PCOS & PCOD Management
PCOS is a common hormonal disorder causing irregular periods, weight gain, acne, and infertility. Our multidisciplinary approach combines medical management, lifestyle modification, and fertility support.
Overview
Polycystic Ovary Syndrome (PCOS) and Polycystic Ovarian Disease (PCOD) affect 5-10% of women of reproductive age. The condition is characterised by hormonal imbalances — elevated androgens (male hormones), insulin resistance, and irregular or absent ovulation. Small cysts (immature follicles) often develop on the ovaries, giving them a 'polycystic' appearance on ultrasound.
While there is no single 'cure,' symptoms can be effectively managed. Treatment is tailored to each woman's goals — whether that's regularising periods, managing weight and acne, preventing long-term complications (diabetes, endometrial hyperplasia), or achieving pregnancy.
Causes
- Insulin resistance — the body produces excess insulin, which stimulates ovarian androgen production
- Genetic predisposition — PCOS often runs in families
- Low-grade inflammation
- Excess androgen production by the ovaries
- Obesity — worsens insulin resistance and symptoms
Symptoms
- Irregular, infrequent, or absent periods
- Difficulty getting pregnant (anovulatory infertility)
- Excess facial and body hair (hirsutism)
- Acne and oily skin
- Weight gain, especially around the abdomen
- Thinning hair or male-pattern baldness
- Dark skin patches (acanthosis nigricans)
Diagnosis
- Rotterdam criteria — at least 2 of: irregular ovulation, signs of hyperandrogenism, polycystic ovaries on ultrasound
- Blood tests — hormone profile (LH, FSH, testosterone, DHEAS), glucose/insulin, thyroid, prolactin
- Pelvic ultrasound — checks ovarian morphology and endometrial thickness
Treatment Options
Lifestyle modification
Weight loss (5-10% of body weight), low-GI diet, and regular exercise — first-line and most effective.
Combined oral contraceptives
Regulate periods, reduce androgens, and improve acne. For women not trying to conceive.
Ovulation induction
Clomiphene citrate or letrozole to stimulate ovulation for women trying to conceive.
Laparoscopic ovarian drilling (LOD)
Keyhole surgery that uses laser or diathermy to destroy a small portion of ovarian tissue — restoring ovulation in some women.
Frequently Asked Questions
Can PCOS be cured?
There's no permanent cure, but symptoms can be fully managed with lifestyle changes and medication. Many women with PCOS conceive and have healthy pregnancies.
Does PCOS increase the risk of other health problems?
Yes. Long-term risks include type 2 diabetes, high blood pressure, endometrial hyperplasia/cancer, and sleep apnoea. Regular monitoring is important.
Ready to Discuss Your Treatment?
Our pcos & pcod management specialists in Kondapur are here to help. Most consultations available within 24 hours.