What is Bilateral PCOD ? Explained by Top Dietitian for PCOS

Bilateral PCOD is a short form for bilateral polycystic ovarian disease. This disease is a hormonal condition in which both ovaries show a PCOD pattern. 

It is detected when you do an ultrasound which shows multiple small cysts visible on both sides. The bilateral PCOD condition disrupts ovulation and causes to have irregular periods, acne, unwanted hair growth, and weight gain. 

In Hindi, Bilateral PCOD is commonly referred to as दोनों अंडाशयों में पॉलीसिस्टिक बदलाव (bilateral PCOD meaning in Hindi). The words “PCOD” and “PCOS” are used interchangeably, bilateral PCOD pattern of follicular arrangement usually indicates a sonographic finding.  

As a Clinical Dietitian in Mumbai for PCOS, Dt. Foram Modi believes lifestyle and food play a key role in reversing the bilateral PCOD. In this blog post, we will discuss on what is Bilateral PCOD, its symptoms and how diet plays a key role in dealing with this situation.

Bilateral PCOD - Explained by Dietitian for PCOD in Mumbai - Dt. Foram Modi
Bilateral PCOD - Explained by Dietitian for PCOD in Mumbai - Dt. Foram Modi

What are Symptoms of Bilateral PCOD?

There are various symptoms of Bilateral PCOD. This includes mild to severe symptoms and may affect your menstrual cycle, skin, weight, mood, and fertility. In bilateral PCOD, both the ovaries show a polycystic pattern on ultrasound. 

This means, the hormonal imbalance is often more. It is important to note that, many women don’t even realize that they have bilateral PCOD until they get irregular periods or difficulty in conceiving. 

The symptoms of bilateral PCOD differs from person to person and they will get worsened if left unmanaged. If you noted the symptoms, its important to take a treatment.

Common symptoms of bilateral PCOD include:

  • 🩸 Irregular or missed periods – infrequent cycles or no periods at all

  • 🍫 Acne and oily skin – especially on the face, back, and chest

  • 🧬 Hormonal imbalances – elevated androgens (male hormones)

  • 🧔 Unwanted facial and body hair – especially on chin, chest, or upper lip (hirsutism)

  • 💇‍♀️ Hair thinning or scalp hair loss – due to high androgen levels

  • ⚖️ Weight gain or difficulty losing weight – especially around the belly

  • 🥚 Ovulation issues – irregular or absent ovulation affecting fertility

  • 😓 Mood swings, anxiety, or depression – linked to hormonal changes

  • 😴 Fatigue and low energy levels – even with enough rest

  • 🍭 Increased cravings or insulin resistance – leading to sugar imbalance

What is Bilateral Class 1 PCOD?

Bilateral Class 1 PCOD is a mild form of bilateral PCOD. You will notice mild polycystic ovarian changes seen in both ovaries during an ultrasound scan. 

The word “Bilateral” means that both ovaries are affected, and “Class 1” indicates the mild symptoms or early-stage polycystic changes. 

In this condition of bilateral class 1 PCOD, the ovaries may appear slightly enlarged with multiple small follicles (usually more than 10 in each ovary). These follicles may get arranged in a specific pattern, often described as a “string of pearls.” 

You may notice some hormonal imbalances but major symptoms in Class 1 PCOD are usually less intense. As per PCOS Specialist in Mumbai – Dt. Foram Modi, early dietary changes will surely reverse the symptoms of Bilateral class 1 PCOD.

What is Bilateral PCOD with Mature Follicle?

If you are diagnosed with bilateral PCOD with a mature follicle, it means that both ovaries show polycystic changes (multiple small cysts), but ovulation may still be occurring. 

This is because of the fact that a mature follicle (usually 18–24 mm) has developed. Good news is, this is a positive sign for fertility and it indicates that even if you have PCOD, the ovaries are still capable of releasing an egg. 

However, you may feel some symptoms of PCOD because of underlying hormonal imbalance. 

