PCOS Treatment in Nagpur
Diagnosed, explained and managed by Dr. Kunda Shahane — an obstetrician-gynaecologist who does the consultation, the scan and the follow-up herself.
Polycystic ovarian syndrome is a hormonal condition that affects how regularly the ovaries release an egg. It shows up as irregular or missed periods, acne or unwanted hair, and sometimes difficulty conceiving. It is diagnosed on a combination of your history, an examination, blood tests and an ultrasound — never on a scan report alone — and it is managed rather than cured. At Mayflower Clinic, Dr. Kunda Shahane makes the diagnosis, prescribes the treatment, does the follicular tracking where fertility is the concern, and reviews it with you as your priorities change.
What PCOS actually is
In an ordinary cycle, one follicle in the ovary matures and releases an egg. In PCOS that final step is disrupted. Several follicles begin to develop and then stall, which is what produces the appearance the ultrasound picks up. Because ovulation does not happen predictably, the period does not arrive predictably either.
Two things drive it. The first is a higher level of androgens, the hormones responsible for acne, unwanted facial and body hair, and scalp hair thinning. The second is insulin resistance, where the body needs to produce more insulin to do the same work — which in turn raises androgens further. This is why PCOS is both a gynaecological and a metabolic condition, and why treating only the periods misses half of it.
The name is misleading. The follicles seen on a scan are not cysts in the sense most people mean, and nothing needs to be removed. A woman can also have PCOS with normal-looking ovaries, and can have the ovarian appearance without having PCOS at all. The scan is one piece of evidence, not the diagnosis.
How the diagnosis is made
PCOS is diagnosed on the Rotterdam criteria, which require two of the following three, once other causes have been excluded:
Irregular ovulation
Cycles longer than 35 days, fewer than eight periods a year, or periods that stop for months at a time.
Raised androgens
Either visible — acne, hirsutism, scalp hair thinning — or on a blood test. Visible signs count; a normal blood level does not overrule them.
Ovarian appearance
The typical polycystic appearance on pelvic ultrasound. Not used at all when diagnosing adolescents.
The exclusion step is the part most often skipped, and it matters. Thyroid disease, raised prolactin, late-onset congenital adrenal hyperplasia and, rarely, androgen-secreting tumours can all produce irregular cycles with androgenic features. Treating those as PCOS delays the real diagnosis. This is why a hormone profile, thyroid function and prolactin are checked before the label is applied — and why Dr. Kunda will not confirm PCOS on the strength of an outside scan report that says “polycystic ovaries”.
What treatment is aimed at
There is no single treatment for PCOS, because PCOS does not do the same thing to every woman. What you are treated for depends on what is actually affecting you now, and it changes over your life.
Irregular or absent periods
The concern is not only inconvenience. If the lining of the uterus is not shed regularly over years, it can thicken abnormally. Cycles are regularised with the combined oral contraceptive pill, prescribed and reviewed by Dr. Kunda herself, or with cyclical progesterone where the pill is unsuitable.
Insulin resistance and metabolic risk
Where glucose tolerance is impaired or insulin resistance is present, metformin is prescribed and lifestyle change is started alongside it. The wider metabolic picture — glucose, lipids, blood pressure — is managed jointly with a physician, including the follow-up monitoring, rather than being left to a once-yearly test.
Acne and unwanted hair
These come from the hormonal imbalance, so the hormonal cause is treated first, usually with the combined oral contraceptive pill. Improvement takes several months and is gradual rather than dramatic. Where the skin or hair problem needs treatment beyond hormonal management, Dr. Kunda refers on and keeps the hormonal follow-up herself.
Trying to conceive
Where ovulation is not happening, it is induced — letrozole or clomiphene, prescribed here, with follicular tracking performed by Dr. Kunda so the timing is guided rather than guessed. Weight and metabolic factors are addressed at the same time because they affect the response. IUI, IVF and ICSI are not offered here and are referred to a registered ART centre.
Long-term health
PCOS raises the lifetime risk of type 2 diabetes, high blood pressure and abnormal cholesterol, and those risks do not disappear once periods are regular. Periodic review is part of the plan rather than an optional extra.
Weight, diet and what actually helps
Where weight is a factor, a modest reduction — not a dramatic one — often restores ovulation on its own and improves cycles, insulin resistance and the response to ovulation induction. It is the change with the widest effect and the one most worth the effort.
