 Hello everyone, I am Dr. Rushali Zadav, Consultant, Obstetrician and Gynecologist at Manipal Hospital, Skharadi Pune. Today I will be speaking upon PCOS or Polycystic Ovarian Syndrome. Polycystic Ovarian Syndrome consists of irregular menstrual cycles or an ovulatory cycles excess of male hormones in your body and polycystic appearance of ovaries on the ultrasound. How do we diagnose PCOS and what is PCOS or Peace Polycystic Ovarian mean? Polycystic ovary is an ovary with multiple fluid filled follicles double in number than the normal ovary. The diagnostic criteria for PCOS or Polycystic Ovarian Syndrome are irregular and ovulatory cycles hyperandrogenism that means male excess hormones in your body and polycystic appearance of ovaries on ultrasound. If you have any of the two above criteria, you will be diagnosed as having PCOS. PCOS, the rising incidence of PCOS is because of lifestyle changes, sedentary lifestyle and the pandemic which has caused people to stay indoors which has led to loss of activity. The management of PCOS mainly depends upon lifestyle changes or lifestyle modification, diet and exercise. When should you visit a doctor? You should visit your gynecologist if you have the following symptoms like irregular cycles that means an ovulatory cycles or excessive bleeding during your periods, obesity that means excess of weight gain, loss, difficulty in losing weight, your infertility issues. If you have hyperpigmentation on your body, excess of pimples or acne on your body face and body, excess of male pattern hair growth on your body or loss of scalp hair. You can contact your doctor if you are not able to lose weight in spite of consistent efforts and your periods do not regularize in spite of losing weight. All these symptoms or signs of PCOS can be treated and if not treated in time these lead to long term side effects like you have obesity, hypertension, cardiovascular diseases and endometrial carcinoma that is carcinoma of the inner lining of the uterus. PCOS if treated in time can avoid these long term side effects and so you should see your gynecologist when you realize that you cannot treat PCOS or your irregular cycles and infertility issues with mere diet and exercise. Thank you.