Understanding PCOS
Polycystic Ovary Syndrome (PCOS) is one of the most common hormonal disorders in women of reproductive age, affecting 1 in 10 women in India. It is characterised by elevated androgen levels, irregular or absent menstrual cycles, and the presence of multiple small follicles in the ovaries visible on ultrasound.
PCOS is not simply a reproductive issue — it affects metabolism, skin, hair, and long-term health. With the right management approach, most women with PCOS can achieve excellent symptom control, regular periods, and successful pregnancies.
Common Symptoms
- Irregular, infrequent, or absent periods
- Excess facial or body hair (hirsutism)
- Acne and oily skin
- Hair thinning or loss from the scalp
- Weight gain, particularly around the abdomen
- Difficulty losing weight
- Mood changes, anxiety, or depression
- Difficulty conceiving
How PCOS Affects Fertility
PCOS is the most common cause of ovulatory infertility. When cycles are irregular or anovulatory (no egg is released), conception becomes difficult or impossible without treatment. The good news: with appropriate management, the majority of women with PCOS who want to conceive will do so successfully.
Treatment Options
Lifestyle Modification
Even a 5–10% reduction in body weight can restore regular ovulation in many women. Structured dietary changes and exercise are the foundation of PCOS management.
Medical Management
Hormonal regulation with oral contraceptives, anti-androgens, or metformin targets specific symptoms such as irregular cycles, acne, and insulin resistance.
Ovulation Induction
Oral medications (letrozole or clomiphene) stimulate the ovaries to release eggs, enabling natural conception or timed intercourse.
IUI or IVF for PCOS
When ovulation induction alone is insufficient, IUI or IVF provides highly effective pathways to pregnancy. Dr. Unnati uses modified stimulation protocols to minimise OHSS risk in PCOS patients.