Mother's Hope IVF Clinic, Katwaria Sarai & SHE Delhi Hospital, Greater Kailash II +91 78271 49291  ·  Mon–Sat
Dr. Kriti Tiwari — IVF Specialist, New Delhi
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PCOS / PCOD Treatment in Delhi

Long-term management of polycystic ovary syndrome — cycles, weight, skin and fertility.

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What PCOS / PCOD treatment involves

PCOS affects roughly one in five Indian women and shows up as irregular periods, acne, excess hair growth, weight that will not shift and difficulty conceiving. Underneath it is usually insulin resistance, which is why treatment that ignores metabolism rarely holds.

The plan depends on what you actually want right now. Regularising cycles and protecting the endometrium is one goal; conceiving is another; and the metabolic risk of diabetes and cardiovascular disease later is a third that should not be ignored at 25.

Who this is for

  • Periods more than 35 days apart, or fewer than eight a year
  • Acne, excess facial or body hair, scalp hair thinning
  • Difficulty conceiving with irregular cycles
  • Weight gain around the abdomen, or a strong family history of diabetes

Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.

Step by step

  1. Diagnosis

    Rotterdam criteria applied properly, with thyroid, prolactin and adrenal causes excluded first.

  2. Metabolic assessment

    Fasting insulin, glucose tolerance, lipid profile and liver ultrasound where indicated.

  3. Lifestyle and medication

    A realistic weight and activity plan, with metformin, myo-inositol or hormonal treatment as appropriate.

  4. Fertility route if wanted

    Letrozole ovulation induction, then IUI or IVF if needed.

Your results, in writing

Whatever the outcome of PCOS / PCOD treatment, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.

Case study: Treating the metabolism, not just the cycle

24, Janakpuri · PCOS · acne, weight gain, irregular periods

What she came in with

Periods every two to three months since her teens, worsening acne, hair growth on the chin and jawline, and 14 kg of weight gain over three years. She had been on the combined pill for four years, which had masked everything without treating it.

What the workup showed

Fasting insulin was markedly raised with a HOMA-IR of 4.8. Glucose tolerance testing showed impaired tolerance at two hours. Liver ultrasound found grade 2 fatty liver. She was 24 and already on the road to type 2 diabetes.

What we did

The conversation shifted from periods to metabolism. Metformin, myo-inositol, a realistic dietary plan built around what her family actually cooks, and resistance training three times a week rather than a gym membership she would not use.

Outcome

Nine kilograms lost over seven months, spontaneous regular ovulatory cycles, acne substantially improved, and insulin resistance resolved on repeat testing.

The point of this case

PCOS treated only as a period problem stores up a metabolic one. She was not trying to conceive, which made this the right time to deal with the underlying cause rather than suppress the symptom.

Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.

What is different about having this done here

Metabolic risk addressed, not just the periods

Letrozole used first line for fertility, as the evidence supports

Realistic dietary advice for Indian households rather than generic handouts

Long-term follow-up, because PCOS does not resolve in three months

Treated by the consultant, not by a rotating team

Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.

  • MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
  • Over ten years in reproductive medicine and gynaecological surgery
  • Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
  • Itemised costs given in writing before anything begins
About Dr. Tiwari See fees
PCOS / PCOD Treatment at Dr. Kriti Tiwari's clinic in New Delhi

Areas we see patients from

Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.

All areas we serve

Questions about PCOS / PCOD treatment

Can PCOS be cured?

No, but it is very controllable. A 5–10% weight reduction alone restores ovulation in a large proportion of women.

Will I need IVF to conceive?

Most women with PCOS do not. Ovulation induction with letrozole works for the majority, with IUI and then IVF as later steps.

Do I need to take metformin forever?

Not necessarily. It is used where there is documented insulin resistance, and reviewed periodically against your weight and glucose results.

Talk it through before you commit

Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.

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