Irregular periods, acne, extra hair growth, or weight changes? A clinician reviews your symptoms and labs and builds a plan around your goals.
Yes, for women 18 and older in Texas. Irregular periods, acne, extra hair growth, or weight changes? A clinician reviews your symptoms and labs and builds a plan around your goals. Review is by a Texas-licensed Passion Health clinician, 24/7 on weekdays and 7 AM–9 PM CT on weekends. The flat price is $89, or use insurance. If labs are needed, your clinician usually orders Testosterone, total, SHBG, Hemoglobin A1c, Lipid panel and TSH, $138 including the $29 draw-and-review fee, through Passion Health Blood Work (plus prolactin, 17-hydroxyprogesterone, billed by the lab), drawn at a Passion Health clinic or any CPL patient service center in Texas; with insurance, the lab bills your plan directly. A prescription goes to the pharmacy you choose only if it's appropriate; controlled medicines are never prescribed online. If you have no period for more than 3 months and you might be pregnant, you need to be seen in person today instead (at our Dallas–Fort Worth clinics, or urgent care near you), and you don't pay the online fee.
Medically reviewed by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health · October 22, 2026
Polycystic ovary syndrome (PCOS) is a common hormone condition that affects about 1 in 10 women of childbearing age. It can cause irregular or missed periods, acne, extra facial or body hair, thinning scalp hair, weight gain, and trouble getting pregnant. It often runs in families and raises the risk of type 2 diabetes and high cholesterol.
Yes. In May 2026 an international consensus published in The Lancet renamed PCOS polyendocrine metabolic ovarian syndrome (PMOS), to reflect that it affects hormones and metabolism throughout the body, not just the ovaries. The change will take time to reach guidelines and medical records, so you'll see both names; this page uses PCOS because it's the name most people know.
Most PCOS care — regulating periods, treating acne and hair growth, weight support, and checking blood sugar and cholesterol — can be managed in primary care. If your case is complex, your clinician may refer you to an endocrinologist; written advice from an endocrinologist through an eConsult is coming soon. If you're trying to get pregnant and need more help, your clinician can refer you to a fertility specialist.
Not near one of our clinics? Online Care is open to adults anywhere in Texas; our clinics are in Dallas–Fort Worth. If the safety questions or your clinician show you need to be examined, we tell you what kind of care you need and how soon — an emergency room, an urgent care center, or a clinician near you. If you've already paid, the full fee is refunded and you get a written summary of your visit to take with you.
Also call 911 for chest pain, trouble breathing, stroke signs, a sudden severe headache, fainting, a seizure, severe bleeding, new confusion, throat swelling, an overdose or thoughts of harming someone else — and call or text 988 for thoughts of harming yourself. If screening routes you before you pay, nothing is charged. If a clinician routes you after you've paid, the full fee is refunded.
Upload prior results or home readings if you have them.
If labs would help, the order goes to a Passion Health clinic, or to any CPL patient service center in Texas.
Your clinician reviews them and contacts you with your plan.
Check-ins and repeat labs timed to your condition; 30 days of messaging.
Shown so you know what to expect. The reviewing clinician decides what, if anything, is appropriate for you — a prescription is never guaranteed, and controlled medicines are never prescribed online.
Using insurance: we're in network with BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana and Healthcare Highways, and we verify eligibility for every plan before review — you see your estimated cost-share first. New patients have a short video visit, because plans pay for a visit, not a form. Same-day review applies to self-pay visits; insurance visits begin once we've verified your plan, which is the next business morning if you submit overnight or on a weekend. Medicare, Medicaid, CHIP and TRICARE are billed to the program, and the cash rate isn't offered for covered services.
Full refund if your case isn't accepted: if the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card within 10 business days, and we help you get the care you need: a same-day visit at one of our Dallas–Fort Worth clinics or, if you're not near one, clear advice on where to be seen and a written summary of your visit. With insurance, no claim is submitted for the online review. Paying the flat price yourself? You can ask for a written Good Faith Estimate before your visit.
Labs your clinician orders are priced through Passion Health Blood Work if you self-pay, or billed to your plan directly by the lab (CPL) if you use insurance; imaging is billed by the imaging center and medication is paid at your pharmacy. Passion Health doesn't sell, ship or mark up medication.
A 48-hour check-in, 30 days of secure messaging, and lab follow-up when labs were ordered.
Your clinician reviews results with you by phone or in the PHi portal and checks in at about 3 months to see how your cycles, skin, and weight are responding. PCOS care includes regular checks of blood sugar and cholesterol.