Common symptoms Bilateral PCOD with Mature Follicle may include:

  • 🩸 Irregular periods or inconsistent ovulation timing

  • 🍫 Acne, oily skin, and breakouts around the jawline

  • 🧔 Unwanted facial hair (hirsutism) and body hair growth

  • ⚖️ Weight gain or difficulty losing belly fat

  • 😔 Mood swings, irritability, or anxiety

  • 🥱 Fatigue and low energy despite rest

  • 💇 Hair thinning or scalp hair fall

  • 🥚 Mid-cycle pelvic pain (sometimes indicating follicle rupture/ovulation

In this condition, a balanced diet, exercise, stress reduction, and guidance from a clinical dietitian for PCOD in Mumbai like Dt. Foram Modi can help improve hormone function.

Difference Between PCOS and Bilateral PCOD

Bilateral PCOS - Explained by Dietitian for PCOD in Mumbai - Dt. Foram Modi
Bilateral PCOS - Explained by Dietitian for PCOD in Mumbai - Dt. Foram Modi

The terms PCOS (Polycystic Ovary Syndrome) and Bilateral PCOD (Polycystic Ovarian Disease) are often used interchangeably. But they are not exactly the same

PCOD is a condition in which both ovaries develop multiple immature follicles (tiny cysts). PCOD condition can be seen on ultrasound. 

PCOD is a more like a ovarian structural change. Some women don’t even see symptoms of PCOD. On the other hand, PCOS is a broader hormonal syndrome. 

PCOS may just not includes ovarian cysts, but also metabolic issues, hormonal imbalances, and clinical symptoms like irregular periods, acne, weight gain, infertility, and insulin resistance. 

PCOS is a long-term condition which affects the entire endocrine system. For detailed info, read our blog post on difference between PCOS and PCOD.

Is Bilateral Polycystic Ovaries Dangerous?

As per the study on complications of PCOS, Bilateral polycystic ovaries or Bilateral PCOD are not immediately dangerous. But they do indicate an underlying hormonal imbalance. 

This imbalance can affect overall health if you left it untreated. The presence of cysts in both ovaries indicates Polycystic Ovary Syndrome (PCOS) or Polycystic Ovarian Disease (PCOD). These cysts themselves are usually harmless and non-cancerous. 

But the associated symptoms such as irregular periods, infertility, weight gain, insulin resistance, and elevated androgens can increase risk of other lifestyle diseases. 

Polycystic Ovarian Morphology Treatment (Diet by Dt. Foram Modi)

Polycystic ovarian morphology (PCOM) is an ultrasound finding where the ovaries appear larger and contain multiple small follicles (usually more than 12). 

Please note, that not all women with PCOM have PCOS and this morphology can be an early sign of hormonal imbalance. 

This may get converted to full blown PCOD/PCOS if left unmanaged. Dt. Foram Modi offers a science-backed, holistic diet and lifestyle framework designed to reverse these early signs naturally.

Diet Treatment by Dt. Foram Modi

Bilateral PCOD Diet - Explained by Dietitian for PCOD in Mumbai - Dt. Foram Modi
Bilateral PCOD Diet - Explained by Dietitian for PCOD in Mumbai - Dt. Foram Modi

Dt. Foram Modi’s RCC framework (Root Cause Correction) helps support hormonal health and ovulation naturally by combining personalized nutrition, habit-building, and medical nutrition therapy.

Key Dietary Principles for PCOM:

  • 🥗 Low-Inflammatory Diet:
    Eliminate dairy, sugar, and refined carbs if they cause bloating, acne, or fatigue. These foods worsen insulin resistance and hormonal imbalance.

  • 🍚 Choose Complex Carbs:
    Switch to millets, quinoa, brown rice, and whole wheat over white rice, maida, and packaged snacks to regulate insulin and energy levels.

  • 🥜 Balance with Protein + Healthy Fats:
    Include lentils, eggs, paneer, tofu, seeds, and nuts in every meal. Protein supports ovulation, and healthy fats improve hormone production.

  • 🌈 Go for Rainbow Veggies:
    Include a wide variety of colorful vegetables to ensure you’re getting antioxidants that protect egg health and reduce cyst formation.