Two things need saying honestly. PCOS also occurs in slim women, so telling every woman with PCOS to lose weight is poor medicine and leaves lean patients with no plan at all. And weight is harder to shift with insulin resistance than without it, so being told to simply eat less and move more, without acknowledging that, is both unhelpful and unfair. Dr. Kunda does the diet and lifestyle counselling herself, in the consultation, against your actual routine and your actual food.
Worth doing
- Get the diagnosis confirmed properly before accepting the label
- Have thyroid, prolactin and glucose checked, not just an ultrasound
- Treat what is affecting you now, and review as that changes
- Keep some form of regular bleed if your periods are very infrequent
- Come back for a metabolic review even when cycles are settled
Not worth doing
- Accepting a PCOS diagnosis made from a scan report alone
- Assuming PCOS means you will not be able to conceive
- Starting fertility medication without confirming ovulation is the problem
- Stopping treatment the month cycles become regular
- Following an online diet built for someone else’s body
PCOS in teenagers
Dr. Kunda sees adolescents for this, and the approach is deliberately different. In the first two to three years after periods begin, irregular cycles are common and usually normal. Diagnosing PCOS in that window on the strength of an irregular cycle alone risks labelling a girl with a lifelong condition she does not have.
So the criteria are stricter. Both irregular cycles and clear androgenic features are needed, and the ovarian appearance on ultrasound is not used as a criterion in adolescents at all, because multiple follicles are a normal finding at that age. Where the picture is unclear, the honest answer is to review it in six to twelve months rather than to commit to a diagnosis.
A parent is welcome in the room. Treatment when it is needed is aimed at cycles and at the skin and hair changes that matter most to a teenager, and the fertility conversation is not the point of the consultation at that age.
What happens at your visit
- HistoryCycle pattern since periods began, weight changes, skin and hair changes, family history of diabetes or PCOS, medicines you take, and what you want from the visit — regular periods, clearer skin, or a pregnancy.
- ExaminationIncluding blood pressure, weight and a check for the skin changes that go with insulin resistance.
- Blood testsHormone profile, thyroid function, prolactin, and glucose and lipid testing where indicated. Timed to a particular day of your cycle where that matters.
- Ultrasound where indicatedPerformed by Dr. Kunda, assessing the ovaries and the thickness of the lining of the uterus.
- ExplanationWhat the findings mean, what they do not mean, and which parts of PCOS are affecting you.
- The planWritten down, with what to expect and by when, and when to come back. Where a physician needs to be involved for the metabolic side, that is arranged rather than suggested.
Who looks after you afterwards
The doctor who makes the diagnosis is the doctor who prescribes the treatment, performs the scans, tracks the follicles if you are trying to conceive, and reviews the plan as your priorities change. There is no handover between a scan centre, a prescriber and someone else for the follow-up. If you do conceive, the pregnancy can be looked after here too — which matters in PCOS, where the risk of gestational diabetes is higher and is worth watching for from the start.
What it costs
| Consultation | ₹500 |
|---|---|
| Follow-up visit | ₹500 |
| Blood tests, scans and medicines | Charged separately, depending on what is indicated |
The consultation is charged in addition to any scan performed on the same visit. What PCOS costs to manage varies widely, because it depends on which parts of it are affecting you and whether you are being treated for cycles, for metabolic risk or for fertility. Charges can change at any time without prior notice — please confirm with clinic reception before your visit. See the full fee list.
Questions women ask
What are the symptoms of PCOS?
The three that bring most women in are irregular or missed periods, acne or unwanted facial and body hair, and difficulty conceiving. Weight gain around the middle, hair thinning at the scalp and darkened skin folds at the neck or underarms are also common. You do not need all of them. Many women have only irregular cycles, and some have regular cycles with everything else.
How is PCOS diagnosed?
By the Rotterdam criteria, which need two of three findings: irregular or absent ovulation, clinical or blood-test evidence of raised androgens, and the typical appearance of the ovaries on ultrasound. Other conditions that look similar — thyroid disease, raised prolactin, late-onset adrenal problems — must be excluded first. That is why a diagnosis is not made from one scan report.
Does PCOS mean I cannot get pregnant?
