What is the main cause of PCOS? +
PCOS is primarily caused by insulin resistance and elevated androgen levels. When the body produces too much insulin, it signals the ovaries to produce excess male hormones (androgens), disrupting normal ovulation and leading to the symptoms of PCOS.
Can PCOS be cured permanently? +
PCOS cannot be permanently cured, but it can be very effectively managed. With the right combination of lifestyle changes, medication, and monitoring, most women achieve regular cycles, improved fertility, clearer skin, and healthy weight. Many symptoms may disappear entirely with proper treatment.
How does PCOS affect my chances of getting pregnant? +
PCOS is the most common cause of female infertility, but it is highly treatable. Through ovulation induction, lifestyle modification, and if necessary laparoscopic ovarian drilling, most women with PCOS are able to achieve pregnancy with Dr. Mohanty's guidance at Genova Clinic.
What is the difference between PCOD and PCOS? +
PCOD (Polycystic Ovarian Disease) is a milder condition where the ovaries release immature eggs, and it can be managed easily with lifestyle changes. PCOS (Polycystic Ovary Syndrome) is a more complex metabolic and endocrine disorder involving hormonal imbalances that affect many systems in the body.
Does PCOS directly cause weight gain? +
Yes. Insulin resistance — a key feature of PCOS — causes the body to store fat, especially around the abdomen. Elevated androgens also alter fat distribution. This makes weight loss harder for women with PCOS, which is why a specialised, medically supervised approach is recommended.
How do you test for insulin resistance in PCOS? +
Dr. Mohanty uses a comprehensive panel including fasting insulin, fasting glucose, HOMA-IR index, HbA1c, and sometimes an oral glucose tolerance test (OGTT) to assess insulin resistance. This is combined with hormonal blood tests and pelvic ultrasound for a complete picture.
Can lifestyle changes reverse PCOS symptoms? +
Yes, significantly. A low-glycemic diet, regular exercise, and even 5–10% weight loss can restore ovulation, reduce androgen levels, clear acne, and regulate periods. Lifestyle changes are the first-line treatment recommended by FOGSI for PCOS management.
What is Laparoscopic Ovarian Drilling? +
Laparoscopic Ovarian Drilling (LOD) is a minimally invasive surgical procedure used for PCOS patients who do not respond to medication. Small holes are created in the ovary using a laser or fine needle to reduce androgen-producing tissue, restoring natural ovulation. Dr. Mohanty offers this at Genova Clinic for eligible patients.
Will my facial hair go away with treatment? +
With proper hormonal treatment and lifestyle changes, new hair growth slows significantly and existing hair often becomes finer. Existing terminal hairs may require additional cosmetic treatments like laser hair removal. Most patients see noticeable improvement within 6–12 months of consistent treatment.
Do I need to take medication forever? +
Not necessarily. Many women are able to taper off or stop medications once their hormones are balanced and lifestyle changes are sustained. Dr. Mohanty's goal is to achieve hormonal independence through long-term healthy habits wherever possible.
How long does it take for periods to become regular? +
With proper treatment, most patients see improvement in cycle regularity within 3–6 months. The timeline varies based on the severity of PCOS, degree of insulin resistance, and how consistently treatment and lifestyle changes are followed.
Is PCOS common in India? +
Yes, PCOS is extremely common in India. Studies published in JAMA estimate that nearly 1 in 5 young Indian women are affected. Urban lifestyle factors — processed diets, sedentary work, high stress — significantly contribute to the high prevalence in cities like Delhi.
