The hormonal cues that cause ovulation are disrupted by PCOS. Eggs may be produced by your ovaries, but they are not always released. PCOS-related infertility is caused by irregular or nonexistent ovulation. The good news is that ovulation is frequently restored by straightforward treatments. Restarting cycles and improving insulin sensitivity can be achieved with even 5–10% weight loss. Ovulation can be triggered by drugs such as clomiphene and metformin. IVF provides a dependable solution if these fail; it completely avoids the ovulation issue and consistently achieves success rates of 40–60% per cycle.
Your PCOS presentation is unique. Some have slim PCOS while some are obese. Some present high levels of male hormones while others have normal levels. Blood tests and an ultrasound of the pelvis will enable Dr. Charmila Ayyavoo to know your particular type of PCOS and prescribe suitable medication.
Pregnancy itself is not automatically higher risk with PCOS. However, PCOS pregnancies may have higher rates of gestational diabetes, so careful monitoring during pregnancy is important. Dr. Charmila ensures you receive antenatal care that accounts for your PCOS history.
Frequently Asked Questions
Q: Can I get pregnant naturally with PCOS?
A: Indeed, a lot of PCOS-affected women do. Insulin management, weight optimization, and ovulation tracking can all be beneficial. Your fertility physician will suggest ovulation induction or IVF if natural methods fail in a fair amount of time.
Q: Is PCOS genetic?
A: PCOS is partially a genetic condition. If your mom or sister is affected by PCOS, then your chance of being diagnosed with it is much higher. Yet, other factors can contribute to its development as well. This means that you do not automatically suffer from this syndrome.
Q: What's the success rate of treatment for PCOS-related infertility?
A: For PCOS patients with restored ovulation through either medication or IVF, their success rate is comparable to patients without PCOS, at 40–60% per cycle in case of IVF. Clomiphene/letrozole induction of ovulation works successfully on 70-80% of PCOS patients.