Woman's Health

PCOS & Cycle Assessment

Most women with PCOS are handed a diagnosis, a contraceptive pill, and little else.

At AYUN, we identify the precise metabolic, hormonal, and inflammatory drivers behind your PCOS – then build a protocol that addresses them directly.
1'599 CHF
from CHF 133 / month in 12 installments → Check financing options

4

distinct PCOS
phenotypes exist.

50%+

get diagnosed with prediabetes

3× higher

lifetime risk of
type 2 diabetes

1 in 10

women worldwide
have PCOS

75%

fewer hot flashes with HRT/BHRT

70%

 insulin resistance

2× higher

risk of anxiety
and depression

70%+

remain
undiagnosed

80%

experience ovulation issues

50%+

develop prediabetes.

Which of the 4 PCOS phenotypes are you?

Standard care treats them all the same –yours drives specific symptoms that need a specific answer.

What's actually driving your symptoms?

We map hormones, insulin, inflammation, body composition, and live glucose – because the cause determines the fix.

What does your PCOS actually look like?

A personalised report built from your data – your phenotype, your drivers, your protocol.

What changes when you finally know?

Your long-term risk, quantified. A measurable baseline. A plan you can actually track.

Everything in one package

Once we have your complete diagnostic picture, we build a protocol structured around your specific PCOS phenotype. There is no standard PCOS plan at AYUN because there is no standard PCOS patient.

PCOS & Cycle Assessment

Everything standard care skips: a full hormonal, metabolic, and inflammatory workup built specifically around PCOS.
1'599 CHF
from CHF 133 / month in 12 installments → Check financing options
Book assessment
What we assess
In-depth blood diagnostics – every marker PCOS touches, from androgens to insulin to inflammation
Body composition analysis – visceral fat, muscle mass, and fat distribution patterns that predict metabolic risk in PCOS
Continuous glucose monitoring  – live glucose tracking that reveals the post-meal spikes and insulin patterns driving your PCOS, not a single fasting snapshot
What you receive
Personalised PCOS report – your phenotype identified, drivers mapped, long-term risk quantified
60-minute medical consultation – a 1:1 consultation reviewing every result in detail. Tailored, practical recommendations you can act on.
1:1 nutrition consultation – Based on your biomarkers, lab results, and body composition

Your complete PCOS protocol

Each pillar of your protocol is derived directly from your results — not templated. Expand any section to see exactly what it covers.

Metabolic & Nutrition plan

Matched to your insulin sensitivity and CGM data

Macronutrient strategy matched to your insulin sensitivity
Meal timing based on your CGM data
Evidence-based dietary frameworks for androgen reduction
Specific guidance on foods worsening your inflammation markers

Targeted supplementation

Evidence-graded – no generic stacks

Inositol formulation based on your insulin and LH:FSH ratio
Micronutrient repletion – Vitamin D, Magnesium, Zinc, B vitamins
Anti-inflammatory support where indicated
Every recommendation is evidence-graded, not a generic stack

Medical treatment if indicated

Explained, not simply prescribed

Insulin sensitisers (Metformin, Berberine) if HOMA-IR is elevated
Hormonal therapy only where clinically justified and desired
Anti-androgen therapy for symptom management where appropriate
All pharmaceutical decisions explained, not simply prescribed

Lifestyle & Stress protocol

Measurable targets, not generic advice

Sleep and HRV optimisation for adrenal support
Meal timing based on your CGM data
Stress management strategies that do not raise cortisol further
Measurable targets, not vague lifestyle advice

What we measure

Our PCOS assessment goes far beyond the standard hormonal snapshot. We map every system PCOS touches – metabolic, inflammatory, endocrine, structural – because the treatment that works depends entirely on what we find.

Full hormonal panel

A complete picture of the androgenic axis alongside reproductive hormones

LH / FSH
The ratio between these two pituitary hormones regulates ovulation. An elevated LH:FSH ratio is one of the clearest hormonal signatures of PCOS and directly influences which phenotype you have.
Estradiol
The primary form of oestrogen. In PCOS, imbalanced estradiol relative to progesterone can drive cycle irregularity, mood changes, and endometrial risk.
Progesterone
Produced after ovulation. Low levels confirm whether ovulation is actually occurring – a key question in PCOS that standard care often leaves unanswered.
Testosterone (total + free)
The androgen most associated with PCOS symptoms. Total testosterone shows overall burden; free testosterone reveals how much is biologically active and driving acne, hair loss, or excess hair growth.
DHEA-S
An androgen produced by the adrenal glands. Elevated DHEA-S points to adrenal involvement in your PCOS – a distinct driver that changes the protocol.
SHBG
A protein that binds testosterone and makes it inactive. Low SHBG – common in insulin resistance – means more free testosterone circulating, worsening androgenic symptoms even when total testosterone looks normal.