No. This is the single most common thing women are frightened by and it is not true. PCOS affects how regularly you ovulate, not whether your ovaries work. Many women with PCOS conceive without any treatment. Where ovulation is not happening, ovulation induction with letrozole or clomiphene is prescribed here and Dr. Kunda tracks the follicles herself, so the timing is guided rather than guessed.
Can PCOS be cured?
It is managed rather than cured, in the same way blood pressure is managed. That is not bad news. Cycles can be regularised, androgenic symptoms improved, ovulation restored and long-term risks reduced. What changes over your life is which part of it needs attention — cycles in your twenties, fertility later, metabolic health after that.
Will I have to take metformin?
Not always. Metformin is used where there is insulin resistance or impaired glucose tolerance, which is common in PCOS but not universal. Dr. Kunda prescribes it and works with a physician on the wider metabolic management, including the follow-up monitoring. Lifestyle changes are started alongside it, not instead of it.
Can I take the pill for PCOS if I want a baby later?
Yes. The combined oral contraceptive pill is used to regularise cycles, protect the lining of the uterus and improve acne and unwanted hair. It does not affect your fertility once it is stopped. Dr. Kunda prescribes it herself and reviews whether it still suits you as your plans change.
My daughter is 16, with irregular periods and acne. Is it PCOS?
Possibly, but adolescent cycles are often irregular for the first two to three years after periods begin, and that alone is not PCOS. The diagnostic criteria for teenagers are deliberately stricter than for adults, and ovarian appearance on ultrasound is not used to diagnose them. Dr. Kunda sees adolescents for this. A parent is welcome in the room.
Does losing weight really help?
Where weight is a factor, yes — a modest reduction often restores ovulation on its own, and it is the single change with the widest effect on cycles, metabolic risk and fertility. But PCOS also occurs in slim women, and telling every woman to lose weight is poor medicine. Dr. Kunda does the diet and lifestyle counselling herself rather than handing over a printed sheet.
Do I need an ultrasound to be diagnosed?
Often, but not always. Ultrasound is one of the three Rotterdam findings, and if you already have irregular ovulation plus clear androgenic features, the diagnosis can be made without it. A scan is still useful to check the lining of the uterus and to rule out other causes. Ultrasound here is used only for medical assessment.
What happens if PCOS is left alone?
The immediate risk is to the lining of the uterus. If periods are very infrequent the lining is not shed regularly, and over years that raises the risk of abnormal thickening. Over the longer term PCOS raises the risk of type 2 diabetes, high blood pressure and abnormal cholesterol. None of this is inevitable, which is the reason for reviewing it rather than treating symptoms only when they are troublesome.
Do you do IUI or IVF for PCOS?
No. Ovulation induction and follicular tracking are done here, and Dr. Kunda counsels the male partner and reviews the semen analysis where a couple is being evaluated. IUI, IVF and ICSI are not offered at this clinic and are referred to a registered ART centre under the ART (Regulation) Act, 2021. If you conceive after IVF elsewhere, the pregnancy can be monitored here.
What does PCOS treatment cost?
The consultation is ₹500 and a follow-up visit is ₹500. Scans, blood tests and medicines are charged separately, and what you need depends on which parts of PCOS are affecting you. Charges can change at any time without prior notice — please confirm with clinic reception on 0712 6692706 before your visit.
I always tell young women to stop Googling their diagnosis. PCOS does not mean you cannot have children; that is a common myth. It is simply a hormonal imbalance that we can manage. With personalized lifestyle changes and the right treatment plan, a healthy pregnancy is a very realistic goal.Dr. Kunda Shahane MBBS · MS (Obs & Gynae) · FIFM · FMF (London)
Written and medically reviewed by Dr. Kunda Shahane, MBBS · MS (Obs & Gynae) · FIFM · FMF (London) · Last reviewed: 4 September 2026
Related pages
Speak to Dr. Kunda Shahane about PCOS
For diagnosis, cycle and metabolic management, or help conceiving. Consultations in English, Hindi and Marathi.
Mayflower Clinic, Surdham Complex, Behind Silver Palace Building, 2nd Lane from Panchsheel Square, Opp. Yashwant Stadium, Dhantoli, Nagpur – 440012 · Monday–Saturday, 10:00 AM – 6:00 PM · Sunday closed
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