Androgens (testosterone and SHBG), blood sugar and cholesterol, plus thyroid, prolactin and 17-OHP to rule out other causes if you haven't been diagnosed before. Testosterone can't be read accurately while you use the pill, patch or ring. Ordered only if your clinician decides it's needed — the visit price never includes a test you don't need.
| Testosterone, totalMorning draw | $30 |
| SHBGUsed to calculate free testosterone | $35 |
| Hemoglobin A1cThree-month blood sugar average | $12 |
| Lipid panelTotal cholesterol, HDL, triglycerides, LDL | $12 |
| TSHMain thyroid test | $20 |
| Draw and clinician-review fee One per order of single tests; not charged when the order includes a Blood Work bundle | $29 |
Typical self-pay total for the Blood Work tests above: $89 visit + $138 labs = $227
Not included in this total: Prolactin, 17-hydroxyprogesterone (17-OHP), when needed — run and billed separately by the lab, or to your plan.
Self-pay prices are billed by Passion Health. If you use insurance — including Medicare and Medicaid — the lab (CPL) bills your plan directly for the tests under your plan's lab benefits, and the prices above don't apply. Blood is drawn at a Passion Health clinic in North Texas or at any CPL patient service center in Texas; your clinician reviews your results and contacts you.
The flat cash rate is $89 for a standard evaluation, or use your insurance and pay your plan's cost-share — we show you an estimate before review starts. Labs and imaging are billed separately. Medication is paid at your pharmacy. If the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card.
A Texas-licensed Passion Health clinician reviews every intake and decides your plan — not software. For PCOS, Texas law lets the clinician evaluate you from a condition-specific intake plus your photos and records, and they'll call or video you whenever something needs a conversation. New patients using insurance have a short video visit, because plans pay for a visit, not a form.
No. You're paying for a licensed clinician's evaluation and plan. Many visits end with a prescription; some end with a different plan, a test, or a referral. Controlled medicines — stimulants, benzodiazepines, opioids, testosterone, sleep aids like zolpidem — are never prescribed at an online visit.
If your clinician orders labs, they're priced through Passion Health Blood Work: for PCOS that's usually Testosterone, total, SHBG, Hemoglobin A1c, Lipid panel and TSH, $138 including the $29 draw-and-review fee, through Passion Health Blood Work (plus prolactin, 17-hydroxyprogesterone, billed by the lab) (self-pay prices, billed by Passion Health). If you use insurance, including Medicare or Medicaid, the lab (CPL) bills your plan directly and those prices don't apply. You can have blood drawn at a Passion Health clinic in Dallas–Fort Worth or walk into any CPL patient service center in Texas with a photo ID; your clinician reviews your results and contacts you.
Not always. Under current international guidelines, PCOS can be diagnosed when you have irregular cycles and signs of high androgens, like acne or extra hair growth, once other causes are ruled out. An ultrasound or an AMH blood test may help when only one of those is present. Your clinician decides which tests are useful for you.
Yes, for many women. Depending on your goals, options may include lifestyle changes, a medicine for insulin resistance, a progestin to protect the uterine lining if periods are rare, or treatment for skin and hair. If you're trying to get pregnant, the plan is different. Your clinician explains the trade-offs of each option.
Yes. Many people with PCOS have insulin resistance, which raises the risk of prediabetes, type 2 diabetes, and high cholesterol — even at a healthy weight. That's why your clinician may check your A1c and cholesterol and repeat them over time. Activity, eating patterns, and weight changes that fit your life can lower that risk.
If you haven't been diagnosed before, your clinician usually checks testosterone (with SHBG) for high androgens, plus thyroid (TSH), prolactin and 17-OHP — a morning test early in your cycle — to rule out other conditions that can look like PCOS. A1c and cholesterol check your diabetes and heart risk. Testosterone can't be read accurately while you use the pill, patch or ring, so your clinician may rely on your symptoms, or test after you've been off it for about 3 months if you choose to stop. The Blood Work prices on this page cover testosterone, SHBG, A1c and cholesterol; thyroid, prolactin and 17-OHP are priced separately if they're ordered.
A clinician may form a valid patient relationship online using store-and-forward technology — your condition-specific intake, photos and records — paired with a call or video when needed, as long as the in-person standard of care is met (Tex. Occ. Code §111.005(a)(3), §111.007). Your clinician gives you guidance on follow-up care and, with your consent, sends new patients' visit notes to their primary care physician within 72 hours (§111.005(b)).
Chief Quality Medical Officer, Passion Health · Texas-licensed internal medicine physician
Reviewed for medical accuracy by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health, on October 22, 2026. Pages are reviewed again when clinical guidance or our visit rules change, and the date shown here is updated each time.
Sources: NICHD · ACOG · Endocrine Society · The Lancet (international PCOS consensus, 2026)
Book a same-day visit at a Passion Health clinic in Dallas–Fort Worth, or call and we'll point you to the right visit — or, elsewhere in Texas, to the right kind of care near you.