PCOS Treatment in Lahore
| Dr. Rizwan Niazi

PCOD (Polycystic Ovarian Disease) simply describes multiple cysts on the ovaries visible on ultrasound – it does not necessarily involve hormonal or metabolic disturbance. PCOS (Polycystic Ovary Syndrome) is a broader clinical diagnosis that requires at least two of the following: irregular periods, elevated androgen levels or signs of androgen excess, and polycystic ovaries on ultrasound. PCOS has significant hormonal and metabolic implications, including insulin resistance and a long-term risk of Type 2 diabetes. Many women are told they have PCOD when what they actually have is PCOS – an endocrinologist can clarify your diagnosis based on a full assessment.

PCOS does not have a permanent cure in the conventional sense, but it is very well managed. Many women with PCOS achieve completely regular cycles, normal hormone levels and a good quality of life with appropriate treatment. For some women, significant weight loss can lead to near-complete resolution of symptoms. After menopause, PCOS-related hormonal symptoms typically resolve. The focus of treatment is on managing the condition well over the long term, reducing symptoms and protecting your metabolic health.

Yes, weight gain is common in PCOS – particularly around the abdomen – and this is largely driven by insulin resistance. When cells do not respond normally to insulin, the body produces more of it, which promotes fat storage. The frustrating thing for many women is that PCOS can make it harder to lose weight even with diet and exercise, because the underlying insulin problem is not addressed. Treating insulin resistance through lifestyle changes and, where appropriate, medication, makes weight management significantly more achievable.

For a thorough evaluation of PCOS, an endocrinologist is the most appropriate specialist. Endocrinologists are trained in all hormonal and metabolic conditions, including PCOS, insulin resistance, thyroid disorders and diabetes – all of which can be involved in PCOS. Dr. Rizwan Niazi (MBBS, MRCP, MCPS, MD) is a specialist endocrinologist at Chughtai Medical Center, DHA Lahore, with over 18 years of experience. He provides comprehensive PCOS diagnosis and personalised treatment plans. You can book an appointment via WhatsApp at +92 300 608 8807 or by calling.

Diagnosing PCOS usually involves a combination of blood tests and imaging. Common tests include: LH and FSH (to assess the pituitary-ovarian axis), total and free testosterone, DHEAS (adrenal androgens), AMH (anti-Mullerian hormone), fasting insulin and glucose (to check for insulin resistance), thyroid function tests, prolactin, and a pelvic ultrasound. Not all tests are needed in every case – Dr. Rizwan will advise which investigations are relevant based on your symptoms and clinical history.

There is no single “best medicine” for PCOS because treatment depends on your specific hormone profile, symptoms and goals. Commonly used medications under specialist supervision may include Metformin (a generic medication that addresses insulin resistance), cycle-regulating treatments, and medications to manage androgen-related symptoms such as acne and hirsutism. Self-medicating for PCOS is not recommended, as the wrong treatment can worsen hormonal imbalance. A full assessment by an endocrinologist is the right starting point before any medication is prescribed.

Yes, women with PCOS have a higher risk of developing Type 2 diabetes compared to women without PCOS. This is primarily because PCOS is closely linked with insulin resistance, which, if left unmanaged, can progress to pre-diabetes and then Type 2 diabetes over time. The risk is higher if you have other risk factors such as a family history of diabetes or if you are overweight. One of the key goals of specialist PCOS management is identifying and treating insulin resistance early, which significantly reduces the long-term risk of diabetes.

PCOS is one of the most common causes of difficulty conceiving because it disrupts regular ovulation. However, the majority of women with PCOS are able to conceive, particularly when the underlying hormonal and metabolic issues are properly managed. Dr. Rizwan addresses the factors that affect fertility in PCOS – including insulin resistance, hormone imbalance and thyroid function – giving the best possible foundation for conception. Women with PCOS who do conceive may have a slightly higher risk of gestational diabetes and require monitoring during pregnancy.

PMOS (Polyendocrine Metabolic Ovarian Syndrome) is a newer name proposed in 2026 by a group of endocrinologists and researchers to better reflect the metabolic and endocrine complexity of the condition. The name PCOS can be misleading, as not all women with the syndrome actually have visible cysts on their ovaries. PMOS is intended to capture the broader metabolic nature of the condition more accurately. However, PCOS remains the standard, widely recognised and widely used term internationally, and both names refer to the same condition. At Dr. Rizwan’s clinic, diagnosis and management follow established PCOS criteria.