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PCOS: symptoms, diagnosis and treatment options

PCOS treatment in Chennai starts with the right diagnosis. Irregular periods, acne, weight change and difficulty conceiving can have more than one cause. A gynaecologist will not treat “PCOS” from a social-media checklist alone. At SRS Speciality Clinic in KK Nagar, Dr. Sharadha SO. reviews your history, examines when needed, and only then discusses medicines or fertility steps.

What PCOS actually is

Polycystic ovary syndrome is a hormonal condition. The ovaries may make more androgens than usual, ovulation can be irregular or absent, and ultrasound may show many small follicles. You do not need all three features for a diagnosis, and cysts on a scan are not enough on their own.

PCOS is common in women of reproductive age. It is not a disease you “catch,” and it is not the same as a single ovarian cyst that needs emergency surgery.

Common symptoms

Symptoms vary. Some women notice only a late period; others have several of the following:

  • Cycles longer than 35 days, or very few periods a year
  • Excess hair on the face or body, persistent acne, or hair thinning
  • Weight gain that is hard to reverse with usual diet advice
  • Difficulty conceiving after months of trying
  • Heavy menstrual bleeding when a period finally arrives

Not everyone with PCOS has cysts visible on scan, and not every ovarian cyst is PCOS. Thyroid disease, high prolactin and premature ovarian insufficiency can look similar until tests are done.

How we diagnose

Diagnosis is a combination of history, examination and tests — not a WhatsApp photo of a scan report. Typical steps include:

  • Cycle history, weight change, hair/acne and fertility goals
  • Pelvic ultrasound when it changes the plan
  • Blood tests for hormones, thyroid, prolactin, and sugar or insulin as indicated

We look for conditions that mimic PCOS so treatment is not guesswork. If you already have a “PCOS” label from elsewhere, we still re-check the basis for it.

Treatment options

The plan depends on whether you want regular cycles, clearer skin, metabolic care, or pregnancy. Lifestyle measures remain first-line for many: food pattern, movement, sleep and weight if that is relevant and realistic for you.

  • Cycle regulation with hormonal methods when pregnancy is not the immediate goal
  • Metabolic medicines when blood tests or examination support them
  • Ovulation induction if you are trying to conceive

Fertility pathways may include IUI treatment or IVF in Chennai only when simpler steps are not enough. Day-to-day care is on our gynaecologist in KK Nagar page.

PCOS and fertility

Many women with PCOS conceive with ovulation support alone. IUI is discussed when timing or mild male-factor findings matter. IVF is not the first conversation for most people. If a cycle is later planned, read IVF treatment cost in Chennai so you know what a quote should include.

When to book

Book if periods have been unpredictable for months, if you are planning pregnancy, if acne or excess hair is worsening, or if previous “PCOS” advice did not come with tests. Bring old reports if you have them.

This article is for information only and is not a substitute for personal medical advice.

Book a gynaecology visit +91 9444 585 504

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