PCOS means polycystic ovarian syndrome, where many small cysts filled with fluid are seen in the ovaries. PCOS is an ovarian disorder having effects on all body systems.
PCOS is common and affects 10 to 20% of all reproductive-age females.
Increase in male pattern hormones leading to increase in facial and body hair, (hirsutism), male pattern baldness – sparse hair,pimples
Tendency for obesity end metabolic problems like disturbed lipid profile and impaired glucose tolerance.
Increased chances of miscarriage
In PCOS, the ovarian environment is not conducive for egg growth and ovulation. There are many small follicles, however they don’t mature and don’t ovulate. Many times but not always, cysts are arranged in a necklace pattern near the outer wall of the ovaries with thick marrow inside. This sonographic appearance of multiple cysts in the ovary/ovaries gives the name polycystic ovaries. When the effects are also seen on other body systems it called polycystic ovarian syndrome.
For reproductive age women, diagnosis of PCOS requires the presence of at least 2 of the following 3 features:
Irregular menstrual period
Increased male pattern hormones or their effects
PCO appearance of ovary/ovaries on sonography
Lifestyle modification is the first-line treatment. If women can achieve ideal body weight, it is the best. The ideal BMI is less than 22.5. Even a modest reduction of body weight of 5-10 % can improve ovulation.
This can achieve ovulation in approximately 70 to 80% of women having PCOS. Average 50 to 60% of women with PCO can conceive with this treatment; the remaining may require advanced treatments.
Injection for egg growth
The hormones FSH & LH secreted from the pituitary gland in the brain regulate egg growth and ovulation. These hormones can be given an injection for egg growth. They can be particularly helpful when the patient does not conceive with oral medicines or does not ovulate with oral medicines. When using these injections, there is a chance of multiple egg development leading to ovarian hyperstimulation syndrome (OHSS) Read More. These multiple follicles may increase the chances of twins and higher-order multiple pregnancies. It is better to use these injections under the guidance of a fertility expert.
IUI (IntraUterine Insemination)
Injection of the husband’s prepared semen sample into the wife’s uterus at the time of ovulation is called IUI. The average success ratio of IUI is 12 to 16% in one cycle. Usually, up to 4 cycles are recommended Read More.
IVF-ICSI (In Vitro Fertilization)
IVF is a process where women’s eggs are fertilized with their partner’s sperm outside the body in an IVF lab. The resulting embryos are put back into women’s uterus.
IVF is particularly a better option in PCOS because of these unique advantages.
During IVF, we have fine control of the number of embryos to be transferred. Thus, avoiding higher-order multiple pregnancies.
We may have extra good quality embryos after transfer. These can be frozen and used later. Frozen embryos give equally good results as fresh embryos.
We have many methods to reduce and control OHSS in an IVF cycle. In OHSS, multiple ovarian follicles produce ovarian hormones, which may make the uterus less conducive for implantation. With OHSS, if there is a pregnancy, there are chances of worsening of OHSS. IVF allows us a unique possibility to freeze all the embryos and transfer them back to an environment close to nature. Prudent use of frozen transfer in IVF can almost avoid all major effects of OHSS
BFI offers correct diagnosis and conservative management. We offer extensive individualized and customised treatment options which PCOS patients need the most. At BFI, PCO management is Simple, Safe, Smart and Successful.
Your problem may be fertility, miscarriages or any, get the best help.