🔬 PCOS Risk Assessment
Answer the 9 questions below honestly. Select the option that best describes your experience over the past 6 months.
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⚕️ This screening tool does not diagnose PCOS. Formal diagnosis requires clinical evaluation, blood tests, and ultrasound by a qualified doctor.
Understanding PCOS
India's most common hormonal disorder in women of reproductive age
PCOS (Polycystic Ovary Syndrome) affects 1 in 5 women in India. It is a hormonal disorder characterised by irregular periods, excess androgens (male hormones), and polycystic ovaries on ultrasound. Despite the name, "cysts" are not the main problem — it's the hormonal imbalance that causes the symptoms.
Rotterdam Criteria for PCOS Diagnosis
A formal PCOS diagnosis requires at least 2 of 3 Rotterdam criteria: (1) irregular or absent periods, (2) clinical or biochemical signs of hyperandrogenism (excess male hormones), and (3) polycystic ovarian morphology on ultrasound. Thyroid disease and high prolactin must first be excluded.
PCOS and Fertility
PCOS is the most common cause of ovulatory infertility, accounting for 70–80% of cases. However, with proper treatment, most women with PCOS can conceive. Ovulation induction with letrozole is highly effective, and IVF works well for PCOS patients when needed.
PCOS అంటే ఏమిటి?
India లో reproductive age women లో most common hormonal disorder
PCOS (Polycystic Ovary Syndrome) అనేది India లో 5 మంది women లో 1 మందిని affect చేస్తుంది. ఇది irregular periods, excess androgens (male hormones), మరియు ultrasound లో polycystic ovaries ద్వారా characterise అవుతుంది. "Cysts" అనేది main problem కాదు — hormonal imbalance symptoms కి cause అవుతుంది.
PCOS Diagnosis కోసం Rotterdam Criteria
Formal PCOS diagnosis కోసం Rotterdam criteria లో 3 లో కనీసం 2 ఉండాలి: (1) irregular లేదా absent periods, (2) hyperandrogenism signs (excess male hormones), (3) ultrasound లో polycystic ovarian morphology. Thyroid disease మరియు high prolactin ముందు exclude చేయాలి.
PCOS మరియు Fertility
PCOS అనేది ovulatory infertility కి most common cause — 70–80% cases లో. అయితే proper treatment తో చాలా మంది PCOS women conceive చేయగలరు. Letrozole తో ovulation induction highly effective, అవసరమైతే IVF కూడా PCOS patients కి well work చేస్తుంది.
Frequently Asked Questions
How is PCOS diagnosed?
PCOS is diagnosed using the Rotterdam criteria: at least 2 of 3 criteria must be present — (1) irregular or absent periods, (2) clinical or biochemical signs of excess androgens (facial hair, acne, elevated testosterone), and (3) polycystic ovaries on ultrasound (12+ small follicles or enlarged ovary >10mL). This screening quiz helps identify risk — formal diagnosis requires clinical evaluation.
What are the most common PCOS symptoms in Indian women?
In Indian women, the most common PCOS symptoms are: irregular or absent periods, weight gain especially around the abdomen, facial and body hair growth (hirsutism), acne that doesn't respond to usual treatments, hair thinning on the scalp, darkened skin patches around the neck (acanthosis nigricans), and difficulty conceiving.
Can PCOS be cured?
PCOS cannot be cured but can be effectively managed. Lifestyle changes (weight loss of even 5–10% can restore ovulation in many women), regular exercise, low-glycaemic index diet, and medications like metformin, clomiphene, or letrozole (for ovulation induction) are all proven treatments. Most women with PCOS can conceive with appropriate treatment.
What tests are done to diagnose PCOS?
Tests for PCOS include: pelvic ultrasound (to check ovarian morphology and antral follicle count), blood tests on Day 2–5 of cycle (FSH, LH, AMH, total testosterone, DHEAS, prolactin, TSH, fasting insulin, fasting glucose, HbA1c). AMH is often elevated in PCOS (>5 ng/mL) and is a useful marker.
Can I get pregnant with PCOS?
Yes — the majority of women with PCOS can conceive, either naturally with lifestyle changes or with fertility treatments. Ovulation induction with letrozole or clomiphene is first-line treatment. IVF is highly effective for PCOS if simpler treatments are unsuccessful. Dr. E. Prashanthi Reddy has helped thousands of women with PCOS achieve pregnancy at Mother Hospitals.
Is PCOS related to insulin resistance?
Yes — approximately 70% of women with PCOS have some degree of insulin resistance, regardless of body weight. Insulin resistance drives excess androgen production and disrupts ovulation. This is why metformin (an insulin-sensitising drug) and low-GI diets are core treatments for PCOS. All women with PCOS should have fasting insulin and glucose checked.
మీకు ఉన్న సందేహాలు — జవాబులు
PCOS diagnose ఎలా చేస్తారు?
PCOS diagnosis కోసం Rotterdam criteria లో 3 లో కనీసం 2 ఉండాలి: (1) irregular లేదా absent periods, (2) excess androgens signs (facial hair, acne, elevated testosterone), (3) ultrasound లో polycystic ovaries (12+ small follicles లేదా ovary >10mL). ఈ quiz risk identify చేస్తుంది — formal diagnosis కి clinical evaluation అవసరం.
Indian women లో most common PCOS symptoms ఏమిటి?
Indian women లో most common PCOS symptoms: irregular లేదా absent periods, abdomen చుట్టూ weight gain, facial మరియు body hair growth (hirsutism), usual treatment కి respond కాని acne, scalp మీద hair thinning, మెడ మీద dark patches (acanthosis nigricans), మరియు conceive కావడం కష్టంగా ఉండడం.
PCOS cure అవుతుందా?
PCOS cure అవదు కానీ effectively manage చేయవచ్చు. Lifestyle changes (5–10% weight loss వల్ల చాలా మందికి ovulation restore అవుతుంది), regular exercise, low-glycaemic index diet, మరియు metformin, letrozole లాంటి medicines proven treatments. Proper treatment తో చాలా మంది PCOS women conceive చేయగలరు.
PCOS diagnose చేయడానికి ఏ tests చేస్తారు?
PCOS tests: pelvic ultrasound (ovarian morphology, antral follicle count), Day 2–5 blood tests (FSH, LH, AMH, total testosterone, DHEAS, prolactin, TSH, fasting insulin, fasting glucose, HbA1c). PCOS లో AMH సాధారణంగా elevated గా ఉంటుంది (>5 ng/mL).
PCOS తో pregnant అవుతుందా?
అవును — చాలా మంది PCOS women conceive చేయగలరు, lifestyle changes తో naturally లేదా fertility treatments తో. Letrozole తో ovulation induction first-line treatment. Simple treatments పని చేయకపోతే IVF highly effective. Dr. ప్రశాంతి రెడ్డి Mother Hospitals లో వేలాది PCOS women కి pregnancy achieve చేయడంలో help చేశారు.
PCOS కి insulin resistance తో సంబంధం ఉందా?
అవును — PCOS ఉన్న 70% women కి body weight తో సంబంధం లేకుండా insulin resistance ఉంటుంది. Insulin resistance excess androgen production drive చేసి ovulation disrupt చేస్తుంది. అందుకే metformin మరియు low-GI diets PCOS కి core treatments. PCOS ఉన్న అందరూ fasting insulin మరియు glucose test చేయించుకోవాలి.