PCOS is a very common endocrine disorder especially in reproductive women and most of them get referred to me for sub-fertility or obesity work up. 

PCOS can be diagnosed using NIH, Rotterdam or Androgen excess PCOS society guidelines. It basically involves menstrual irregularities (anovulation or oligoovulation), androgen excess ( increased hair growth, acne) with or without polycystic changes in the ovaries. The other causes for androgen excess has to be ruled out before making the diagnosis of PCOS. A very good history taking and clinical diagnosis is very important. 

Biochemical testing are done following that which includes testosterone, DHEA-S, Fasting blood glucose, Oral glucose tolerance test, Lipid profile etc. 

After diagnosis there are various treatment options available like insulin sensitizers ( metformin), Oral contraceptive pills, anti androgen medications for treating acne and excess hair growth. 
BUT the very important thing that needs to be discussed and addressed in the very first visit is WEIGHT LOSS. 5-10% weight loss can help correct the metabolic problem, regularize the periods and also help with hair growth and acne. 

Women with PCOS should change their diet plan and should start exercising regularly. Life style changes is the best way to correct the metabolic problem associated with this syndrome.  Subfertility due to PCOS will also correct with life style interventions. 

Dr Sruti Chandrasekaran
Consultant Endocrinologist

Doctor Dr. Sruti Chandrasekaran, 2012090313:03:56

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