

PCOS treatment for irregular periods is one of the most common reasons women visit a gynaecologist in Shyamnagar. Polycystic ovary syndrome (PCOS) is a hormonal condition affecting women of reproductive age, characterised by irregular menstrual cycles, elevated androgen levels, and small cysts on the ovaries. At Apollo Clinic Shyamnagar, our multispecialty clinic offers structured gynaecological care for women across Shyamnagar and the surrounding North 24 Parganas belt — from initial diagnosis through to long-term hormonal management.
PCOS is not a single disease but a syndrome — meaning it presents differently in each patient. Early, accurate diagnosis is essential to prevent complications including infertility, type 2 diabetes, and cardiovascular risk. Our Gynaecology & Obstetrics team works alongside the diagnostics department and other specialists to deliver a complete care pathway.
PCOS affects an estimated 1 in 10 women of reproductive age globally
Irregular periods are the most frequently reported symptom
The condition is manageable with the right combination of lifestyle changes and medical therapy
Early intervention significantly reduces the risk of long-term metabolic complications
Apollo Clinic Shyamnagar has doctors across multiple specialities, enabling integrated PCOS care under one roof
Symptoms of polycystic ovary syndrome vary in severity and combination. Recognising them early allows for timely gynaecological intervention and better outcomes.
| Symptom Category | Common Presentations |
|---|---|
| Menstrual Irregularity | Fewer than 8 periods per year, cycles longer than 35 days, or complete absence of periods (amenorrhoea) |
| Hormonal / Androgen Excess | Excess facial or body hair (hirsutism), acne, oily skin, male-pattern hair thinning |
| Metabolic Signs | Unexplained weight gain, difficulty losing weight, darkened skin patches (acanthosis nigricans) |
| Ovarian Changes | Multiple small follicles visible on ultrasound, pelvic discomfort or bloating |
| Mood & Energy | Fatigue, anxiety, low mood — often linked to hormonal fluctuation |
Tip: Not every woman with PCOS will have all symptoms. Some women present with only irregular periods and no visible androgen signs — a gynaecologist's evaluation is the only reliable way to confirm the diagnosis.
Women experiencing hormonal hair loss alongside PCOS may also benefit from evaluation by our dermatology team, which combines endocrine assessment with targeted scalp therapies.
The exact cause of PCOS is not fully established, but research consistently points to a combination of genetic, hormonal, and lifestyle factors. Understanding these helps guide personalised treatment decisions.
Insulin resistance: Elevated insulin stimulates the ovaries to produce excess androgens, disrupting ovulation. This is present in a significant proportion of women with PCOS.
Elevated androgens (male hormones): High levels of testosterone and related hormones suppress normal follicle development and menstrual regularity.
Genetic predisposition: PCOS tends to run in families. A first-degree relative with PCOS or type 2 diabetes increases individual risk.
Low-grade inflammation: Chronic low-level inflammation has been linked to stimulating polycystic ovaries to produce androgens.
Excess body weight: Obesity amplifies insulin resistance and worsens hormonal imbalance, though PCOS also occurs in women with a healthy BMI.
Sedentary lifestyle and dietary patterns: High-glycaemic diets and physical inactivity contribute to insulin dysregulation.
Warning: Untreated PCOS is associated with an increased long-term risk of type 2 diabetes, endometrial cancer, and cardiovascular disease. Do not delay a gynaecological assessment if you have persistent irregular periods.
PCOS diagnosis follows the Rotterdam Criteria, which requires at least two of three findings: irregular ovulation, clinical or biochemical signs of excess androgens, and polycystic ovaries on ultrasound. A gynaecologist will combine clinical history with targeted investigations.
Detailed menstrual history — cycle length, frequency, flow volume, and associated symptoms
Physical examination — assessment for hirsutism, acne, and body mass index
Pelvic ultrasound — to visualise ovarian morphology and follicle count
Hormonal blood panel — LH, FSH, testosterone, prolactin, thyroid function (TSH), and DHEAS
Metabolic screening — fasting blood glucose and insulin levels to assess insulin resistance
HbA1c testing — to evaluate average blood sugar control over the preceding 2–3 months
Apollo Clinic Shyamnagar's in-house diagnostics department supports quick turnaround on these investigations. Patients can access a blood glucose test and an HbA1c test as part of a structured PCOS workup — avoiding the need to visit multiple facilities.
Tip: Thyroid disorders and hyperprolactinaemia can mimic PCOS symptoms. A complete hormonal panel rules out these conditions before a PCOS diagnosis is confirmed.
