The symptoms associated with PCOD or PCOS are as follows:

• Irregular menses, which could include early, delayed, scanty, or heavy menstrual periods
• Oily skin
• Acne
• Sudden gain in weight
• Difficulty in losing weight
• Excessive growth of body hair
• Growth of facial hair
• Baldness around the central hairline
• Frequent and extreme mood swings
• Constant tiredness and fatigue

1. Physical examination: The doctor will evaluate the physical health of the woman. The woman will be asked about her menstrual period and weight fluctuations. The doctor will also check for symptoms like excess hair growth, acne, and insulin resistance.
2. Pelvic exam: The doctor will check the female reproductive organs for growths, masses, or any other changes that may be present.
3. Blood tests: It helps in measuring hormone levels. Fasting cholesterol and triglyceride levels are also determined. A glucose tolerance test helps in measuring the response of the body to sugar. These tests help in excluding the other possible causes of menstrual problems.
4. Ultrasound: This test helps in checking the appearance of the ovaries, and the thickness of the uterine lining. A transducer or wand-like device is placed in the vagina. This transducer emits sound waves that create images on a computer screen.

Non-surgical treatment options:

1. Dietary modifications: Eat fresh food and avoid consuming packaged and junk food.
2. Weight loss: Exercise regularly and eat a healthy diet to lose any excess weight that you may have.
3. Medications:

The following medications may be recommended to regulate the menstrual periods:

Combination birth control pills
Progestin is taken for 10 to 14 days, every one to two months

The following medicines may be recommended to help a woman ovulate:

• Clomiphene
• Letrozole
• Metformin
• Gonadotropins

The following medications may be recommended to improve acne and reduce the excessive growth of hair:

• Birth control pills
• Spironolactone
• Eflornithine
• Topical creams or gels to improve acne
• Hair removal creams
• Electrolysis (removal of hair using electric current) and laser hair removal can be used to remove hair.

Surgical treatment: A procedure known as laparoscopic ovarian drilling may be used as a last resort to treat PCOD and PCOS when other treatment methods have failed. This is because this treatment method has an increased risk of permanent damage to the ovaries. The procedure is performed as follows:

• The patient is first given general anesthesia and put to sleep before the procedure.
• A tiny keyhole incision is made by the surgeon around the ovaries to insert a laparoscope (a thin tube having a camera on one end).
• The surgeon then uses electrocautery or a laser for puncturing and destroying the exact areas where the ovaries produce androgens, thereby restoring ovulation. 
• The site is then stitched back using dissolvable sutures.
• The procedure takes less than 60 minutes to complete 
• The patient is usually discharged from the hospital on the same day of the surgery after the effect of the anesthesia wears off.

The complications associated with untreated PCOD or PCOS may include:

• Miscarriage
• Premature birth
• Infertility
• Diabetes or high blood pressure during pregnancy
• Non-alcoholic steatohepatitis (fat buildup in the liver leading to severe inflammation of the liver)
• Prediabetes or type 2 diabetes
• Metabolic syndrome (a number of health conditions that increases the risk of developing heart and blood vessel diseases)
• Depression or anxiety
• Eating disorders
• Obesity
• Sleep apnea (a sleep disorder in which the breathing repeatedly stops and starts while sleeping)
• Endometrial cancer (cancer of the uterus or womb lining)

Laparoscopic ovarian drilling surgery is recommended in only extremely rare cases and may be associated with the following complications:

• Infection
• Bleeding
• Internal scarring and bleeding
• Accidental injury to the ovaries, blood vessels, or surrounding organs
• Surgical menopause and infertility
• Side effects of the anesthesia used, like pain, constipation, and use of carbon dioxide gas during the procedure 
• Failure to treat the condition completely 

The post-procedure steps following a laparoscopic ovarian drilling surgery are as follows:

• It is normal to have some pain, itching, and pull on the incision site after the effect of the anesthesia wears off.
• The doctor will prescribe painkillers, antibiotics, and multivitamins after surgery.
• The doctor may sometimes recommend staying in the hospital for one or two days after the surgery.
• Avoid bending and overexertion of the body for at least five to seven days after the surgery.
• Increase the intake of iron, calcium, and magnesium for a quicker and smoother recovery.
• Complete the entire course of prescribed medicines in a timely manner.
• Drink plenty of water throughout the day.
• Eat a fiber-rich diet and take mild laxatives to prevent constipation.

Home remedies:

The following home remedies help in relieving the symptoms associated with PCOD or PCOS:

• Maintain a healthy weight
• Eat a high-fiber, low-carbohydrate diet
• Avoid junk and processed food
• Exercise regularly
• Maintain a regular sleep pattern

Cost of PCOD/ PCOS treatment in India-

The cost of PCOD/PCOS treatment in Mumbai is between INR 6,000 to INR 50,000.
The cost of PCOD/PCOS treatment in Delhi is between INR 5,500 to INR 45,000.
The cost of PCOD/PCOS treatment in Bangalore is between INR 5,500 to INR 45,000.
The cost of PCOD/PCOS treatment in Chennai is between INR 5,000 to INR 40,000.