PCOS and PCOD (PMOS) Management
- Comprehensive hormonal profiling (AMH, LH/FSH ratio, Androgens)
- Scientific ovulation induction & ultrasound follicle tracking
- Evidence-based metabolic, insulin-resistance & sustainable diet plans
- Targeted clinical care for irregular cycles, acne & hirsutism
Introduction
Polycystic Ovary Syndrome (PCOS) and Polycystic Ovarian Disease (PCOD) are among the most common endocrine disorders affecting women of reproductive age in India. Characterized by hormonal imbalances, irregular or absent menstrual cycles, high androgen levels, and multiple immature follicles on the ovaries, PCOS can cause distressing symptoms and become a major barrier to natural conception.
At Florentine IVF and Women Wellness Centre in Lucknow, Dr. Noopur Bajpai provides an empathetic, root-cause treatment approach. Rather than relying solely on temporary birth control pills to force artificial withdrawal bleeding, our protocol addresses insulin resistance, hormonal balance, lifestyle factors, and ovarian health—restoring regular cycles and helping couples achieve natural pregnancies.
Treatment Approach
Because PCOS affects each woman differently, our management strategy is structured into customized clinical phases:
1. In-Depth Hormonal & Metabolic Mapping: We evaluate serum LH:FSH ratios, Anti-Müllerian Hormone (AMH), fasting insulin, fasting glucose, thyroid panel, prolactin, and total/free testosterone. High-resolution pelvic sonography assesses ovarian volume and antral follicle counts.
2. Metabolic Stabilization & Lifestyle Alignment: Insulin resistance is the underlying driver in over 70% of PCOS cases. We prescribe insulin-sensitizing agents (like inositol and metformin where clinically needed) alongside a sustainable low-glycemic dietary regimen and regular physical exercise to restore metabolic equilibrium.
3. Ovulation Induction for Conception: For couples trying to conceive, Dr. Noopur initiates ovulation induction using oral medications (such as letrozole or clomiphene citrate) combined with serial follicular monitoring ultrasounds to identify the exact fertile window for timed intercourse or intrauterine insemination (IUI).
4. Minimally Invasive Keyhole Options: For women with severe medication-resistant anovulatory PCOS, Dr. Noopur performs gentle laparoscopic ovarian drilling (LOD), using micro-punctures to lower androgen output and trigger spontaneous ovulation.
Symptoms & Diagnosis
According to the internationally accepted Rotterdam criteria, PCOS is diagnosed when at least two of the following three features are present:
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Irregular or Absent Periods (Oligo/Anovulation): Cycles longer than 35 days, fewer than 8 periods a year, or complete absence of menstruation.
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Hyperandrogenism: Excessive male hormones leading to coarse facial/body hair (hirsutism), persistent cystic acne, or male-pattern scalp hair thinning.
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Polycystic Ovarian Morphology on Ultrasound: Enlarged ovaries containing 12 or more small follicles (2–9 mm) arranged in a "string of pearls" pattern.
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Difficulty Conceiving: Inability to predict or achieve regular ovulation, making timed natural conception frustrating and difficult.
Early evaluation with Dr. Noopur helps prevent long-term metabolic complications like Type 2 diabetes, cholesterol disorders, and endometrial hyperplasia.