Dr. Aparna Kalekar
MBBS, MS OBGY, Fellowship in Advanced Gynaec Endoscopy — Consultant Obstetrician & Gynaecologist
What is Polycystic Ovary Syndrome (PCOS)?
Polycystic Ovary Syndrome (PCOS) is a complex metabolic and hormonal condition affecting nearly 20% of women in urban India. It is characterized by irregular menstrual cycles, elevated male hormones (androgens), insulin resistance, and multiple small fluid-filled ovarian follicles. Managing PCOS requires a sustainable, multi-faceted lifestyle and medical approach.
Understanding the Insulin-PCOS Connection
Over 70% of women with PCOS have underlying insulin resistance. When cells become resistant to insulin, the pancreas produces excess insulin. Elevated blood insulin directly signals the ovaries to produce excess testosterone, blocking normal follicle maturation and ovulation.
Why is this important?
Treating the root cause—insulin resistance—through diet and exercise often naturally regulates the menstrual cycle and reduces symptoms like acne, weight gain, and unwanted hair growth.
Dietary Principles for Hormonal Balance
Nutrition is medicine in PCOS management. Key dietary strategies include:
- Low Glycemic Index (GI) Carbohydrates: Switch from refined flour (maida) and white rice to millets (jowar, bajra), oats, and brown rice to avoid glucose spikes.
- Adequate Protein & Fiber: Include legumes, pulses, paneer, eggs, and leafy greens to promote satiety and stabilize insulin levels.
- Anti-Inflammatory Healthy Fats: Incorporate walnuts, almonds, flaxseeds, and seeds (pumpkin, sesame) for hormone synthesis.
- Avoid Processed Sugars & Trans Fats: Eliminate sugary beverages and commercial bakery products.
Medical Management & Fertility Restoration
Under medical guidance by Dr. Aparna Kalekar, insulin sensitizers (such as Metformin or Inositol supplements), cyclical progestins, or ovulation induction medications (Letrozole) are prescribed tailored to individual pregnancy goals. Comprehensive metabolic, ultrasound, and endocrine evaluations are conducted to customize treatment plans.