep, bloating, and a family history of diabetes. If two or three of these sound like you, that's worth a conversation. Talk it through with a Naturopathic Doctor on a free call and you'll hear whether this is the right next step.

70%
Worldwide

of women with polycystic ovary syndrome are estimated to be undiagnosed. It affects up to 13% of women of reproductive age, and the pill treats the symptom, not the driver.

Source: World Health Organization, polycystic ovary syndrome fact sheet.

02Why it keeps coming back

Most people have already been offered the pill.

Normal isn't the same as explained.

The pill regulates the bleed. It doesn't change insulin resistance, androgens or inflammation, so when it stops, the pattern comes back. A plan built on the drivers can change the pattern itself.

Four drivers we test for

  1. 01Insulin resistance: fasting insulin, glucose and HbA1c
  2. 02Androgen excess: testosterone, DHEA-S and the signs on your skin and scalp
  3. 03Inflammation and the gut
  4. 04Thyroid and prolactin, which can mimic PMOS and need ruling out
03Your roadmap

Your PMOS Roadmap

From the first call to ongoing check-ins, here's how care works at Fitra Health.

  1. 01
    A free 10-minute call
    Tell a Naturopathic Doctor what's going on and hear, honestly, whether this is right for you.
  2. 02
    Your initial appointment
    A full hour on you: your goals, the whole history in one place, what you've tried and what happened, what you're doing about it now, and your diet, supplements and medications. You leave with a map of what's likely driving your symptoms and the targeted blood work that would confirm it.
    Book your first appointment
  3. 03
    Targeted lab work, where needed
    Some tests can run through your family doctor under OHIP. The rest are passed through at cost and quoted first.
  4. 04
    Your personalized care plan
    Diet, supplements, lifestyle and the other tools a Naturopathic Doctor can use, written down and explained.
  5. 05
    Ongoing monitoring
    Short check-ins to see what's working and adjust what isn't.
04Who you'll see

Our Naturopathic Care Team

Every one of them is registered with the College of Naturopaths of Ontario, and they're here to help you reach your health goals with a plan built around you, not a template. Hormonal care at Fitra Health is led by Dr. Victoria Posavad, and we'll match you with the right Naturopathic Doctor for what's going on.

  • Dr. Victoria Posavad, Naturopathic Doctor

    Dr. Victoria Posavad

    Naturopathic DoctorCONO 4468
  • Dr. George Makrides, Naturopathic Doctor

    Dr. George Makrides

    Naturopathic DoctorCONO 4322
  • Dr. Yehia Al-Hashmi, Naturopathic Doctor

    Dr. Yehia Al-Hashmi

    Naturopathic DoctorCONO 4267
05Cost and coverage

Prices

Now accepting direct billing via Telus eClaims.

Free 10-minute call

A Naturopathic Doctor hears what's going on, tells you whether this is a fit, and checks your coverage.

$0

First appointment

60 minutes. History, review of existing results, testing decisions, a starter plan in writing. Book your first appointment.

$24960 minutes

Follow-up

30 minutes to review results and adjust the plan. A 60-minute extended follow-up when your Naturopathic Doctor recommends more time.

$9930 min · $199 for 60

Lab testing

Targeted from your initial conversation, timed to your cycle where it matters, and personalized to help identify the drivers behind your PMOS. Passed through at the lab's price.

At cost

Have extended health benefits?

We bill your insurer directly through TELUS eClaims. If your plan isn't on the network, an insurance-ready receipt lands in your inbox after every visit, with the CONO registration number and treatment code your insurer asks for.

Manulife·Canada Life·Desjardins·Industrial Alliance·30+ more

06Is this right for you

An honest read.

A good fit if

  • Your symptoms have gone on for months or years with no clear explanation
  • Your bloodwork came back normal and the next step was the pill, or metformin, with no explanation
  • You're looking for a science-based holistic approach to healthcare
  • You live in Ontario and you're comfortable with video or phone appointments

Not sure? That's what the call is for.

Tell a Naturopathic Doctor what's going on and they'll tell you plainly whether this is the right next step. If it isn't, they'll say so. You've spent ten minutes, not $249.

07PMOS questions

The questions people search first.

Straight answers, in plain language.

What is PMOS, and is it the same as PCOS?

Yes. PMOS is the name we use for the condition medically known as polycystic ovary syndrome, because the name puts the focus on the metabolic and hormonal drivers rather than on ovarian cysts, which many people with the condition don't even have. Same condition, same criteria, a more useful name.

How is PMOS diagnosed?

Two of three findings: irregular or absent ovulation, signs of higher androgens on bloodwork or on your skin and scalp, and polycystic ovaries on ultrasound, once other causes like thyroid or prolactin problems are ruled out. A proper cycle history and targeted bloodwork usually tell you a lot before an ultrasound is ordered.

Can PMOS be reversed?

The diagnosis stays, but the drivers can be changed. Insulin resistance, androgen levels, cycle regularity and skin often improve meaningfully with a plan built around nutrition, movement, sleep, targeted supplements such as inositol where there's a reason, and follow-up testing to see what's moving. No guarantees, and no promises about timelines.

Does inositol help PMOS?

There's reasonable evidence that myo-inositol, sometimes combined with D-chiro-inositol, improves insulin sensitivity and cycle regularity in some people with PMOS. Whether it's right for you depends on your drivers, which is why we test first. We wrote a fuller guide: inositol for PMOS, what the research says.

Can I get pregnant with PMOS?

Many people do. Irregular ovulation is the main obstacle, and it's also the thing that responds best to work on insulin resistance and cycle regularity. We work alongside your physician or fertility clinic, not instead of them.

What should I eat with PMOS?

Enough protein and fibre at each meal, fewer blood-sugar spikes, and no crash diets, which tend to make androgens and cravings worse. The specifics depend on your insulin picture and your life, which is what the plan is for.

How much does a naturopath cost in Ontario?

At Fitra Health the first call is free, the first 60-minute appointment is $249, and follow-ups are $99 for 30 minutes or $199 for 60. Lab work is passed through at cost. Most extended health plans cover naturopathic visits, and we bill more than 30 insurers directly.

Is naturopathic medicine covered by OHIP or insurance?

OHIP doesn't cover naturopathic visits. Most workplace and private extended health plans do, up to an annual maximum. We bill through TELUS eClaims where your insurer is on the network and issue an insurance-ready receipt where it isn't. Visits are HST-exempt and may qualify for the medical expense tax credit.

Do I need a referral?

No. You book directly. Bring any results you already have and your Naturopathic Doctor starts from there rather than repeating work.

Medical notice

This page is general education, not medical advice, and it is not a diagnosis or a treatment plan. It does not create a practitioner-patient relationship. Nothing here is a promise of an outcome. Anything on this page that applies to you should be discussed with a Naturopathic Doctor or your physician, who can look at your history and your results.

Fitra Health connects Ontario residents with Naturopathic Doctors registered with the College of Naturopaths of Ontario. Care is virtual and available across Ontario. Naturopathic Doctors are regulated health professionals; they do not replace your family doctor or emergency care.

Your next step

Still not sure?

Take the two-minute PMOS quiz and get an honest read on whether naturopathic care is for you. If it looks like a fit, book a free call with a Naturopathic Doctor from there. Both are free.

Or take the 2-minute PMOS quiz
PMOS quiz