Metabolic & Insulin assessment

Fasting glucose alone misses insulin resistance in the majority of PCOS patients

Fasting insulin
Measures how much insulin your body is producing at rest. Elevated fasting insulin is the earliest sign of insulin resistance – and is missed entirely when only glucose is tested.
Fasting glucose
Blood sugar at rest. Useful as a baseline but insufficient alone – most insulin resistance in PCOS is invisible on glucose until it's advanced.
HbA1c
A 3-month average of blood sugar levels. Reveals patterns that a single fasting glucose cannot – particularly useful for tracking metabolic improvement over time.
HOMA-IR
A calculated index of insulin resistance derived from fasting insulin and glucose. The most clinically useful single metabolic marker in PCOS assessment.

Inflammatory markers

Chronic low-grade inflammation drives androgen excess and disrupts ovulation

hs-CRP
A sensitive marker of systemic inflammation. Chronically elevated in many women with PCOS, it directly amplifies androgen production and disrupts ovulation.
Vitamin D
Acts more as a hormone than a vitamin. Deficiency is widespread in PCOS and linked to worsened insulin resistance, mood dysregulation, and cycle disruption.

Body composition scan

BMI tells you nothing clinically useful. DEXA gives precise data on visceral fat, muscle mass, and bone density — all of which shape your protocol.

Visceral fat
Fat stored around the organs, not under the skin. Even in women with a normal BMI, elevated visceral fat drives insulin resistance and inflammation in PCOS.
Lean muscle mass
Muscle is the primary site of glucose uptake. Low muscle mass worsens insulin resistance and is a key target for the exercise component of your protocol.
Fat distribution
Where fat is stored matters as much as how much. Central fat distribution is a direct metabolic risk marker in PCOS independent of total body weight.
Bone mineral density
Hormonal imbalances in PCOS – particularly low oestrogen and elevated androgens – can affect bone density over time. Establishing a baseline matters for long-term health.

Continuous glucose monitoring

Real-world metabolic data that a single blood draw never captures

Post-meal glucose spikes
How high your blood sugar rises after eating. Repeated large spikes drive insulin overproduction – the metabolic engine behind most PCOS symptoms.
Time in range
The percentage of time blood glucose stays within a healthy window. A more meaningful measure of metabolic health than any single reading.
Glycaemic variability
How much your blood sugar fluctuates across the day. High variability – even without elevated averages – is linked to inflammation, fatigue, and hormonal disruption.
Nocturnal patterns
What your glucose does overnight. Disrupted nocturnal patterns can indicate cortisol dysregulation or sleep-related metabolic stress – both relevant in PCOS.

How It Works.

From your first appointment to your personalised protocol – here is what to expect.
01

Book & complete your anamnesis

Secure your appointment online. Before you visit, you complete a detailed medical history so we can make every minute of your clinic time count.
02

Full diagnostic assessment

A comprehensive 2-hour visit: blood draw, DEXA scan, CGM setup, and consultation with our Women's Health physician. You leave with your wearables fitted.
03

Receive your personalised report

Our medical team analyses every result together. Within 2–3 weeks you receive your PCOS report – a clinical interpretation built for you, not a reference-range printout.
04

Your protocol & aftercare

A 60-minute physician consultation to walk through your results and build your management plan. Followed by a nutrition consultation and ongoing 1:1 coaching as you implement it.

Not symptom management.
Actual answers.

After your assessment and results consultation, you leave with something most PCOS patients have never had – a precise, evidence-based picture of your own condition.

Your PCOS phenotype, identified
A protocol derived from your data
Your long-term risk, quantified
A measuable baseline

Ready to understand
your own PCOS?

Book your assessment at our Zurich clinic. Your full diagnostic workup, personalised report, and protocol – built around what we actually find in your body.

Got questions?

Whether you're curious about our Longevity Check-ups, our treatments, or how we personalise your care – this is where clarity begins. Explore the most frequently asked questions and feel supported, informed and confident at every step of your AYUN journey.

Who is the Women's Health Check-up right for?

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For any woman who wants to understand her body more deeply — not just manage symptoms, but optimize how she feels, performs, and ages.

