PCOS / PCOD Treatment
At CIFAR IVF Centre, Dr. Puneet Rana Arora provides personalized, evidence-based PCOS/PCOD treatment in Delhi NCR & Gurugram—from lifestyle and metabolic management to advanced fertility treatments (ovulation induction, IUI, and IVF).
Why choose CIFAR IVF Centre for PCOS?
- Multidisciplinary team: At the CIFAR Fertility Centre, our expert team of endocrinologists, reproductive specialists, dietitians, and counsellors Personalized treatment plans tailored to your symptoms, metabolic profile, and fertility goals.
- We offer a range of advanced fertility options on-site, including ovulation induction, IUI, IVF, and PGT when appropriate.
- Empathetic guidance for sustained health: encompassing metabolic, emotional, and reproductive wellness.
- Under the guidance of Dr. Puneet Rana Arora, a highly regarded IVF specialist known for her exceptional expertise in the field.
What is PCOS / PCOD?
Polycystic Ovary Syndrome (PCOS), or PCOD, is a very common type of hormonal condition in females that affects their reproductive function. Dr. Puneet says that irregular menstrual cycles, increased androgen levels, metabolic issues such as insulin resistance, and ovulation problems can all have a significant impact on a woman’s ability to conceive.
Common symptoms
- Irregular or missed menstrual cycles
- Challenges in achieving pregnancy (anovulation)
- Excessive hair growth (hirsutism), acne, or thinning hair
- Weight gain or struggles with weight loss
- Darkened skin areas (acanthosis nigricans) — indicative of insulin resistance
- Fluctuations in mood, feelings of fatigue
What causes PCOS?
PCOS has multiple causes, including genetic predisposition, environmental exposure, and lifestyle choices. Notable contributors include:
- Insulin resistance and hyperinsulinaemia
- Hormonal imbalances (higher androgens)
- Genetic factors and family history
- Weight and lifestyle influences
How do we diagnose PCOS?
When you visit at our CIFAR IVF Centre with concerns about irregular periods, PCOS/PCOD, difficulty conceiving, or metabolic issues, my approach is always patient-centric, thorough, and reassuring. Diagnosis is not based on a single test — it is a combination of your story, a careful examination, and targeted investigations.
- Detailed menstrual, reproductive, lifestyle, and metabolic history
- Assessment of weight, BMI, and waist circumference
- Pelvic ultrasound to evaluate ovarian morphology and antral follicle count
- Blood tests including hormonal profile (LH, FSH, testosterone), fasting glucose, HbA1c, fasting insulin, lipid profile, and thyroid function (as needed)
- Additional fertility-related tests when planning treatment, such as AMH, uterine ultrasound, and semen analysis for the partner
This structured evaluation allows for accurate diagnosis and personalised treatment planning focused on both fertility outcomes and long-term health
Our treatment approach — personalised & practical
We create a stepwise plan based on your symptoms and goals (symptom relief vs fertility).
Lifestyle & metabolic management (first-line)
- Structured diet plan with a certified dietitian (focus on insulin sensitivity)
- Individualised exercise programme (aerobic + resistance)
- Weight-loss support and behavioural counselling
- Screening & management of metabolic risks (diabetes, lipids, BP)
Medical treatment (to regulate cycles & reduce androgen effects)
- Combined oral contraceptives (cycle regulation & reduce androgen symptoms)
- Anti-androgens (to treat hirsutism/acne) — used when pregnancy is not planned
- Metformin (improves insulin sensitivity; helpful for metabolic control and in selected patients for cycle regularity)
- Topical or systemic therapies for acne/hair
All medications are prescribed after evaluation and counselling about benefits/risks, especially when planning pregnancy.
Fertility-focused care (if you want to conceive)
- Ovulation induction with letrozole or clomiphene citrate (letrozole is often first-line for many patients).
- Timed intercourse with ovulation monitoring.
- Intrauterine Insemination (IUI) after ovulation induction when indicated.
- In Vitro Fertilization (IVF) — for those who do not conceive with simpler methods, or with additional fertility factors.
- ICSI and advanced embryo care available when indicated.
- Pre-treatment optimisation: controlling weight, glucose and hormonal imbalances before fertility cycles improves outcomes.
Surgical options
- Laparoscopic ovarian drilling is a selective option for some anovulatory patients not responding to medications. Decisions are individual and discussed in detail.
A supportive, long-term plan
Beyond immediate treatment, PCOS requires long-term attention to metabolic and cardiovascular health. We provide follow-up plans for:
- Diabetes and lipid screening
- Mental-health support and counselling
- Long-term family planning and contraception choices
Dr. Puneet Rana Arora — About the treating specialist
Dr. Puneet Rana Arora is an IVF & reproductive medicine specialist at CIFAR IVF Centre, Gurugram, who has helped hundreds of couples on their fertility journey. He is known for patient-centred care and evidence-based fertility management in PCOS patients. (Recognised regionally for his work in reproductive medicine.)
Patient’s note from Dr. Arora:
“PCOS affects each woman differently — treatment should be tailored. With the right lifestyle changes and targeted medical or fertility therapies, most women with PCOS can restore regular cycles and achieve successful pregnancies. We treat the patient, not just the test results.”
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