PCOS (Polycystic Ovary Syndrome)
A metabolic and hormonal condition that touches many systems — one at a time.
Polycystic ovary syndrome affects up to 1 in 10 women of reproductive age. It combines irregular periods, excess androgens, and often insulin resistance. Treatment is personalised to the goal: regular cycles, clearer skin, fertility, or long-term metabolic health.
Causes & risk factors
- Genetic predisposition
- Insulin resistance
- Hormonal imbalance (high LH, high androgens)
Symptoms
- Irregular or absent periods
- Acne, especially jawline and chin
- Excess hair growth on face or body
- Hair thinning on scalp
- Weight gain
- Difficulty conceiving
How it's diagnosed
- Two of three Rotterdam criteria: irregular periods, clinical or biochemical hyperandrogenism, polycystic ovaries on ultrasound
- Baseline labs: LH, FSH, testosterone, prolactin, TSH, HbA1c, lipids
Evidence-based treatment
- Weight loss of 5% if overweight — dramatic improvements
- Combined oral contraceptives for cycle regulation and skin
- Metformin for insulin resistance
- Letrozole or clomiphene for ovulation induction
- Spironolactone for hirsutism
- Topical eflornithine for facial hair
PCOS (Polycystic Ovary Syndrome) — FAQ
Can I still get pregnant with PCOS?
Yes. Most women with PCOS conceive, often with weight loss and ovulation induction. Early intervention improves outcomes.
Other conditions
Hypertension (High Blood Pressure)Type 2 DiabetesMigraineHypothyroidismAsthmaAcid Reflux (GERD)DepressionEczema (Atopic Dermatitis)Anxiety DisordersUrinary Tract Infection (UTI)ArthritisHigh Cholesterol (Dyslipidaemia)Irritable Bowel Syndrome (IBS)Sinusitis (Sinus Infection)Anaemia (Iron Deficiency)Back Pain (Chronic)Allergic Rhinitis (Hay Fever)
This page is general information, not medical advice for any specific person. For diagnosis and treatment, book a consultation.