Whether you're:

  • Navigating hormone shifts (like perimenopause, post-pill, or cycle changes)
  • Looking for answers to symptoms like fatigue, mood swings, or low energy
  • Curious about how your hormones, metabolism, and lifestyle interact

The Women's Health Check-up gives you the insights, data, and medical guidance to make confident, informed decisions — now and for your long-term health.

Female Health

What is AYUN’s Women's Health Check-up?

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AYUN’s Women's Health Check-up is a science-based, holistic check-up designed to help you understand how your hormones, metabolism, lifestyle, and cycle interact — and how they shape your energy, mood, sleep, fertility, and long-term health.

You’ll receive comprehensive testing and expert interpretation of your:

  • Hormones (e.g. estrogen, progesterone, LH, FSH, cortisol)
  • Metabolic health (e.g. glucose, insulin, cholesterol, inflammation markers)
  • Body composition (via Body Composition Analysis)
  • Lifestyle & rhythm (e.g. stress, sleep & HRV, continuous glucose monitoring, nutrition, and cycle mapping)

It also includes medical consultations, a personalized care plan, and optional treatment add-ons if needed (e.g. HRT, HBOT, IHHT).

Female Health

What do I need to bring for my Women's Health Check-up?

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You should arrive fasted (empty stomach, water allowed).

Female Health

How long does it take to get the results of my check-up?

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The time between your check-up and receiving your results depends on external laboratories and the evaluation time required by our team of doctors, nutritionists, and sports scientists. The typical turnaround for all Longevity Check-ups is 4–5 weeks.

Longevity Check-ups
Female Health

How long does a Women's Health Check-up take?

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The Check-up clinic visit lasts about 2 hours. It begins with a 30–45 minute anamnesis interview with one of our doctors, followed by a blood draw. If your cycle is aligned with the check-up date, the blood sample will be taken during your visit; otherwise, you will need to come in between the 3rd and 5th day of your cycle. The check-up also includes a DNA test and a body composition analysis. Afterwards, we set up the wearables such as the HRV monitor and the CGM. At the end of your visit, you will receive a kit to take the vaginal microbiome test at home.

Female Health

How is this different from traditional care?

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Traditional care often waits until symptoms appear. At AYUN, we take a proactive and data-driven approach — identifying patterns even when your labs are “normal.” We connect the dots between hormones, stress, metabolism, and lifestyle to personalize your care.

Female Health

How are the findings evaluated?

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Our team of doctors, nutritionists and sports scientists analyze the findings holistically, prioritize and make appropriate recommendations.

We compare the results with comparative values from your age and gender group. Our goal is for our customers to perform significantly better than the average, because the average person develops chronic diseases over the course of their life that significantly affect their quality of life.

Longevity Check-ups
Female Health

Everyone knows what is healthy: exercise, nutrition and sleep. What else do you offer?

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That's right, healthy eating, regular exercise and enough sleep are the cornerstones of longevity. General recommendations are certainly suitable for the masses, but when it comes to looking at the individual, many individualized recommendations can be made depending on the individual disposition constellation. Our goal is to achieve the greatest possible health effect for the individual with the least possible effort. To do that, much more precise recommendations are useful and possible.

Others
Other

Do you also offer payment by installments?

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Yes. For Check-ups, you can choose between paying directly at the clinic on the day of your appointment, receiving an invoice to pay later, or splitting the total into convenient monthly installments. Installment plans can be arranged in advance to give you more flexibility.

For other services at AYUN, installment payments are also possible. Just give us a call, and we’ll find a suitable solution together.

Others
Other

Do I have to come to your clinic to discuss my results?

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The discussion of the results usually takes place at our clinic. If you prefer, the conversation can also take place via video conference.

The same applies to the nutrition counseling, which can take place either on-site or via video conference.

Longevity Check-ups
Female Health

Can I bring my child with me?

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Our services are only available to persons of legal age. However, you are welcome to bring a child with you as a companion. No childcare service is available.

Others
Other

At what stage of life should I consider the Women's Health Check-up?

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This check-up is valuable at many points in your journey — especially if you’re:

  • In your 30s or 40s and want to take a proactive approach to aging
  • Navigating perimenopause, fertility planning, or recovery after the pill
  • Experiencing PCOS, irregular cycles, or unexplained fatigue
  • Ready to tune into your body and understand how your hormones are influencing how you feel

It’s not just about fixing symptoms — it’s about building a clear, confident foundation for your health going forward.

Female Health