PCOS SPECIALIST – DHA LAHORE
Specialist care for polycystic ovary syndrome – hormonal balance, regular cycles, weight management and fertility support in DHA Lahore.
پی سی او ایس ایک ہارمونل بیماری ہے جو خواتین میں بے قاعدہ ماہواری، چہرے اور جسم پر بالوں کی زیادتی اور وزن بڑھنے کا سبب بنتی ہے۔ پاکستان میں یہ بیماری بہت عام ہے۔ ڈاکٹر رضوان نیازی پی سی او ایس کا مکمل چیک اپ اور علاج لاہور ڈی ایچ اے میں کرتے ہیں اور ہر مریض کے لیے الگ علاج کا منصوبہ بناتے ہیں جس میں ہارمونز، میٹابولزم اور fertility سب کا خیال رکھا جاتا ہے۔
Polycystic ovary syndrome (PCOS) is one of the most common hormonal conditions in women of reproductive age. It affects the way the ovaries work, causing irregular periods, elevated male hormones (androgens) and, in some cases, multiple small follicles on the ovaries. As a PCOS specialist in Lahore, Dr. Rizwan Niazi provides comprehensive evaluation and PCOS treatment in Lahore at his DHA clinic, combining endocrinology, metabolic care and reproductive health guidance under one roof. PCOS is highly treatable – with the right plan, most women see significant improvement in their symptoms, hormonal profile and quality of life. In 2026 the medical community introduced the term PMOS (polyendocrine metabolic ovarian syndrome) to better reflect the metabolic nature of the condition; however, PCOS remains the widely used and widely searched term, and both names refer to the same condition.
PCOD (Polycystic Ovarian Disease) and PCOS are terms that are often used interchangeably, but there is a meaningful clinical difference. PCOD refers specifically to the presence of multiple cysts (fluid-filled follicles) on the ovaries, which can be seen on an ultrasound. Many women have polycystic-looking ovaries on scan without having the hormonal disturbances of PCOS.
PCOS is a broader syndrome diagnosed using the Rotterdam Criteria, which requires at least two of three features: irregular or absent periods, signs of elevated androgens (excess hair growth, acne) or raised androgen levels on blood tests, and polycystic ovaries on ultrasound. PCOS also has important metabolic implications, particularly around insulin resistance, which PCOD alone does not.
In practice, PCOS is the clinically significant diagnosis that needs active management. If your scan shows polycystic ovaries but your periods are regular and your hormones are normal, you may not require treatment. An endocrinologist like Dr. Rizwan Niazi can review your full picture and tell you exactly where you stand.
In Pakistani women, irregular periods and hirsutism (excess facial hair) are the most common presenting symptoms.
Cycles that are longer than 35 days, very infrequent, or absent altogether are one of the hallmark signs of PCOS.
Unwanted hair growth on the upper lip, chin, chest or abdomen due to elevated androgen levels.
Persistent acne, particularly along the jawline, chin and back, is a common sign of hormonal imbalance in PCOS.
Insulin resistance in PCOS promotes fat storage around the waist and abdomen, making weight management more difficult.
Male-pattern hair loss or thinning at the crown and temples can occur in women with elevated androgens.
Acanthosis nigricans – darkened, velvety skin around the neck, armpits or groin – signals insulin resistance.
Hormonal fluctuations in PCOS can contribute to anxiety, low mood, fatigue and difficulty concentrating.
Irregular ovulation is one of the leading causes of difficulty conceiving. With proper treatment, many women with PCOS are able to conceive.
If you recognise any of these symptoms, a specialist assessment can confirm your diagnosis and start you on the right path.
General practitioners and even some gynaecologists typically address the surface symptoms of PCOS: regulating the cycle with contraceptive pills or treating acne. While these approaches provide short-term relief, they do not address the underlying hormonal and metabolic drivers of the condition.
Without treating insulin resistance, the long-term risks – including Type 2 diabetes, cardiovascular disease and worsening hormonal imbalance – remain unaddressed.
Every treatment plan is personalised. The steps below describe the general approach – your actual plan will be tailored to your specific assessment.
Your consultation will typically include a detailed clinical history, hormonal blood tests (LH, FSH, testosterone, AMH, insulin), thyroid function tests, fasting glucose and insulin levels, and a pelvic ultrasound review. This builds a complete picture before any treatment is recommended.
Based on your results, Dr. Rizwan will design a plan that may include:
PCOS is a long-term condition that responds well to consistent management. Follow-up appointments allow Dr. Rizwan to review your hormone levels, track improvements in symptoms and metabolic markers, and adjust your plan as needed. Regular monitoring also catches early signs of diabetes or other metabolic complications.
PCOS is one of the most common, and most treatable, causes of irregular ovulation and difficulty conceiving. Many women with PCOS are able to conceive with the right medical support, and a significant number do so without fertility procedures when their hormonal and metabolic health is properly managed.
Dr. Rizwan’s approach to PCOS and fertility focuses on the underlying factors that affect ovulation:
If you have been trying to conceive and have irregular cycles or a known PCOS diagnosis, an endocrinology assessment is a logical and important first step.
PCOS is the most common cause of anovulatory infertility, but it is also one of the most responsive to treatment. Ovulation induction under specialist care is an established, well-studied approach.
Lifestyle changes including dietary improvements and regular physical activity can restore ovulation in some women with PCOS, particularly when combined with metabolic management.
The earlier PCOS is diagnosed and managed, the better the long-term outcomes – for both fertility and overall hormonal health.
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 Suit# 154 CCA, DD, near Nadra office, DHA Phase 4, DHA Lahore, with over 21 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.
Dr. Rizwan Niazi sees patients at Suit# 154 CCA, DD, near Nadra office, DHA Phase 4, Lahore – Mon to Sat by appointment.
Acne, hirsutism, menstrual problems and more – specialist hormonal care for women.
PCOS increases Type 2 diabetes risk – specialist metabolic management to protect your long-term health.
Thyroid conditions often co-exist with PCOS and can worsen symptoms if left untreated.