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Polycystic ovary syndrome (PCOS)

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Introduction

What is Polycystic Ovary Syndrome (PCOS)?

Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder affecting women of reproductive age. It is characterized by the presence of multiple small follicles in the ovaries, irregular menstrual cycles, and elevated levels of male hormones (androgens). PCOS can impact a woman’s fertility, metabolism, and overall health. At Creator’s IVF Nepal, we offer comprehensive diagnosis and personalized treatment plans to help manage PCOS symptoms and support fertility.

Symptoms

Recognizing the Symptoms of PCOS

The symptoms of PCOS can vary from person to person, but common signs include:
  • Irregular Periods: Infrequent, prolonged, or absent menstrual cycles are common. Women with PCOS may have fewer than nine periods a year or experience heavy bleeding during their periods.
  • Excess Androgen Levels: Elevated levels of male hormones can result in symptoms like excess facial and body hair (hirsutism), acne, and thinning hair on the scalp.
  • Polycystic Ovaries: Enlarged ovaries with multiple small follicles may be detected through an ultrasound. 
  • Weight Gain: Many women with PCOS struggle with weight gain, particularly around the abdomen.
  • Insulin Resistance: PCOS is often linked with insulin resistance, which can lead to weight gain, type 2 diabetes, and difficulty managing blood sugar levels.

If you experience any of these symptoms, it’s important to consult a healthcare provider to discuss potential diagnosis and treatment options.

Diagnosis

How is PCOS Diagnosed?

Diagnosing PCOS involves a combination of medical history, physical exams, and diagnostic tests, including:

  • Medical History and Symptom Review: A thorough review of your menstrual cycles, weight changes, and symptoms of excess androgen levels will help guide the diagnosis.
  • Blood Tests: Hormone levels, including androgens, insulin, and other reproductive hormones, are measured to check for imbalances.
  • Pelvic Ultrasound: Transvaginal ultrasound is used to examine the ovaries
    on day 2-3 of menstrual cycle and detect the presence more than 10 antral
    follicles in one cross section

Accurate diagnosis is essential for developing an effective management plan, particularly if fertility is a concern.

PCOS and Fertility

How Does PCOS Affect Fertility?

PCOS is one of the most common causes of infertility in women, as it disrupts ovulation (the release of eggs from the ovaries). Women with PCOS may experience irregular ovulation or anovulation (lack of ovulation), making it difficult to conceive. However, many women with PCOS can still achieve pregnancy with proper medical treatment and lifestyle changes. Treatments such as ovulation-inducing medications and assisted reproductive technologies (ART), like In-Vitro Fertilization (IVF), can help to improve the chances of conception.

Treatment and Management

While there is no cure for PCOS, the symptoms and fertility challenges can be managed effectively through various treatment options, including:

  • Lifestyle Changes: Weight management, healthy eating, and regular physical activity can help regulate menstrual cycles, improve insulin sensitivity, and reduce symptoms.
  • Medications:
    • Ovulation Induction Medications: Drugs such as clomiphene citrate or letrozole can stimulate ovulation in women trying to conceive.
    • Insulin-Sensitizing Agents: Metformin is often prescribed to improve insulin resistance and lower blood sugar levels.
  • Fertility Treatments: For women who struggle to conceive, options like ovulation induction, Intrauterine Insemination (IUI), or IVF can be effective.
  • Surgery: In some cases, laparoscopic ovarian drilling may be performed to improve ovulation.

With proper management, women with PCOS can lead healthy lives and improve their chances of achieving pregnancy.

FAQS

Frequently Asked Questions

01. Can I get pregnant if I have PCOS?
Yes, many women with PCOS can get pregnant. However, PCOS often causes irregular or absent ovulation, making conception more difficult. Fertility treatments like ovulation induction medications, IUI, or IVF can help increase the chances of pregnancy for women with PCOS.
PCOS is closely linked to insulin resistance, meaning the body’s cells do not respond well to insulin, causing higher insulin levels. This can lead to weight gain, difficulty losing weight, and an increased risk of developing type 2 diabetes. Managing insulin resistance through diet, exercise, and medication is important for controlling PCOS symptoms.
Yes, untreated PCOS can lead to long-term health problems, including type 2 diabetes, high blood pressure, high cholesterol, heart disease, etc. Managing PCOS symptoms early on can help reduce the risk of these complications.
04. What lifestyle changes can help manage PCOS?
Maintaining a healthy weight, following a balanced diet rich in whole foods, managing stress, and incorporating regular exercise can improve PCOS symptoms. These changes help regulate blood sugar levels, reduce insulin resistance, and promote regular menstrual cycles.
Currently, there is no cure for PCOS. However, with the right combination of lifestyle changes, medication, and fertility treatments, PCOS symptoms can be effectively managed, allowing women to lead healthy lives and improve their chances of conception.

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