PCOS Treatment

Care for Polycystic Ovary Syndrome

PCOS (Polycystic Ovary Syndrome) is a common hormonal and metabolic condition that can affect menstrual cycles, ovulation, fertility, skin, hair, weight and long-term health.

Dr. Mukta Seth provides individualised evaluation and treatment for women with PCOS, with management tailored to symptoms, age, reproductive plans and metabolic health.

What is PCOS?

Polycystic Ovary Syndrome is a complex hormonal disorder usually associated with ovulatory dysfunction and/or excess androgen activity. Some women may also have polycystic ovarian morphology on ultrasound.

PCOS can present differently in different women. One patient may mainly experience irregular periods, another may be concerned about acne or unwanted facial hair, while another may first discover PCOS during evaluation for difficulty conceiving.

Importantly, having polycystic-appearing ovaries on ultrasound alone does not necessarily mean that a woman has PCOS. Diagnosis requires appropriate clinical evaluation.

Common Symptoms of PCOS

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1. Irregular Periods

Periods may be infrequent, delayed, unpredictable or occasionally absent for several months because ovulation is not occurring regularly.

2. Difficulty Conceiving

Irregular or absent ovulation can make conception more difficult. Appropriate treatment can help many women with PCOS achieve pregnancy.

3. Acne & Oily Skin

Increased androgen activity may contribute to persistent acne, oily skin and other dermatological concerns.

4. Excess Facial or Body Hair

Some women develop increased coarse hair growth over the face, chin, chest, abdomen or other androgen-sensitive areas.

5. Weight & Metabolic Concerns

PCOS can be associated with insulin resistance, weight gain and increased difficulty maintaining a healthy weight.

6. Scalp Hair Thinning

Some patients experience thinning of scalp hair or androgen-related hair loss.

How PCOS is Evaluated

A Complete Assessment — Not Just an Ultrasound

Evaluation begins with understanding the patient's symptoms, menstrual pattern, medical history, weight changes, medication history and future pregnancy plans.

Depending upon the individual case, assessment may include:

• Menstrual and ovulation history

• Clinical examination

• Blood pressure and BMI assessment

• Evaluation for signs of androgen excess

• Blood glucose or HbA1c where indicated

• Lipid profile and metabolic assessment when appropriate

• Selected hormonal investigations

• Pelvic ultrasound when clinically indicated

• Exclusion of other disorders that can mimic PCOS

This approach helps establish the diagnosis while identifying the aspects of PCOS that require treatment in each individual patient.

Personalised PCOS Treatment

Treatment Based on Your Symptoms and Your Goals

There is no single treatment suitable for every woman with PCOS. Management depends on whether the principal concern is menstrual irregularity, acne, excessive hair growth, metabolic health or fertility.

Lifestyle & Weight Management

Healthy nutrition, regular physical activity, adequate sleep and sustainable weight management form an important part of treatment, particularly when insulin resistance or excess weight is present.

Even modest weight reduction in women who are overweight can improve metabolic health and may improve menstrual regularity and ovulation.

Menstrual Cycle Management

Women with infrequent or irregular periods may require treatment to regulate menstrual bleeding and provide appropriate endometrial protection.

Treatment is selected according to age, symptoms, medical history and pregnancy plans.

Acne & Excess Hair Growth

Treatment can be directed towards reducing the effects of excess androgen activity. Management may involve hormonal treatment and/or collaboration with a dermatologist where appropriate.

Metabolic Health

Women with PCOS may have an increased risk of impaired glucose tolerance, type 2 diabetes and abnormal lipid levels.

Appropriate screening and early management of metabolic risk factors are therefore an important component of long-term PCOS care.

PCOS & Fertility

PCOS Does Not Mean You Cannot Become Pregnant

PCOS is a common cause of ovulatory infertility, but many women with PCOS conceive naturally or with appropriate treatment.

For women planning pregnancy, care may include assessment of ovulation, optimisation of weight and metabolic health, preconception counselling and, when necessary, treatment to induce ovulation.

Where additional fertility evaluation or assisted reproductive treatment is required, appropriate referral or coordinated care can be arranged.

PCOS Through Different Stages of Life

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Adolescence — Careful evaluation of irregular periods, acne and excessive hair growth while avoiding unnecessary labelling during the early post-menarche years.

Reproductive Years — Management of menstrual cycles, contraception, androgen-related symptoms, weight and metabolic health.

Planning Pregnancy — Preconception optimisation, assessment of ovulation and fertility-focused treatment when required.

Long-Term Health — Continued attention to glucose metabolism, cardiovascular risk factors, endometrial health and sustainable lifestyle measures.

Why Regular Follow-Up Matters

PCOS is not simply a menstrual problem. Its manifestations and treatment priorities can change throughout a woman's life.

Regular follow-up allows treatment to be adjusted according to menstrual pattern, metabolic health, symptoms and reproductive plans.

The aim is not merely to achieve regular periods, but to support long-term reproductive, metabolic and overall women's health.

When Should You Consult a Gynaecologist?

Consider an evaluation if you have persistently irregular or absent periods, difficulty conceiving, troublesome acne or unwanted hair growth, unexplained weight/metabolic concerns, or a previous suggestion of PCOS that has not been properly evaluated.

If abnormal bleeding is heavy, prolonged, associated with severe pain, dizziness/fainting, or pregnancy is possible, prompt medical assessment is advisable.

Why Choose Dr. Mukta Seth for PCOS Care?

Experience • Individualisation • Continuity of Care

25+ Years of Clinical Experience
Extensive experience in obstetrics and gynaecology with personalised management of menstrual, hormonal and reproductive concerns.

Patient-Centred Treatment
Management is based on the woman's symptoms, priorities, medical background and future pregnancy plans rather than a one-size-fits-all approach.

Comprehensive Women's Healthcare
PCOS care can be integrated with contraception, fertility planning, pregnancy care and other gynaecological needs.

Clear Guidance & Follow-Up
Patients receive practical explanations of their condition, treatment options and the importance of appropriate long-term monitoring.