Your periods, your weight, your skin - they're connected. An endocrinologist can show you why.

PCOS is a hormonal syndrome. Different women have different symptoms, and everyone responds differently. For many women, insulin resistance is a major driver. High insulin can stimulate the ovaries to produce excess androgens. Those androgens can disrupt ovulation, worsen acne, drive facial and body hair, and create the hormonal pattern behind many PCOS symptoms. A growing body of endocrine research places insulin resistance and high insulin at the center of PCOS.

People of Indian origin are more vulnerable to insulin resistance at lower body weights. In some women, that same metabolic pattern can show up as PCOS. Dr. Roshani looks at PCOS as a hormone doctor who understands insulin — not only as a gynaecological condition.

In May 2026, a major international consensus renamed PCOS as PMOS: Polyendocrine Metabolic Ovarian Syndrome. The old name made the condition sound cyst-based and ovarian. It was never only that.

PMOS points to the full picture: endocrine, metabolic, and ovarian. That matters because care should not stop at periods, scans, or fertility. Insulin resistance, androgen levels, metabolic markers, skin, weight, and long-term health all belong in the same clinical picture.

No. The diagnosis has never been only about cysts. A woman can meet criteria because she has irregular periods plus signs of androgen excess, such as acne or facial hair growth, even if ultrasound does not show cysts.

The structures often seen on ultrasound are follicles, not dangerous cysts. They are not tumors, cancers, or infections. The more useful question is: what is stopping ovulation from happening regularly, and is the hormonal environment being reviewed properly?

No. PCOS can make conception harder for some women, but it does not mean conception is impossible.

PCOS is one of the most common causes of irregular ovulation. Irregular is not the same as impossible. For some women, ovulation becomes more regular when insulin resistance is addressed and androgen levels come down. Fertility still depends on more than PCOS, so this should be treated as clinical context, not a promise.

And if you do not plan to have children, that is absolutely fine. You do not need a fertility agenda to deserve hormonal health.

Medication has a real role in PCOS care. The pill and Metformin can help control symptoms, but they do not always address the driver behind the hormonal pattern.

Lifestyle changes that target insulin resistance can work directly on that cascade. Nutrition, sleep, stress, and exercise can all change the hormonal environment. Dr. Roshani never asks anyone to stop medication without clinical guidance. When hormonal health improves, medication needs may change. That is why medication review has to stay supervised.

Many people associate PCOS with higher weight, but it is not that simple. Women with lean PCOS can still have insulin resistance, so the mechanism may overlap even when weight does not.

The lifestyle approach for lean PCOS includes building lean muscle through strength training, which improves insulin sensitivity. This may mean healthy weight gain, not loss. The program is built around your body and your hormonal profile — not a weight-loss protocol applied to everyone.

They are different conditions. PCOS often involves insulin resistance and androgen excess. Thyroid disease involves a different hormonal axis. But they can interact. Thyroid function affects metabolism, weight, menstrual regularity, and energy.

When both are present, the picture can become complex. As an endocrinologist, Dr. Roshani can review both systems together instead of treating each symptom in isolation.

That question makes sense, especially after years of being told: this is hormonal, manage the symptoms, take the pill.

But PCOS symptoms are shaped by a hormonal environment that can change. Insulin resistance can be addressed. Androgen levels can come down. Cycles can become more regular. The point is not magic. The point is treating the pattern that has been missed.

Patient stories on this page show what can change when that pattern is finally reviewed and treated with clinical supervision.

Usually, no. Weight changes and PCOS symptoms can share the same driver: insulin resistance. When Dr. Roshani reviews insulin, androgens, thyroid function, medication history, food, sleep, stress, and movement together, the same program can address both concerns in one clinical picture.

Some women with PCOS are prescribed GLP-1 medications for weight management. If you are on one, Dr. Roshani uses the program to build the lifestyle foundation underneath it, and to plan what happens before, during, and after medication use.

Lifestyle and medication are not opposites. The goal is to build metabolic health that can support you whatever your medication plan becomes.

A nutritionist can guide food choices. A coaching app can track symptoms. Neither can interpret your hormonal panel, identify which metabolic drivers are producing your symptoms, or adjust medication based on how your body responds.

Dr. Roshani reviews insulin levels, androgen markers, thyroid function, metabolic markers, medication history, and lifestyle data before any plan is made. She manages medication directly for patients in India and provides clinical guidance for international patients. The program includes review every 10–12 days — not a one-time assessment followed by a generic plan.

There is no restricted exercise prescription for PCOS. You can walk, do cardio, or choose the movement you enjoy.

Strength training matters because building muscle improves insulin sensitivity. But Dr. Roshani does not start by forcing exercise on day one. The program starts with nutrition and the hormonal environment. As energy improves, movement becomes easier to build.

If you are in India, Dr. Roshani manages medications directly once the program starts — including Metformin, oral contraceptives, and other PCOS-related medications. She adjusts as your hormonal health improves.

If you are outside India, she provides detailed clinical guidance for your local prescriber.

Yes. Most patients are vegetarian. The nutrition approach starts with your reality — your kitchen, your preferences, your family food culture — and builds from there. It is not about replacing what you eat. It is about understanding how what you eat affects your hormones, and making adjustments that fit your life.

Via Telegram. It is secure, you can hide your contact details, and you can uninstall it when you are done. Chat support runs Monday–Friday during the 3-month program. If Telegram is a barrier, raise it in your first consultation.

50% at sign-up, 50% before the second consultation.

Book the first consultation. Download the Reisaan app and fill the lifestyle questionnaire beforehand. Bring your reports, current medications, symptom history, cycle history, and questions.