Short answer: Start with a gynecologist at a teaching hospital — TUTH, KMC Sinamangal, Patan Hospital, Norvic, Grande, or a Pokhara teaching hospital — and request the full panel: ultrasound, hormonal profile, and metabolic markers.
What a full first work-up looks like.
- Transvaginal or transabdominal ultrasound.
- Hormones: LH, FSH, prolactin, TSH, testosterone, AMH.
- Metabolic: fasting insulin, HbA1c, lipid profile.
- BMI, waist circumference, blood pressure.
What treatment usually combines.
- Diet and weight protocols (the most underrated lever).
- Targeted medication if indicated.
- Mental-health support — PCOS and anxiety often co-occur.
Which hospital gave you the clearest plan? Share — it helps the next reader find care.
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