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Polycystic ovary syndrome affects roughly one in ten women of reproductive age, and it is the single most common cause of ovulation-related infertility. It is also frequently missed, dismissed as a weight problem, or treated with the pill and nothing else.
We treat it properly: as a hormonal and metabolic condition with consequences for your cycles, your skin, your weight, your fertility and your long-term risk of diabetes and heart disease.
Diagnosis follows the Rotterdam criteria — two of the following three: irregular or absent ovulation, clinical or biochemical signs of raised androgens, and polycystic ovarian morphology on ultrasound. We also exclude thyroid disease, raised prolactin and adrenal causes, which mimic PCOS.
Tests: hormone profile (LH, FSH, testosterone, AMH), thyroid function, prolactin, fasting glucose and insulin or HbA1c, lipid profile, and transvaginal or abdominal pelvic ultrasound.
If you are trying to conceive: ovulation induction with letrozole or clomiphene, monitored with follicular tracking scans; metformin where there is insulin resistance; IUI if needed; IVF where ovulation induction has not succeeded or other factors are present. PCOS responds well to fertility treatment — outcomes in this group are generally good.
If you are not trying to conceive: cycle regulation with hormonal treatment to protect the endometrium (long gaps between periods carry a real risk of endometrial hyperplasia), anti-androgen treatment for acne and hirsutism, and metformin for the metabolic side.
In both cases — the foundation: even a 5–10% reduction in body weight can restore ovulation in a large proportion of women with PCOS. We give you a realistic, culturally appropriate diet and activity plan rather than a photocopied Western meal chart, and we address insulin resistance directly.
Long term: annual screening for diabetes and lipid abnormalities, blood pressure monitoring, and endometrial protection. PCOS is lifelong, but its consequences are largely preventable.
Can I get pregnant with PCOS? Yes. Most women with PCOS conceive, many with simple ovulation induction. PCOS delays conception; it rarely prevents it.
Does PCOS go away? It is a lifelong condition, but symptoms are very controllable and often improve substantially with weight management and treatment. Many women find cycles become more regular approaching their late thirties.
Do the “cysts” need surgery? Almost never. The follicles seen on ultrasound in PCOS are not true cysts and do not need removal. Ovarian drilling is a rare, specific option in selected cases.