Treatment for PCOS and irregular periods is tailored to the patient's primary concern — whether that is cycle regulation, fertility, acne, or metabolic health. There is no single universal protocol; a gynaecologist will build a plan based on your symptom profile and reproductive goals.
| Treatment Option | Primary Goal | Candidacy | Typical Duration |
|---|---|---|---|
| Lifestyle Modification | Reduce insulin resistance, restore ovulation | All women with PCOS — first-line for all | Ongoing; results in 3–6 months |
| Combined Oral Contraceptive Pill | Regulate periods, reduce androgens, manage acne | Women not seeking pregnancy | Ongoing while required |
| Metformin | Improve insulin sensitivity, support ovulation | Women with insulin resistance or metabolic PCOS | 3–6 months minimum |
| Ovulation Induction (Letrozole / Clomiphene) | Stimulate ovulation for conception | Women with PCOS-related infertility | Per treatment cycle (monitored) |
| Anti-androgen Therapy | Reduce hirsutism, acne, and hair thinning | Women with significant androgen excess | 6–12 months for visible effect |
| Laparoscopic Ovarian Drilling | Restore ovulation in medication-resistant cases | Women unresponsive to oral ovulation induction | Single procedure; recovery 1–2 weeks |
Medical management, ultrasound monitoring and follow-up are handled at the clinic. Surgical options such as laparoscopic ovarian drilling, and advanced fertility treatment, are arranged through referral to the wider Apollo hospital network when needed.
Women with PCOS who also have skin concerns such as persistent acne may benefit from a combined approach — our dermatology team at Apollo Clinic Shyamnagar can address residual acne scarring once hormonal acne is controlled.
Many women delay seeking care, assuming irregular periods are a temporary issue. The following thresholds indicate when a gynaecologist consultation is clinically warranted:
Menstrual cycles consistently shorter than 21 days or longer than 35 days for more than 3 consecutive months
Fewer than 8 menstrual periods in a 12-month period
Complete absence of periods for 90 days or more (not due to pregnancy)
Sudden onset of significant facial or body hair growth in an adult woman
Unexplained weight gain of more than 5 kg over 3 months without dietary change
Difficulty conceiving after 12 months of unprotected intercourse (or 6 months if over age 35)
Persistent acne unresponsive to standard skincare after age 25
A family history of PCOS, type 2 diabetes, or early cardiovascular disease
Adolescents should be assessed if periods have not commenced within 3 years of breast development, or by age 15 — whichever comes first. At Apollo Clinic Shyamnagar, gynaecological consultations are available across age groups, from adolescent menstrual health to perimenopausal care.
Apollo Clinic Shyamnagar is a multispecialty outpatient clinic under the Apollo Health & Lifestyle network in Shyamnagar, North 24 Parganas. For women in Shyamnagar and the nearby Jagaddal, Kankinara, Bhatpara and Naihati belt, it provides structured, evidence-based gynaecological care without the need to travel into Kolkata.
The clinic's integrated model means that a woman presenting with PCOS can receive a gynaecological consultation, pelvic ultrasound, hormonal blood panel and metabolic screening within the same facility — reducing delays and the burden of visiting multiple providers. Our gynaecologists work with other specialists at the clinic, including dermatology, on complex PCOS presentations.
For women with PCOS-related skin concerns, our skin care specialists work in coordination with the gynaecology team to manage androgen-driven acne and pigmentation as part of a unified treatment plan.
Book a PCOS consultation at Apollo Clinic Shyamnagar
Use the booking form on this page, or book directly with our doctors:
Q. What are the main symptoms of PCOS?
The most common symptoms of PCOS include irregular or absent periods, excess facial or body hair (hirsutism), acne, oily skin, unexplained weight gain, and thinning scalp hair. Some women also experience pelvic discomfort, fatigue, and mood changes. Symptoms vary considerably between individuals — a gynaecologist's assessment is needed for an accurate diagnosis.
Q. How is PCOS diagnosed?
PCOS is diagnosed using the Rotterdam Criteria, which requires at least two of three findings: irregular ovulation, signs of excess androgens (clinical or via blood tests), and polycystic ovaries on ultrasound. A gynaecologist will also order a hormonal blood panel, fasting glucose, HbA1c, and thyroid function tests to rule out other conditions and assess metabolic risk.
Q. Can PCOS cause infertility?
Yes. PCOS is one of the most common causes of ovulatory infertility. Irregular or absent ovulation means eggs are not released consistently, making conception more difficult. However, most women with PCOS can conceive with appropriate treatment — including lifestyle changes, ovulation-inducing medications such as letrozole, or assisted reproductive techniques if required. Early gynaecological intervention improves outcomes.
Q. When should I see a gynaecologist for irregular periods?
Consult a gynaecologist if your cycles are consistently shorter than 21 days or longer than 35 days for three or more consecutive months, if you have fewer than 8 periods per year, or if your periods have stopped for 90 days without pregnancy. Also seek assessment if you notice sudden hair growth, unexplained weight gain, or persistent acne alongside menstrual changes.
Q. Are there gynaecologists in Shyamnagar who treat PCOS?
Yes. Apollo Clinic Shyamnagar has gynaecologists who manage PCOS and irregular periods as part of a multispecialty outpatient clinic. The clinic also offers in-house diagnostics including hormonal blood panels, pelvic ultrasound, and metabolic screening. Use the booking form on this page to schedule a consultation.
Q. What is the best treatment for PCOS in India?
There is no single universal treatment. Management is personalised based on the patient's primary concern — cycle regulation, fertility, acne, or metabolic health. First-line treatment for all women is lifestyle modification including a low-glycaemic diet and regular exercise. Medications such as combined oral contraceptives, metformin, or letrozole are added based on individual needs, as determined by a qualified gynaecologist.