PCOS / PCOD Metabolic Management

Who this programme is for

• Women with diagnosed or suspected PCOS
• Irregular or absent periods, excess facial or body hair, acne or scalp-hair thinning
• Weight gain, insulin resistance, prediabetes or abnormal cholesterol
• Adolescents and young women, with a parent or guardian involved

What the programme includes

• Endocrinologist consultations — a baseline assessment and scheduled reviews
• Baseline and follow-up laboratory tests as advised by your doctor (charged separately)
• A personalised nutrition plan that fits Indian food habits, including vegetarian options
• An activity plan that includes strength (resistance) training
• Dietitian and health-coach follow-up between doctor visits
• Medication review by your endocrinologist at every stage
• Confirmation of the diagnosis and exclusion of conditions that can look like PCOS, such as thyroid or prolactin disorders
• Metabolic screening for glucose, lipids, blood pressure and fatty liver
• Treatment plans for cycle regularity, excess hair growth and acne, coordinated with gynaecology and dermatology colleagues where needed
• Screening for mood, sleep and eating concerns, which are common with PCOS
• Pre-pregnancy advice and timely referral to a gynaecologist or fertility specialist when pregnancy is planned

How progress is measured

• Menstrual cycle pattern
• Symptoms such as hair growth and acne
• Weight and waist
• Glucose / HbA1c, lipids and other metabolic markers

What to expect

PCOS is a long-term condition that can be managed well but not cured. The programme aims for more regular cycles, better symptom control, a healthy weight and a lower long-term risk of type 2 diabetes and heart disease.

If you are planning a pregnancy, please tell us at your assessment. Some medicines used for weight and metabolic health — including GLP-1 and GIP/GLP-1 medicines — must be stopped well before conception, and your care will be planned accordingly.

Your medicines

Safe adjustment of insulin and other diabetes or blood-pressure medicines is part of the programme and is done only by your doctor. Please do not stop or change any medicine on your own — sudden changes can cause dangerously high or low blood sugar.

Who this programme is not suitable for

• Pregnancy or breastfeeding
• Type 1 diabetes
• Recent severe low blood sugars (hypoglycaemia) or very high blood sugars
• Unstable heart disease
• Advanced kidney or liver disease
• An active eating disorder
• Significant frailty

If any of these apply to you, you will still receive specialist care — through a different, individually planned pathway rather than this structured programme.

Information on this page is general and does not replace a consultation. Results vary between individuals.