PCOS / PCOD Clinic in Ahmedabad - Comprehensive Polycystic Ovary Syndrome Care at EPIC Hospital
Polycystic ovary syndrome – PCOS – is the most common endocrine disorder in women of reproductive age, affecting an estimated 10 to 15 percent of women in India. In Ahmedabad and across Gujarat, the combination of genetic predisposition, dietary patterns rich in refined carbohydrates, and high rates of insulin resistance means PCOS presents frequently and often severely. Yet it is also one of the most inconsistently managed conditions in outpatient medicine – many women are told simply to lose weight and take oral contraceptives, without a proper assessment of their individual hormonal profile, metabolic risk, or fertility implications.
The PCOS clinic at EPIC Multispecialty Hospital, Ahmedabad, takes a different approach. PCOS is a metabolic and endocrine condition with multiple phenotypes, and its management needs to be tailored to the individual – whether the primary concern is menstrual irregularity, hirsutism, difficulty conceiving, weight management, or long-term prevention of type 2 diabetes and cardiovascular disease.
Our PCOS team at EPIC Hospital Ahmedabad brings together endocrinology, gynaecology, dietitian, and where fertility is the concern, reproductive medicine – because PCOS crosses the boundaries of a single specialty and requires a multi-dimensional approach to manage properly.
Understanding PCOS – What It Is, What Causes It, and How It Presents
- The Rotterdam diagnostic criteria: PCOS is diagnosed when at least 2 of the following 3 criteria are present: oligo- or anovulation (irregular or absent periods), clinical or biochemical signs of hyperandrogenism (excess male hormones – hirsutism, acne, alopecia, raised testosterone), and polycystic ovarian morphology on ultrasound (12 or more follicles per ovary or increased ovarian volume). Not all women with PCOS have all three features – the condition has four recognised phenotypes that differ in their hormonal and metabolic implications.
- Insulin resistance at the core: The majority of women with PCOS have underlying insulin resistance – even those who are not overweight. Elevated insulin stimulates the ovaries to produce excess androgens (male hormones), disrupts follicle development and ovulation, and creates a hormonal environment that perpetuates the condition. In Gujarat, where the prevalence of insulin resistance is high due to genetic and dietary factors, PCOS tends to have a more pronounced metabolic component than in Western populations.
- Menstrual irregularity: Oligomenorrhoea (periods more than 35 days apart) or amenorrhoea (no periods for 3 or more months) affects up to 70 percent of women with PCOS. This is caused by chronic anovulation – the failure to ovulate regularly – which also results in irregular or absent progestogen exposure and can lead to endometrial hyperplasia if prolonged. At EPIC Multispecialty Hospital, Ahmedabad, menstrual cycle regulation is managed with progestogen-only therapy, combined oral contraceptives, or metformin depending on the clinical context.
- Hyperandrogenism – hirsutism, acne, and hair loss: Elevated androgens cause unwanted facial and body hair (hirsutism), acne, and female pattern hair loss (androgenic alopecia) – symptoms that significantly affect quality of life and self-esteem. Management at our PCOS clinic in Ahmedabad includes anti-androgen medications (spironolactone, cyproterone acetate), combined oral contraceptives with anti-androgenic progestogens, and topical treatments for acne. Addressing the underlying insulin resistance reduces androgen production over time.
- Metabolic consequences of PCOS: Women with PCOS have a significantly elevated lifetime risk of type 2 diabetes – up to 7-fold higher than women without PCOS. They also carry higher risks of gestational diabetes, hypertension, dyslipidaemia, and potentially non-alcoholic fatty liver disease. At EPIC Hospital Ahmedabad, our PCOS clinic screens regularly for these metabolic complications and intervenes early – because the metabolic consequence prevented is infinitely preferable to the complication treated.
