Women's wellness telehealth: PCOS, libido, hormones, weight
'Women's wellness' is an umbrella term covering conditions men-focused programs ignore — PCOS, hormonal acne, female low libido, and weight programs tailored to female metabolism. Telehealth handles most of these well; the quality varies enormously by platform.
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PCOS management
Metformin for insulin resistance, GLP-1s for weight component, oral contraceptives for cycle regulation and androgen suppression, spironolactone for hormonal acne and hirsutism, letrozole for ovulation induction. Multi-medication, multi-symptom — programs that specialize in PCOS do this better than generic platforms.
Low libido (HSDD)
Flibanserin (Addyi) and bremelanotide (Vyleesi) are FDA-approved for hypoactive sexual desire disorder in premenopausal women. Limited efficacy in trials. Testosterone (off-label) shows promise but requires careful screening. Most cases benefit from addressing underlying causes (relationship, medication side effects, depression) over pharmacotherapy.
Hormonal acne and spironolactone
Spironolactone 50-100mg/day is highly effective for adult female hormonal acne. Telehealth prescribing is straightforward (potassium and creatinine baseline, periodic monitoring). Takes 3 months for full effect. Combined with topical retinoids works best.
Female-focused weight programs
Women's-only GLP-1 programs market on personalization (perimenopause considerations, PCOS overlap, pregnancy counseling). Some are genuinely tailored; some are marketing wrappers on the same compounded semaglutide everyone else sells. Check whether they actually order female-specific labs (sex hormones, thyroid, fasting insulin) before prescribing.