PCOS and infertility in women

 Ovulation and PCOS



PCOS, marked by heightened androgen (like testosterone) and insulin levels, disrupts the menstrual cycle and inhibits ovulation, impacting fertility. To explore solutions, consider booking an appointment with the World IVF Centre, a premier fertility center in Delhi.

Understanding Ovulation:

Ovulation occurs monthly when an egg matures within an ovarian follicle. While multiple follicles develop, only one matures and is released into the Fallopian tubes for potential fertilization, leading to pregnancy upon intercourse.

Impact of PCOS on Ovulation:

Elevated male-type hormones in PCOS halt follicle growth prematurely, resulting in numerous small, immature follicles in the ovaries, visible on ultrasound as black circles. Irregular or absent ovulation in PCOS can complicate natural conception, necessitating contraceptive measures if pregnancy is undesired.

Fertility Challenges with PCOS:

About 70% of women with PCOS encounter conception challenges due to hormone levels, obesity (BMI over 31), and lifestyle factors. However, proper medical and lifestyle management can enhance pregnancy prospects.

Management Alternatives:

Some women with PCOS experience reduced fertility, necessitating extended efforts or medical intervention to conceive. Adopting a healthy lifestyle significantly improves chances of pregnancy. Medical assistance, including referrals to fertility specialists or medications, might be necessary for some.

Weight Management:

A healthy lifestyle involving diet and exercise notably boosts pregnancy odds. Even a modest weight loss (5-10% of initial body weight) can restore regular ovulation, aiding conception before considering other treatments.

Fertility Enhancement Surgery:

Surgical interventions may benefit infertility in PCOS cases. Laparoscopic ovarian surgery, known as ovarian drilling, can enhance ovulation by reducing androgen-producing tissue. However, this procedure involves risks like scar tissue formation or organ injury.

Bariatric Surgery:

While weight loss supports fertility, bariatric surgery should be a last resort after exhausting other weight-loss options due to its associated risks. Stability in weight for at least a year post-surgery is essential before attempting conception.

Assisted Reproductive Technology (ART):

For those unable to conceive naturally or through earlier treatments, ART like IVF provides another avenue. However, these methods are costly, time-consuming, and less effective for older or obese women, working better post lifestyle modifications.

Understanding these options and consulting a healthcare professional will help navigate fertility challenges posed by PCOS effectively."



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