- PCOS and fertility: PCOS is the most common cause of anovulatory infertility. For women trying to conceive, management includes ovulation induction with letrozole (now the first-line agent, superior to clomiphene in multiple trials), followed by gonadotrophin stimulation if letrozole fails. Metformin improves ovulation induction response in insulin-resistant women. Our endocrinologist and reproductive medicine team at EPIC Multispecialty Hospital, Ahmedabad, manage PCOS-related fertility concerns in coordination, ensuring metabolic optimisation before fertility treatment begins.
PCOS Management at EPIC Hospital Ahmedabad – Individual, Not Generic
The most important thing to say about PCOS management is that there is no single correct treatment – because PCOS itself is not a single condition. A 19-year-old with PCOS presenting with irregular periods and acne has different needs from a 32-year-old with PCOS who has been trying to conceive for two years and has pre-diabetes, or a 38-year-old with PCOS who has developed type 2 diabetes and metabolic syndrome. All three women technically meet the same diagnostic criteria, but their management at EPIC Multispecialty Hospital, Ahmedabad, would be substantially different.
Weight management is central for overweight women with PCOS – but it needs to be said precisely. Even modest weight loss of 5 to 10 percent of body weight significantly improves insulin sensitivity, reduces androgen levels, restores more regular ovulation, and reduces metabolic risk in overweight women with PCOS. The mechanism is direct – less insulin resistance means less ovarian androgen stimulation means better follicle development. At our PCOS clinic in Ahmedabad, dietary counselling is structured and specific: low glycaemic index diets, reduced refined carbohydrate load, and caloric deficit calibrated to be achievable rather than aspirational. For women with significant insulin resistance who are struggling with weight despite dietary effort, GLP-1 receptor agonists – semaglutide, liraglutide – are genuinely transformative for PCOS management, producing weight loss, improving insulin sensitivity, and in several studies, restoring more regular ovulation.
Metformin is the most established insulin-sensitising agent in PCOS. It reduces hepatic glucose production, improves peripheral insulin sensitivity, reduces androgen production, and in women with PCOS, modestly improves menstrual regularity and ovulation rates. It is not a weight loss drug, and it does not eliminate PCOS – but as part of a broader management plan, it addresses one of the fundamental metabolic drivers of the condition. At EPIC Hospital Ahmedabad, metformin is prescribed at appropriate doses with monitoring, not as a box-tick prescription.
For women whose PCOS is the primary barrier to conception – where irregular ovulation means unpredictable fertility windows and ovulation induction is needed – the management pathway at EPIC Multispecialty Hospital, Ahmedabad, is coordinated between endocrinology and reproductive medicine. Metabolic optimisation, specifically improving insulin sensitivity before fertility treatment, improves both ovulation induction response and early pregnancy outcomes. This collaborative approach – rather than treating the fertility problem in isolation from the underlying metabolic condition – is what produces better outcomes for women with PCOS trying to conceive in Ahmedabad.
Know Your Signs
Frequent Urination or Excessive Thirst
Unexplained Weight Gain or Weight Loss
Constant Fatigue or Weakness
Poor Sugar Control Despite Medication
Irregular Menstrual Cycles or Fertility Issues
Hair Fall, Dry Skin, or Heat/Cold Intolerance
Delayed Wound Healing
Tingling or Numbness in Hands and Feet
Emergency Services
Our dedicated emergency team is available 24/7 to provide immediate medical care and support in critical situations.
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Frequently Asked Questions - PCOS / PCOD Clinic in Ahmedabad
What is PCOS and what causes it?
PCOS (Polycystic Ovary Syndrome) is the most common hormonal disorder in women of reproductive age, characterised by irregular periods, excess androgen hormones, and polycystic ovaries on ultrasound. The underlying cause is complex – insulin resistance, elevated luteinising hormone (LH), and genetic predisposition all contribute. In Gujarat, high rates of insulin resistance make PCOS particularly prevalent and often metabolically severe.
What is the difference between PCOS and PCOD?
PCOD (Polycystic Ovarian Disease) and PCOS are often used interchangeably in India, though technically PCOD refers to the ultrasound appearance of multiple follicles in the ovaries, while PCOS refers to the full syndrome – irregular periods, hyperandrogenism, and polycystic ovaries. A woman can have polycystic-looking ovaries on ultrasound without meeting the full diagnostic criteria for PCOS. Our endocrinologists at EPIC Hospital Ahmedabad apply the Rotterdam diagnostic criteria to ensure accurate classification.
