PCOS in India is treated as a hormonal problem, when it's primarily a metabolic one.
The insulin story
Hyperinsulinemia drives ovarian androgen production. Lower the insulin and the cycle often follows. Birth control suppresses the symptom; metformin nudges the root.
What we order instead
- Fasting insulin · HOMA-IR
- LH/FSH ratio
- DHEA-S, free testosterone, SHBG
- Anti-Mullerian Hormone
What we change first
Carb timing, resistance training, sleep window, stress load. Supplements only when clinically indicated.