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Last Updated: Oct 23, 2019
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Does PCOS Lead to Infertility?

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Dr. Vinod Kumar NGynaecologist • 18 Years Exp.MBBS,MD,FMAS,DMAS,MMAS,FICRS,DRME(Germany)
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Polycystic ovary syndrome (PCOS) and infertility are considered synonymous by most. However, the truth is that they are not and there are a lot of treatment options that can lead to pregnancy, even in a lady who is suffering from PCOS.

Reasons PCOS leads to infertility
Women with PCOS have different hormonal pathways than a normal woman without PCOS. It changes the system of how your body produces the eggs and prepares your uterus for pregnancy. Three reasons why women with PCOS do not get pregnant, or why it is difficult for them to maintain pregnancy are:

1. Women who are suffering with PCOS do not ovulate normally.
2. They have irregular periods and thus their monthly cycles are not predictable.
3. As they have irregular periods, their endometrium may not be prepared when the egg is released. Thus, it does not help in sustaining the pregnancy.

Symptoms of PCOS
There are a lot of symptoms that show the hormonal imbalance due to PCOS.
1. Ovarian cysts
2. Excessive amounts of male hormones
3. High levels of insulin
4. Fertility problems
5. Weight gain
6. Ovulation and menstrual problems
7. Excess body and facial hair
8. Acne
9. Anxiety and depression

As there is hormonal imbalance in a woman with PCOS, the eggs may not develop properly, and at the same time, they may not be ready to get fertilized, thus leading to infertility.

PCOS infertility treatment
The good news is that even if you are one of them with PCOS, there are treatments that can help you to get pregnant.

Here are the drugs that help patients with PCOS.
Metformin (Glucophage)

It helps in reducing the insulin levels and stabilizes the hormones. Thus, doctors often prescribe metformin that will help in making the ovulation cycles regular.

Clomid (Clomiphene citrate)
Another fertility drug that helps in conceiving is Clomid. It may be prescribed with or without metformin. When women with PCOS take these two drugs together, their chances of getting treated for PCOS and getting fertile become more. Many women may need a high dose of Clomid so that they can retain fertility.

Gonadotropins
This medication is necessary for helping you with ovulation as gonadotropins are hormones that stimulate your ovaries to release eggs. When someone is not responding to clomid then this medication may be tried.

If you too are trying to conceive and yet have not succeeded, and can find the symptoms mentioned above, visit your doctor and start the treatment. In case you have a concern or query you can always consult an expert & get answers to your questions!

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