Polycystic ovarian syndrome (PCOS) is one of the most common things doctors see in both reproductive medicine and OBGYN practices. Patients often come to us complaining of infertility, miscarriages or irregular cycles, and sometime other issues such as facial hair, acne or weight issues. Because of these are the problems that bring PCOS patients in the office, most patients (and most doctors as well) think of it as a gynecologic disorder. However, most experts consider most PCOS to be a metabolic disorder, a problem with how the body handles sugar and produces insulin, and that the symptoms of PCOS are the consequences of these metabolic problems. A recent article from the Wall Street Journal, discusses PCOS and interviews some of the leading researchers in the field.