Can PCOS be cured?
PCOS cannot currently be cured – it is a lifelong condition. However, it can be very effectively managed. Weight loss in overweight women substantially reduces symptoms and metabolic risk. Medications address menstrual irregularity, hyperandrogenism, and insulin resistance. Fertility treatment enables conception for women trying to conceive. With structured management at our PCOS clinic in Ahmedabad, most women achieve good symptom control and significantly reduced long-term health risk.
Does PCOS cause infertility?
PCOS is the most common cause of anovulatory infertility – infertility caused by failure to ovulate regularly. However, most women with PCOS can conceive with appropriate treatment. Ovulation induction with letrozole is the first-line approach, with gonadotrophin stimulation if letrozole fails. Our endocrinology and reproductive medicine team at EPIC Multispecialty Hospital, Ahmedabad, manage PCOS-related fertility in coordination.
What is letrozole and how does it help PCOS?
Letrozole is an aromatase inhibitor – originally used in breast cancer treatment – that is now the recommended first-line ovulation induction agent for women with PCOS trying to conceive. It temporarily reduces oestrogen levels, triggering the pituitary to release FSH and stimulate follicle development and ovulation. Multiple trials have demonstrated superior ovulation and live birth rates with letrozole compared to clomiphene in women with PCOS.
Is metformin used to treat PCOS?
Yes. Metformin is an insulin-sensitising agent that reduces insulin resistance – one of the core metabolic drivers of PCOS. In women with PCOS, metformin modestly improves menstrual regularity, reduces androgen levels, and enhances response to ovulation induction. It is particularly useful in women with PCOS and pre-diabetes or type 2 diabetes. At EPIC Hospital Ahmedabad, metformin is prescribed with appropriate monitoring as part of a broader PCOS management plan.
What is the long-term health risk of PCOS?
Women with PCOS have a significantly elevated risk of type 2 diabetes (up to 7-fold), gestational diabetes, dyslipidaemia, hypertension, and non-alcoholic fatty liver disease. Regular metabolic screening – fasting glucose, HbA1c, lipid profile, blood pressure – is an essential part of long-term PCOS management. Endometrial hyperplasia risk from chronic anovulation requires periodic endometrial assessment and progestogen protection.
What is the cost of PCOS treatment at EPIC Multispecialty Hospital Ahmedabad?
PCOS consultation and management costs at EPIC Hospital Ahmedabad vary based on the investigations required (hormonal profile, pelvic ultrasound, metabolic screen, DEXA), the treatment approach, and whether fertility management is involved. Please contact our patient services team for current fees. Most investigations and treatments for PCOS are covered by health insurance.
Is EPIC Multispecialty Hospital Ahmedabad good for PCOS treatment?
EPIC Hospital Ahmedabad provides a multi-disciplinary PCOS clinic combining endocrinology, gynaecology, dietary counselling, and reproductive medicine. Our endocrinologists apply current evidence-based management – letrozole for ovulation induction, GLP-1 receptor agonists for weight management in appropriate patients, metabolic risk screening, and long-term follow-up. Patients come from across Gujarat – Surat, Vadodara, Rajkot, Gandhinagar – for specialist PCOS care.
PCOS / PCOD Clinic in Ahmedabad – EPIC Multispecialty Hospital
PCOS management at EPIC Multispecialty Hospital, Ahmedabad, is individualised, multi-disciplinary, and evidence-based – addressing not just the presenting symptoms but the underlying metabolic drivers, the long-term health risks, and the fertility implications that matter to each patient.
Book a PCOS clinic appointment online, call EPIC Multispecialty Hospital Ahmedabad today, WhatsApp your hormone reports or ultrasound for initial review, or visit our PCOS clinic in Ahmedabad directly – and get PCOS care that is designed around your specific situation.