Polycystic Ovary Syndrome (PCOS) & Infertility:
Working as a fertility specialist, at Conceive IVF I have knowledge of the challenges that women face when trying to conceive. This is especially important in relation to Polycystic Ovary Syndrome (PCOS) which significantly affects fertility and is a concern for women in Pune, Maharashtra and across India. With my expertise, as an IVF practitioner I have assisted couples in overcoming infertility issues, including PCOS, which plays a role in female infertility.
What is PCOS?

Polycystic ovary syndrome (PCOS) is a disorder that affects 5-15% of women in their reproductive years and is a significant factor in fertility issues. The condition arises from a mix of environmental influences that trigger imbalances, particularly heightened levels of male hormones (androgens) and insulin resistance. This disruption alters the function resulting in:
Irregular menstrual cycles: PCOS often leads to irregular or absent periods due to sporadic ovulation.
Elevated androgen levels: Androgens, typically male hormones can be found in females as well. In PCOS these levels may rise, leading to symptoms such as acne and unwanted hair growth.
Polycystic ovaries: Although not all individuals with PCOS develop cysts some may experience the formation of follicles on their ovaries.
PCOS and Infertility
PCOS is often linked to difficulties in getting pregnant. The hormonal changes can affect the ovulation process, which may hinder the release and fertilization of an egg. Nevertheless it’s worth noting that:
Having PCOS doesn’t always mean you can’t conceive: Numerous women with PCOS have been able to get pregnant without intervention.
There are solutions: Various treatments can help regulate ovulation and improve the likelihood of pregnancy.



Symptoms of PCOS

Symptoms of PCOS
- Irregular or absent periods
- Heavy or prolonged periods
- Difficulty losing weight
- Excess facial and body hair growth (hirsutism)
- Oily skin or acne
- Darkening of skin around the neck or underarms (acanthosis nigricans)
- Difficulty getting pregnant
Diagnosis of PCOS
Diagnosing PCOS is not straightforward. Typically involves a combination of the steps:
Treatment for PCOS & Improving Fertility
Although there is no cure for PCOS, managing symptoms effectively can enhance the chances of pregnancy. Here are some strategies that can help:
- Lifestyle modifications: Maintaining a weight through a diet and regular exercise can significantly alleviate PCOS symptoms and improve fertility.
- Medications: Prescribing drugs to regulate ovulation lower androgen levels and address insulin sensitivity if needed.
- Ovulation induction: Using medications such as Clomiphene citrate (Clomid) to stimulate ovulation in women with PCOS.
- Laparoscopic ovarian drilling: In situations an invasive surgical procedure might be suggested to enhance ovulation.
- Assisted reproductive technologies (ART): Options such as in vitro fertilization (IVF) or intrauterine insemination (IUI) could be considered when conventional methods prove unsuccessful in achieving pregnancy.

Frequently Asked Questions
What causes PCOS?
How is PCOS diagnosed?
Can I get pregnant with PCOS?
Yes, most women with PCOS can get pregnant with appropriate treatment. Fertility rates are highest before age 35.
What are the risks of PCOS during pregnancy?
Women with PCOS have a higher risk of gestational diabetes, preeclampsia, preterm birth, and miscarriage.
What are the long-term health risks of PCOS?
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