Skip links

A Thorough Guide to Diagnosis and Treatment Choices for PCOS

Polycystic  Ovary Syndrome, commonly known as PCOS, is a prevalent but often misunderstood hormonal disorder that affects individuals with ovaries. Characterized by a range of symptoms and potential health concerns, PCOS can be challenging to navigate. In this comprehensive blog, we will explore the diagnosis, symptoms, and treatment choices for PCOS, providing valuable insights to help individuals on their PCOS journey.



Understanding PCOS

PCOS is a complex condition that impacts the endocrine system, particularly in individuals of reproductive age. While the exact cause is not fully understood, it’s believed to involve a combination of genetic and environmental factors. Hormonal imbalances play a crucial role, with increased levels of androgens (often referred to as “male hormones”) and insulin resistance as standard features.


How Do I Know I Have PCOS?

While it is known for a wide array of symptoms, it is essential to note that not everyone experiences the same signs or to the same degree. Some common symptoms and signs to be aware of include:

  1. Irregular Menstrual Cycles: One of the hallmark signs of PCOS is irregular periods, which can range from infrequent to heavy and prolonged.
  2. Excess Androgens: Elevated levels of androgens can lead to symptoms like acne, excess facial and body hair (hirsutism), and male-pattern baldness.
  3. Ovarian Cysts: While not a universal feature, some individuals with PCOS may develop cysts on their ovaries. These cysts are typically small and don’t require removal.
  4. Weight Gain: Many individuals with PCOS struggle with weight management and may experience unexplained weight gain or difficulty losing weight.
  5. Insulin Resistance: Insulin resistance is common in PCOS and can lead to metabolic issues, including an increased risk of type 2 diabetes.
  6. Fertility Issues: PCOS is a leading cause of infertility due to irregular ovulation or lack of ovulation.
  7. Skin Problems: Skin issues like acne and darkened patches of skin (acanthosis nigricans) can be associated with PCOS.



Diagnosing PCOS involves a combination of medical history evaluation, physical examination, and specific tests. It’s essential to rule out other conditions with similar symptoms, as it is often a diagnosis of exclusion. The following diagnostic criteria are commonly used:

  1. Menstrual Irregularities: Irregular periods or anovulation (lack of ovulation).
  2. Clinical Signs: Evidence of excess androgens, such as hirsutism or acne.
  3. Ovarian Cysts: The presence of ovarian cysts may be identified via an ultrasound, but this is not required for diagnosis.

If two of the three criteria are met, a diagnosis of PCOS is typically considered.

How to treat PCOS



Treatment Choices & Navigating the PCOS Journey

The management of PCOS primarily focuses on alleviating symptoms and reducing health risks. Treatment choices can be tailored to the individual’s specific concerns and may include:

  1. Lifestyle Modifications:

    Healthy lifestyle changes, such as maintaining a balanced diet and regular exercise, can help manage weight and reduce insulin resistance.

  2. Medications: Hormonal birth control, anti-androgen medications, and insulin-sensitizing drugs can be prescribed to address specific symptoms.
  3. Fertility Treatments: For individuals struggling with infertility, fertility medications like clomiphene or assisted reproductive techniques may be recommended.
  4. Skin and Hair Concerns:

    Treatments for acne and hirsutism may include topical creams, laser therapy, or electrolysis.

  5. Managing Comorbidities: Addressing comorbidities such as diabetes and cardiovascular risk factors is essential for long-term health.


Empowering Yourself

Living with PCOS can be challenging, but with the proper knowledge and support, individuals can lead fulfilling lives. Timely diagnosis and appropriate treatment choices can help individuals manage their symptoms and reduce potential health risks. It’s important to remember that PCOS is manageable, and with the proper support, individuals can lead healthy, fulfilling lives. If you suspect you have PCOS or are experiencing symptoms, don’t hesitate to walk into any of our test centers or visit our website for an ultrasound scan and proper diagnosis.