PCOS Treatment in Delhi: Why Lifestyle is 70% of the Solution
Polycystic Ovary Syndrome affects one in five urban Indian women of reproductive age. Long-term management is not about lifelong pills — it is about sustainable lifestyle change. Here is the evidence-based approach Dr Sadhna takes with every PCOS patient.
PCOS — Polycystic Ovary Syndrome, also called PCOD — is the most common hormonal disorder among women of reproductive age in urban India. In Delhi alone, approximately one in five women between 18 and 35 meet diagnostic criteria for PCOS. Symptoms include irregular or absent menstrual periods, unwanted facial or body hair growth, persistent acne, weight gain (especially around the abdomen), difficulty losing weight, and in many cases difficulty conceiving. Underneath these visible symptoms lies a metabolic and hormonal imbalance — insulin resistance, elevated androgens, and disrupted ovulation. Conventional treatment in India often centres on hormonal pills like Diane-35 or oral contraceptives, sometimes combined with metformin. While these have their place, they treat symptoms rather than the underlying metabolic dysfunction. The result: patients return to baseline as soon as medication stops. Dr Sadhna's approach to PCOS is fundamentally different. She begins with a thorough investigation: hormonal panel (LH, FSH, testosterone, DHEAS, prolactin), insulin resistance assessment (fasting insulin and HOMA-IR), thyroid function, vitamin D, lipid profile, and pelvic ultrasound. Once the metabolic picture is clear, treatment is individualised. For most patients, the foundation is lifestyle: a low-glycaemic, fibre-rich diet (with a referral to a nutritionist if intensive support is needed), regular strength and cardio exercise (which improves insulin sensitivity within weeks), adequate sleep, and stress reduction. Medication is added only when clinically required: metformin for insulin resistance, inositol for ovulation support, hormonal therapy for cycle regulation, or fertility-focused treatment for women trying to conceive. Most patients see significant improvement in 3-6 months of sustained lifestyle change combined with appropriate medication. Cycles become more regular, weight stabilises, acne improves, and for those trying to conceive, ovulation often resumes naturally. The long-term goal is not lifetime medication but a sustainable healthy lifestyle that keeps PCOS well-managed. If you are struggling with PCOS in Delhi, particularly in West Delhi areas like Paschim Vihar, Punjabi Bagh, Vikas Puri, or Janakpuri, Dr Sadhna offers comprehensive PCOS consultation at SRV Clinic with detailed follow-up at 3 and 6 months.
