Polycystic ovary syndrome — more commonly known as PCOS — is one of the most common hormonal conditions affecting women of reproductive age. Yet despite how widespread it is, many women go undiagnosed for years, dismissed with vague explanations or told their symptoms are simply “normal.”
They are not normal. And you deserve answers.
At Gynaeaesthetics London, we offer fast private diagnosis and personalised treatment plans for women with PCOS — so you can stop guessing and start feeling better.
What Is PCOS?
PCOS is a hormonal condition that affects how the ovaries work. Women with PCOS typically have higher than normal levels of androgens — often referred to as “male hormones” — which can interfere with the development and release of eggs during the menstrual cycle.
Despite the name, not all women with PCOS actually have cysts on their ovaries. The condition is diagnosed based on a combination of symptoms, blood tests, and ultrasound findings — not on the presence of cysts alone.
PCOS affects roughly 1 in 10 women in the UK, making it one of the most common causes of irregular periods and fertility difficulties.
What Are the Symptoms of PCOS?
PCOS presents differently in every woman, which is one of the reasons it can be difficult to diagnose. Some women experience only mild symptoms, while others find the condition has a significant impact on their daily life.
Common symptoms include:
- Irregular, infrequent, or absent periods
- Difficulty conceiving or getting pregnant
- Excess hair growth on the face, chest, or back — known as hirsutism
- Thinning hair or hair loss on the scalp
- Oily skin or persistent acne
- Weight gain, particularly around the abdomen
- Difficulty losing weight despite diet and exercise
- Mood changes, low mood, or anxiety
- Fatigue and difficulty concentrating
It is also worth noting that many women with PCOS have no obvious symptoms at all and are only diagnosed when they have difficulty conceiving or during a routine scan.
What Causes PCOS?
The exact cause of PCOS is not fully understood, but several factors are thought to play a role:
Insulin Resistance Many women with PCOS have insulin resistance, meaning their body does not respond to insulin as effectively as it should. This causes the body to produce more insulin, which in turn stimulates the ovaries to produce more androgens. Insulin resistance is also closely linked to weight gain and difficulty losing weight.
Hormonal Imbalance An excess of androgens — such as testosterone — disrupts the normal hormonal cycle, preventing eggs from developing and being released properly. This leads to irregular or absent periods and can affect fertility.
Genetics PCOS tends to run in families, suggesting there is a genetic component. If your mother or sister has PCOS, you may be at a higher risk of developing it yourself.
Inflammation Some research suggests that low-grade chronic inflammation may stimulate the ovaries to produce excess androgens, contributing to the development of PCOS.
How Is PCOS Diagnosed?
There is no single test that definitively diagnoses PCOS. Instead, diagnosis is based on a combination of factors — typically using what is known as the Rotterdam Criteria. A diagnosis of PCOS is made when at least two of the following three criteria are met:
- Irregular or absent periods
- Evidence of excess androgen levels — either through symptoms or blood tests
- Polycystic ovaries visible on ultrasound
At Gynaeaesthetics London, your consultation with Mr Mohammad Masood will include a thorough review of your symptoms and medical history, alongside the following investigations where appropriate:
- Blood tests to measure hormone levels including LH, FSH, testosterone, and insulin
- Pelvic ultrasound to assess the appearance of the ovaries and uterine lining
- Additional blood tests to rule out other conditions such as thyroid disease or adrenal disorders
Many women find that getting a clear diagnosis — after months or even years of uncertainty — is itself a huge relief.
What Are the Treatment Options for PCOS?
While there is currently no cure for PCOS, the condition is very manageable with the right treatment plan. The goal of treatment is to address your specific symptoms and improve your quality of life — whether that means regulating your periods, managing weight, reducing excess hair, or improving your chances of conceiving.
Lifestyle Changes For many women with PCOS, particularly those with insulin resistance, lifestyle changes can make a significant difference. Even a modest reduction in weight — as little as 5 to 10 percent of body weight — can help regulate periods, improve hormone levels, and boost fertility. A balanced diet low in refined carbohydrates and regular physical activity are key components of managing PCOS long term.
Hormonal Contraceptives The combined oral contraceptive pill is often prescribed to regulate periods, reduce androgen levels, and improve symptoms such as acne and excess hair growth. It is an effective option for women who are not currently trying to conceive.
Metformin Metformin is a medication commonly used to treat type 2 diabetes that is also effective in managing insulin resistance in women with PCOS. It can help regulate periods, support weight loss, and improve fertility in some cases.
Treatments for Excess Hair & Acne Medications that block the effects of androgens — such as spironolactone — can help reduce excess hair growth and improve acne. Topical treatments and other skincare approaches may also be recommended alongside these.
Fertility Treatment For women with PCOS who are trying to conceive, several options are available. Ovulation induction — using medications to stimulate the release of an egg — is often the first line of treatment. In some cases, further fertility investigations or referral to a fertility specialist may be recommended.
Managing Long-Term Health Risks Women with PCOS have a higher risk of developing certain long-term health conditions, including type 2 diabetes, high blood pressure, and in some cases endometrial cancer. Regular monitoring and a proactive approach to management can significantly reduce these risks.
The Emotional Impact of PCOS
It is important to acknowledge that PCOS is not just a physical condition. The symptoms — weight gain, excess hair, acne, irregular periods, and difficulty conceiving — can have a profound impact on a woman’s mental health, self-esteem, and relationships.
Many women with PCOS experience anxiety, low mood, or feelings of frustration and isolation. If this resonates with you, please know that you are not alone — and that support is available alongside your medical treatment.
When Should You See a Specialist?
You should seek specialist advice if:
- Your periods are irregular, very infrequent, or have stopped altogether
- You are experiencing unexplained weight gain or difficulty losing weight
- You have noticed excess hair growth on your face or body
- You are struggling to conceive
- You have been told you may have PCOS but have never received a formal diagnosis or treatment plan
- Your symptoms are affecting your quality of life or mental wellbeing
Why Choose Gynaeaesthetics London?
At Gynaeaesthetics London, we understand that PCOS is a complex condition that affects every woman differently. Mr Mohammad Masood takes the time to understand your individual symptoms and circumstances, providing a personalised treatment plan that works for your life — not just your diagnosis.
- No GP referral needed
- Same-week appointments available
- Clinics in Hornchurch, Brentwood, and Ilford
- Consultant-led care from start to finish
- Transparent pricing from £200
- Fully confidential
Book Your Consultation Today
If you think you may have PCOS or have been struggling with unexplained symptoms for too long, don’t wait. Fast, expert, private diagnosis is available — and the right treatment plan can make a real difference to how you feel every single day.
Call us, WhatsApp us, or book online today. Consultations available across Essex and East London. From £200.