<s>[INST] Hello Doctor!, I am 30 years old and suffering from PCOD after my marriage for almost 4 years, i have been taking medication for 3 years and my doc keeps on changing the contraceptives ...but nothing changes and even pass one year i have been gaining weight and started having acne , i am 94 Kg and ht 5 6 now... please suggest me some alternative and a good gyni in mumbai... Regards, [/INST] Hi, Diet and exercise are the first line treatments in PCs. Oral contraceptive pills are used to regularize the period, and all are almost equally effective, but the newer ones containing Chat Doctor. Also, Metformin which is usually used by diabetics is also given in doses of 500-1500 mg daily for 3 -6 months. I would like to know if you are planning to have a pregnancy, then the treatment plan would change as ovulation will have to be induced by Camphene. But first I would ask to contact a good gynecologist in your area and discuss these option with her. A dietitian input is also desirable to help with weight. Hope this helps. Regards. </s>