25/04/2026
A 27-year-old woman had irregular periods.
Her cycle was 40–50 days.
She was gaining weight.
Acne had started.
Ultrasound showed polycystic ovaries.
She was diagnosed with PCOS.
And started on Clomid.
Eggs were forming.
Ovulation was happening.
But after 3 cycles —
no pregnancy.
The next step?
“Let’s increase the dose.”
But something important was being missed.
A deeper evaluation was done.
Fasting insulin was tested.
Result: 28 µIU/mL
(Normal should be below 12)
HOMA-IR was 6.2
(Normal should be below 2.5)
This confirmed severe insulin resistance.
And this is the root of the problem.
High insulin pushes the ovaries
to produce excess testosterone.
This disrupts follicle maturation.
Egg quality drops.
Even the uterine lining gets affected.
So yes, ovulation may happen —
but the environment is not healthy for pregnancy.
That’s why Clomid alone wasn’t working.
The focus shifted to the cause.
Metformin was started.
Inositol was added.
Diet changes were made.
Within 3 months, insulin levels improved.
Then ovulation was induced again —
this time with Letrozole.
And in the 2nd cycle —
the result was positive.
This is why PCOS treatment is not just about ovulation.
It’s about correcting what’s happening internally.
Treat the cause — not just the symptom.
📌 PCOS है? सिर्फ ovulation medicine नहीं — insulin test करवाओ
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🌐 Visit: www.nakshatraclinic.com
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