PCOS and Insulin Resistance Care in Gachibowli, Hyderabad
Polycystic ovary syndrome (PCOS) causes irregular periods, excess hair or acne and, often, insulin resistance, which raises the risk of weight gain, prediabetes, type 2 diabetes and fatty liver. Physician care focuses on the metabolic side: regular checks of glucose, cholesterol and blood pressure, a healthy-weight plan and medicines such as metformin. Fertility and period treatment is shared with a gynaecologist.
Your PCOS metabolic care pathway
Confirm the diagnosis
Two of three features: irregular periods, signs of high male hormones, and ovary changes on ultrasound or blood tests.
Metabolic checks
Glucose tolerance test or HbA1c, cholesterol, blood pressure, weight and waist.
Lifestyle plan
Diet and activity tailored to you; even 5% weight loss can improve cycles.
Medicines
Metformin for insulin resistance and other medicines as needed; hormonal treatment with a gynaecologist.
Ongoing review
Glucose rechecked every one to three years, and mood and sleep reviewed.
Symptoms
- Irregular, infrequent or absent periods
- Excess hair on the face or body, acne or scalp hair thinning
- Weight gain, especially around the waist
- Darkened skin on the neck or armpits
- Difficulty becoming pregnant
- Low mood or anxiety
Causes & risk factors
- Insulin resistance, which raises male hormone levels
- Family history of PCOS or type 2 diabetes
- Excess weight, which worsens symptoms (though slim women can have PCOS too)
Why PCOS is a metabolic condition
Women with PCOS have a higher risk of:
- Prediabetes and type 2 diabetes, so glucose is checked at diagnosis and every one to three years
- Gestational diabetes in pregnancy
- High cholesterol and triglycerides, high blood pressure and fatty liver
- Sleep apnoea, especially with excess weight
- Depression and anxiety
Treatment options
Treatment is tailored to your main concerns.
| Goal | Options |
|---|---|
| Insulin resistance and weight | Healthy eating, regular activity, metformin; weight-loss medicines for some |
| Irregular periods, excess hair, acne | Hormonal treatment such as the combined pill, with a gynaecologist |
| Fertility | Referral to a gynaecologist or fertility specialist |
| Glucose, cholesterol and blood pressure | Treated to their own targets |
How it’s diagnosed
PCOS is diagnosed when two of three features are present: irregular periods, signs or blood tests showing raised male hormones, and ovary changes on ultrasound, after other causes such as thyroid problems are excluded. Glucose tolerance or HbA1c, cholesterol, blood pressure and weight are checked at the on-site lab; ultrasound is arranged through partner facilities.
How it’s treated
Care focuses on insulin resistance and metabolic risk: a lifestyle and weight plan, metformin where helpful, and treatment of glucose, cholesterol and blood pressure. Hormonal treatment for periods, hair and acne, and fertility care, are shared with a gynaecologist. Mood and sleep are reviewed at follow-up.
When to seek care
- No period for three months or more
- Very heavy bleeding
- Extreme thirst or passing a lot of urine
- Low mood that affects daily life
FAQ
Is PCOS the same as PCOD?
They are terms for the same condition. PCOS (polycystic ovary syndrome) is the name used in current guidelines.
Why does PCOS raise diabetes risk?
Most women with PCOS have insulin resistance, which raises blood sugar over time, so glucose is checked regularly.
Does metformin help PCOS?
It can improve insulin resistance and help weight and cycles in some women. It is chosen individually alongside lifestyle changes.
Can slim women have PCOS?
Yes. Insulin resistance can be present at a normal weight, so metabolic checks still matter.
Where can I get PCOS care in Gachibowli, Hyderabad?
Dr. Ram Kumar G provides metabolic care for PCOS at Boston Diabetes Center, Gachibowli, Hyderabad, working with gynaecologists for period and fertility treatment. Call or WhatsApp 09618994555.
Medical disclaimer: Content on this page is for general education and is not a substitute for individualized medical advice, diagnosis, or treatment. Outcomes vary between patients. Boston Diabetes Center is outpatient / day-care specialty centre with an on-site diagnostic lab and pharmacy — no inpatient beds; imaging and inpatient care are coordinated through partner facilities.