  • 💧 Hydrate + Detox Naturally:
    Start your day with jeera or methi water, drink 2.5–3 liters daily, and limit sugary beverages.

  • 🕒 Eat on Time:
    Skipping meals or long gaps between meals can worsen hormonal irregularity. Follow a structured meal plan—this supports metabolic stability.

 

Sample Day of a PCOM-Friendly Meal Plan (from Dt. Foram’s Clinic)

  • Morning Detox: Warm water with cinnamon + soaked fenugreek seeds

  • Breakfast: Besan chilla + green chutney + herbal tea

  • Mid-morning: Amla juice or 1 fruit with flaxseed powder

  • Lunch: Jowar roti + mixed veg sabzi + dal + salad

  • Evening Snack: Roasted chana or boiled corn + coconut water

  • Dinner: Moong chilla or soup + steamed veggies

  • Bedtime: Nutmeg-infused turmeric milk (plant-based if dairy-sensitive)

 

Bonus Lifestyle Tips by Dt. Foram:

  • Sleep 7–8 hours (before 11 PM if possible).

  • Walk after meals to improve insulin sensitivity.

  • Practice cycle syncing nutrition based on your period phase.

  • Avoid over-exercising; choose yoga, strength training, or moderate walks instead.

Conclusion

Polycystic ovarian morphology is your body’s early signal that it needs nourishment and balance. With the right support—like Dt. Foram Modi’s structured PCOD reversal plans—you can restore your hormonal health, reduce ovarian cysts, and improve fertility naturally.

References

Below articles were referenced for preparing this article.

About the author

Dt. Foram Modi - Certified & Educated PCOS Specialist in Mumbai

Dt. Foram Modi - Best Dietician in Mumbai at Makes You Eat
Dt. Foram Modi - Best Dietician in Mumbai at Makes You Eat

Dt. Foram Modi is the founder of Makes You Eat, one of the best dietician clinic in Mumbai. It is located in Borivali Mumbai. Dietician Foram Modi has 12+ years of experience as a clinical dietician in Mumbai. She has done a specialization in Nutrition & Diet Planning. In addition, she is a certified nutritionist in Mumbai for child care nutrition. She is a certified She is highly regarded as –

Dt. Foram Modi is a highly qualified and certified PCOS Specialist and Clinical Nutritionist based in Mumbai, known for her evidence-based and results-driven approach to women’s hormonal and metabolic health. 

She holds a PG Diploma in Nutrition & Diet Planning from Tulip International, an ISO 9001:2015 certified and internationally accredited institute recognized by the Government of IndiaIAF (USA)GCTA (Australia), and more

In addition to her postgraduate training, Dt. Foram has earned:

  • ✅ Clinical Nutrition Certification from VLCC Institute, Mumbai – IAO accredited

  • ✅ Weight Loss & Weight Gain Certification from BFY (Better Fitness For You), India’s top fitness education body

  • ✅ Child Nutrition Certificate from VLCC Institute, helping her address child health and immunity through diet

 

Her extensive academic background and certifications empower her to create personalized, science-backed plans for PCOS reversal, weight management, and therapeutic nutrition. With thousands of success stories and a holistic, root-cause approach, Dt. Foram Modi is a trusted name for PCOS care in Mumbai.

Dietician Foram Modi believes in educating her clients through nutrient-rich, non-restrictive diet consultation plans based on Indian homemade food. Her motto: “We Make You Eat – Not Starve!” 

If you are looking for online dietician consultation anywhere in India or globe, she is available just a call away. You can contact her through phone call, WhatsApp or directly visiting her dietician clinic in Borivali, Mumbai.

She is a five star rated dietician in Mumbai on Google. Patient’s express a sense of achievement & success in their dietician reviews in Mumbai about Foram Modi. All these factors contributes to make her a best dietician in Mumbai India.

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Address of our Dietitian Clinic in Borivali, Mumbai

Makes You Eat by Dt. Foram Modi, B102, 1st floor, Navkar Pearl, Natakwala Lane, Near Registration office, Borivali West, Mumbai 400092, Maharashtra

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8369030744

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