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PCOD / PCOS Management

Structured protocols for cycles, symptoms and fertility with nutrition, exercise and evidence-led medicines

Book PCOS Consultation
8–12 wks
Cycle regularisation window
With lifestyle and appropriate medication
5–10%
Weight-loss target
Linked to improved ovulation and symptoms
70–80%
Ovulation success (letrozole OI)
In eligible PCOS across monitored cycles

When to Consult

  • Irregular, infrequent or absent periods for 3+ months
  • Acne, excess facial/body hair or hair thinning
  • Unexplained weight gain or stubborn belly fat
  • Darkened neck/underarm skin (acanthosis), sugar spikes
  • Trouble conceiving for 6–12 months
  • Severe cramps, very heavy bleeding or prolonged cycles

Understanding PCOS in the Indian Context

PCOS often starts early and is shaped by work stress, dietary patterns and genetics. In Hyderabad and Telangana, we see insulin resistance and vitamin D deficiency frequently. Our program combines practical South-Indian diet swaps, structured activity and evidence-led medicines to improve cycles, symptoms and fertility timelines.

When to Consult Our PCOS Specialists

  • ✓ Very heavy or prolonged bleeding
  • ✓ Severe pelvic pain or sudden one-sided pain
  • ✓ Fainting, dizziness or severe anaemia symptoms
  • ✓ Persistent high sugars or recurrent infections
  • ✓ Rapid hair loss or distressing acne/hirsutism
  • ✓ Trouble conceiving for 6–12 months

Our Diagnostic Approach

Clinical & Criteria-Based Diagnosis

Rotterdam criteria with exclusion of thyroid/prolactin issues; pregnancy test before ovulation medicines.

Metabolic & Hormonal Workup

Fasting glucose/insulin, OGTT, lipid profile, HbA1c, TSH and prolactin as indicated.

Ultrasound Mapping

Ovarian volume/AFC and endometrial assessment; monitoring during fertility cycles.

Personalised Plan

Goals split into cycle control, symptom care, weight/metabolic health and fertility planning with clear milestones.

Treatment Pathways

Lifestyle is the base. We add metformin for insulin resistance, choose OCPs or cyclic progesterone for bleeding control, and move to letrozole OI with scans when planning pregnancy. Dermatology and endocrinology input improve acne/hirsutism and thyroid balance. Tele follow-ups maintain momentum.

What to Expect: Your Care Journey

First month sets labs, ultrasound and habits. By 6–8 weeks, cycles begin to regularise and symptoms ease. Over 3–6 months, weight and insulin markers improve; if trying to conceive, ovulation is targeted with monitored cycles. Annual screening prevents long-term risks.

Technology & Innovation

Our EMR dashboard tracks steps, labs, scans and medications, while 3D/4D ultrasound and AMH help time ovulation safely. WhatsApp follow-ups keep you supported between visits.

Preventing Complications

We proactively address anaemia, diabetes risk, sleep issues and mental health. Early escalation to fertility pathways avoids delays while keeping multiple pregnancy risk low.

Why Ajuda for PCOS Care?

🧭 Time-bound plans with clear milestones
🧪 Evidence-led, India-specific protocols
💬 Multilingual counselling & WhatsApp support

Take the First Step

Book a PCOS evaluation today. Call 9010550550 or message on WhatsApp.

Diagnosis Approach

1

Clinical + Rotterdam criteria

Cycle pattern, clinical hyperandrogenism and ultrasound; exclusion of thyroid, prolactin and other causes.

2

Metabolic screen

Fasting glucose/insulin, lipid profile, HbA1c; 75 g OGTT per ICMR/RSSDI where indicated.

3

Hormonal profile

TSH, prolactin, AMH as appropriate; pregnancy test prior to meds affecting ovulation.

4

Ultrasound mapping

Transvaginal/abdominal USG for ovarian volume and antral follicle count; endometrium assessment.

Treatment Options

Lifestyle & Nutrition Program

South-Indian meal plans with low-GI options (millets, pulses), festival-safe swaps, protein targets and sleep/stress routines.

5–10% weight loss improves cycles and insulin sensitivity.
8–12 weeks with monthly reviews

Insulin Resistance Reversal

Metformin where indicated, step-count goals, resistance training and NEAT coaching; vitamin D and B12 when needed.

Improves ovulation and reduces long-term diabetes risk.
3–6 months with labs

Cycle Regulation

Cyclic progesterone or OCPs for bleeding control, acne/hirsutism relief; personalised based on goals.

Predictable cycles and symptom relief in most patients.
3–6 months then reassess

Ovulation Induction (Fertility Pathway)

Letrozole-first protocols with follicular monitoring; add metformin for IR; dose titration per response.

Higher live-birth vs clomiphene in PCOS.
Up to 3–6 cycles before escalation

Dermatology-Endocrine Collaboration

Acne/hirsutism algorithms, anti-androgen choices and thyroid optimisation.

Faster cosmetic response and better quality of life.
8–24 weeks with follow-ups

Tele Follow-up & Relapse Prevention

WhatsApp check-ins, habit tracking and annual cardiometabolic screening.

Improves adherence and reduces symptom relapse.
Ongoing with quarterly touchpoints

Expected Outcomes

Treatment Timeline

2–4 Weeks

Nutrition plan started; step and sleep goals set; initial symptom relief.

6–8 Weeks

Cycle pattern improving; weight trending down; acne/hirsutism plan underway.

3–6 Months

Target weight-loss reached; ovulation achieved in fertility pathway or cycles regularised.

1 Year+

Relapse prevention with annual metabolic checks and lifestyle maintenance.

Success Metrics

  • Cycle regularity rate
  • Ovulation/clinical pregnancy rate (if trying to conceive)
  • Weight and HOMA-IR improvement