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Grade C

PCOS Sisters review

Written by Elena Voss, Metabolic Health Editor

Elena Voss is a mother writing for mothers, not a treating clinician, and holds no medical license. Prices and terms come from the company's own published pages. This is background reading, not medical advice.

A telehealth practice that treats only PCOS, run by nurse practitioners who live with it: GLP-1 prescriptions start at $150 a month and require a monthly membership of $99 or $129, depending on which clinician serves your state, so the real floor is about $249 before labs. The membership covers diagnosis, unlimited messages and video visits, a diet and exercise plan and a fitness app; a basic PCOS lab workup runs about $335 at its discounted rate. It names semaglutide and an oral option but never says whether the medication is compounded or brand. It serves about a dozen states, and its own pages list slightly different ones.

From $249/mo all-in with the required membership

Consult Medication Labs Coaching
See plans at PCOS Sisters
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PCOS Sisters at a glance

Semaglutide
From $249/mo all-in with the required membership
Tirzepatide
Offered — price not published
Coverage
About a dozen states — AZ, FL, GA, NM, TX, UT, VA and WA on every list; its pages disagree on CT, HI, IL, NY and OR
Brand-name
Compounded only

How we scored PCOS Sisters

Every factor comes from PCOS Sisters's own published pricing, disclosures and oversight, and the six combine into the 65/100 Metabolic-Fit Score on our weighted six-factor framework. Commissions don't change a provider's score.

Postpartum & breastfeeding guidance40/100 · Weak

No postpartum or breastfeeding framing — a generic weight program.

PCOS & hormonal fit92/100 · Excellent

Both molecules on one account, so treatment can follow insulin resistance.

Clinical oversight & labs80/100 · Solid

Reasonable oversight, though some program details aren't public.

True monthly cost50/100 · Weak

Cost is unpredictable or sits at the premium end.

Ongoing support76/100 · Fair

Support is thin once the prescription ships.

Cancellation fairness42/100 · Weak

Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.

How we checked this review

PCOS Sisters is a nurse-practitioner practice that treats nothing but PCOS: a GLP-1 starts at $150 a month and needs a $99 or $129 monthly membership underneath it, so the real floor is about $249 before labs. It diagnoses PCOS, orders labs and imaging, and serves about a dozen states — its own pages list slightly different ones.

What we like

  • The whole practice is PCOS care: diagnosis, labs, imaging, cycles, acne, hair and fertility under one clinician
  • Unlimited messages and video visits with a nurse practitioner, plus a diet and exercise plan and a fitness app
  • Prices for the membership, the evaluation visit and a basic lab workup are all published
  • A Spanish-speaking clinician serves seven of its states

The caveats

  • The GLP-1 needs a $99–$129 monthly membership on top — about $249 a month at the floor, before labs
  • Never says whether its GLP-1 is compounded or brand-name
  • Its own pages list different states, so confirm yours before paying
  • No refund once a monthly draft runs, non-refundable prepaid plans, and a $50 fee to re-enroll
  • Nothing on breastfeeding or postpartum timing

A PCOS practice, not a weight-loss storefront

PCOS Sisters does one thing: polycystic ovary syndrome. Its nurse practitioners diagnose it, order the labs and the ultrasound, and treat the parts that usually get split across three offices — irregular cycles, acne, hair thinning, unwanted hair, insulin resistance, fertility and weight. Several of its clinicians say they live with PCOS themselves. You do not need a diagnosis to start; a $75 evaluation visit, with no membership, is enough to begin the workup.

For a mother whose weight has never responded the way the charts say it should, that matters more than the GLP-1. A program that treats insulin resistance and the cycle together can tell you whether the medication is the right tool, or only one of them.

What a month really costs

GLP-1 prescriptions start at $150 a month, and a membership is required underneath them. The membership depends on who serves your state: $99 a month with Kristina Medina, APRN, who sees patients in English and Spanish in Arizona, Florida, Texas, Utah, Connecticut, New Mexico and Virginia, or $129 a month with the founder, Dr. Lynsey Johnson, DNP, in Georgia, Washington, Oregon, Illinois and New York. So the realistic floor is about $249 a month, or $279 with the founder.

Labs are extra. Its discounted basic PCOS workup runs about $335, with a $35 interpretation fee included, or you can use your own insurance at a local lab. Patients in Georgia with Aetna or United Healthcare, and in Texas with Blue Cross Blue Shield or United Healthcare, can choose a $50 insured membership instead.

