PCOS in Pakistani Women: Symptoms, Causes and Natural Management Options
In short: Polycystic ovary syndrome (PCOS) is a common hormonal condition that can cause irregular periods, excess hair, acne, weight gain and difficulty conceiving. South Asian women have a higher tendency toward insulin resistance, which is closely linked with PCOS. It cannot be cured, but symptoms can be well managed with lifestyle changes and medical care.
Common Symptoms
- Irregular, infrequent or absent periods
- Excess facial or body hair (hirsutism)
- Acne and oily skin
- Weight gain, especially around the waist
- Thinning scalp hair
- Dark patches of skin on the neck or underarms (a sign of insulin resistance)
- Difficulty getting pregnant
What Causes PCOS?
The exact cause is not known. Key factors are:
- Insulin resistance: high insulin pushes the ovaries to make more androgens (male-type hormones)
- Higher androgen levels: disturb ovulation and cause hair and skin symptoms
- Genetics: PCOS often runs in families
- Lifestyle: inactivity and weight gain can worsen symptoms
How It Is Diagnosed
Doctors commonly use the Rotterdam criteria. PCOS is diagnosed when at least two of these three are present, after other causes are ruled out:
| Criterion | How it is checked |
|---|---|
| Irregular or absent ovulation | Period history |
| High androgens | Symptoms or blood tests |
| Polycystic-appearing ovaries | Ultrasound |
Natural Management Options
- Losing 5 to 10 percent of body weight can help restore cycles
- Low-sugar, high-fibre diet: daal, sabzi, whole grains, less maida and mithai
- 150 minutes of activity weekly
- Good sleep and stress control
For a detailed plan, read Breaking the PCOS cycle.
Unani perspective: Unani medicine describes conditions with irregular or scanty menses (qillat-e-tams, ihtibas-e-tams) and links them with imbalance of temperament and accumulation of thick humours. The Unani approach focuses on regimen, light diet, exercise and herbs to restore balance, similar to modern lifestyle-first PCOS care.
Support for women
Zimol Gynowell for traditional hormonal support (check availability). Hakeem consultation: Well Life Herbal Clinic.
Zimol Gynowell for traditional hormonal support (check availability). Hakeem consultation: Well Life Herbal Clinic.
Aksar Pooche Jane Wale Sawal (FAQ)
PCOS ki alamaat kya hain?
Be-qaida period, chehre par zyada baal, daane, wazan barhna aur hamal mein mushkil.
Kya PCOS mein hamal mumkin hai?
Ji haan, bohat si khawateen lifestyle aur doctor ke ilaj se hamila hoti hain.
Kya PCOS khatam ho sakta hai?
Mukammal khatam nahi hota, lekin alamaat achi tarah control ho sakti hain.
Medical disclaimer: This article is for general education. Please consult a gynaecologist for diagnosis and treatment of PCOS.
Sources: WHO: Polycystic ovary syndrome · NHS: PCOS