PCOS (Polycystic Ovary Syndrome) Treatment in Yelahanka

What is PCOS?

Polycystic Ovary Syndrome (PCOS) — also called PCOD (Polycystic Ovarian Disease) in India — is one of the most common hormonal disorders affecting women of reproductive age, with an estimated 20% of Indian women affected. Despite the name, not all women with PCOS have cysts on their ovaries. The core problem is a hormonal imbalance — elevated levels of androgens (male hormones) and disrupted ovulation — that leads to a wide range of symptoms affecting menstrual health, fertility, metabolism and overall well-being.

The reassuring truth is that PCOS is manageable. At Dhaara Speciality Hospital, Dr. Prathima Srinivas takes a holistic, individualised approach to PCOS treatment — addressing not just the symptoms but the underlying metabolic and hormonal causes.

Symptoms of PCOS

Diagnosis of PCOS

PCOS is diagnosed using the Rotterdam criteria — a patient needs to meet at least 2 of the following 3 criteria:

1. Irregular or infrequent ovulation (evidenced by irregular periods)
2. Clinical or biochemical signs of excess androgens (hirsutism, acne, or elevated testosterone on blood test)
3. Polycystic ovaries on ultrasound — 12 or more small follicles in either ovary

At Dhaara Hospital, our work-up includes pelvic ultrasound, hormonal blood tests (FSH, LH, AMH, testosterone, prolactin, thyroid, fasting insulin and glucose), and a thorough clinical assessment.

PCOS Treatment at Dhaara Hospital

1. Lifestyle Modification (The Foundation)

Even a 5–10% reduction in weight can restore regular ovulation in overweight women with PCOS, reduce androgen levels and improve insulin resistance. Our dietitian creates customised low-glycaemic-index (low-GI) meal plans, and we guide you through a structured exercise programme.

2. Hormonal Treatment for Menstrual Regulation

• Combined oral contraceptive pills to regularise periods and reduce androgen effects
• Cyclic progesterone to induce withdrawal bleeds and protect the uterine lining
• Anti-androgens (spironolactone) for hirsutism and acne

3. Insulin Sensitisers

Metformin reduces insulin resistance — the underlying metabolic driver of PCOS. It can restore ovulation, regularise periods, reduce androgen levels and help with weight loss. We use it as a cornerstone treatment in women with insulin resistance.

4. Fertility Treatment for PCOS

• Ovulation induction with letrozole or clomiphene citrate
• Follicle monitoring with serial ultrasound (follicular tracking)
• Trigger injection and timed intercourse or IUI
• Laparoscopic ovarian drilling — a minimally invasive surgical option for women who don't respond to medications

5. Long-Term Health Monitoring

PCOS is associated with long-term risks of Type 2 diabetes, cardiovascular disease and endometrial cancer. At Dhaara Hospital, we include annual screening for these conditions as part of our PCOS management programme.