What the membership includes

  • A PCOS evaluation, a personalized diet and exercise plan, and a fitness app
  • Unlimited messages and unlimited video visits with your nurse practitioner (New York members get one visit a month, with extras at $35)
  • Semaglutide or another GLP-1, including an oral option, with monitoring for B12 and long-term maintenance plans

Three things to check before you pay

  • Is the medication compounded or brand-name? The site names semaglutide and two partner pharmacies but never says. Ask.
  • Do they serve your state? Its FAQ, its map and its membership cards each list a slightly different set of states — about a dozen in all.
  • How strict is canceling? Message your nurse practitioner at least 24 hours before the monthly draft, or that month is not refunded. Prepaid plans are non-refundable, and coming back later costs a $50 re-enrollment fee.

Pregnancy and breastfeeding

Infertility is one of its services, so the same clinician can plan the medication around trying to conceive — ask how far ahead she would stop it. The site says nothing about breastfeeding. Injectable brand labeling calls for an individual breastfeeding benefit-risk assessment, and the GLP-1 pills are not recommended while breastfeeding.

The bottom line

If PCOS is the reason the scale will not move, PCOS Sisters gives you a practice built entirely around it, at a price that is clear once you add the membership. If you want to investigate a general compounded program alongside this dedicated PCOS practice, compare CoreAge Rx, a featured partner. Obtain its current complete quote and ask how it would coordinate your PCOS and reproductive history; its advertised starting price cannot establish equivalent specialist follow-up.

The bottom line for mothers

Best for: A mother with PCOS — diagnosed or suspected — who wants insulin resistance, cycles, skin and fertility handled by one PCOS specialist alongside the GLP-1.

Alternatives to PCOS Sisters

These are partners — we may be paid if you sign up through these links. The full list has every provider we cover, partner or not.

  • CoreAge RxFeatured partner

    CoreAge's officially linked public offer advertises compounded semaglutide at $79/month and tirzepatide at $129/month across doses, with care and overnight shipping included. It describes one-time purchases without a required subscription. Main navigation still shows semaglutide from $99; confirm your prescription quantity and total, and read the refund limits before paying.

    Visit CoreAge Rx
  • A flat $239/mo semaglutide, $399/mo tirzepatide with one-click cancellation and a free L-Carnitine add-on at every dose — but it's only licensed in 23 states, and most of the country's biggest population centers aren't on the list.

    Visit MadeMed
  • A $99 first month for either injection, with the ongoing price shown only at checkout, and a real non-injection option most providers we review skip: sublingual tablets for both molecules — but the FDA issued its parent entity, Lean Rx, Inc., a warning letter on 02/20/2026 (ref. 717989) for mislabeling itself as the compounder on its own product images and for marketing language implying its compounded products share FDA-approved status with Mounjaro and Zepbound, which they don't. Confirmed directly on FDA.gov; SkinnyRx's own site never mentions it.

    Visit SkinnyRx

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PCOS Sisters, answered

How much does a GLP-1 cost at PCOS Sisters?
The GLP-1 starts at $150 a month and requires a membership: $99 a month with one nurse practitioner (Arizona, Florida, Texas, Utah, Connecticut, New Mexico, Virginia) or $129 with the founder (Georgia, Washington, Oregon, Illinois, New York). So plan on at least $249 a month, plus labs — a basic PCOS workup is about $335 at its discounted rate.
Do I need a PCOS diagnosis first?
No. PCOS Sisters diagnoses PCOS itself. You can book a $75 evaluation visit without a membership, or start a membership, which includes the evaluation.
Is the semaglutide compounded or brand-name?
The site does not say. It describes semaglutide and other GLP-1s, including an oral option, and names two partner pharmacies, but never states the form. Ask before you pay for the membership.
What if I want to get pregnant later?
Infertility care is one of the practice's listed services, so the same clinician can plan around it. GLP-1s are not used in pregnancy; ask your nurse practitioner how far ahead of trying to conceive she would stop the medication.
Can I use a GLP-1 from PCOS Sisters while breastfeeding?
Its pages do not address breastfeeding. Injectable brand labeling calls for an individual breastfeeding benefit-risk assessment, and the GLP-1 pills are not recommended while breastfeeding.
How do I cancel?
Message your nurse practitioner at least 24 hours before the monthly draft; after the draft there is no refund. Prepaid three-, six- and twelve-month plans are non-refundable and do not renew. If you leave and come back later, there is a $50 re-enrollment fee.

Pricing, states and verification reflect PCOS Sisters's public disclosures at last review; the Metabolic-Fit Score is our editorial judgment per the published methodology. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See our medical disclaimer and how we're funded.

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