BMI, added a new dimension to the phenotype of PCOS in South Asians. We also found that ageing has a major impact on worsening of the metabolic problems, whilst gestational diabetes is closely interwoven with PCOS. These landmark findings inspired others, particularly from mainland China and Thailand, to study the Asian woman with PCOS in greater depth. It further inspired us to study the community prevalence of PCOS in the Gampaha District (6.3%); which was published in American Journal of Epidemiology in 2008. This study is now widely acknowledged as the most scientific approach to the determination of the epidemiology of PCOS conducted worldwide since the 1990s. Dissemination of these findings in terms of ethnic variations of the one and the same condition, culminated in the 1st Asian meeting on PCOS held in Hong Kong in 2009. Sharing of country specific data helped further confirm a …