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PCOS and Infertility
PCOS is sometimes associated with fertility. In PCOS LH goes higher than FSH. Due to the low levels of FSH, many follicles will develop however it will not mature. These follicles which are present in ovaries form cysts once they become ataractic. Hence the ovaries seem to be polycystic. Follicles do not mature and that is the reason no eggs are released and subsequently, there is no ovulation. Infertility is primarily caused by anovulation or lack of ovulation. Ovulation drugs (Clomid & metformin) by gonadotropins help in ovulation or correcting the resistance to insulin.
Symptoms of PCOS
Some common symptoms of PCOS include an excessive hair growth in the face and body along with weight gain and, irregular and infrequent periods or absent periods. Ovulation is infrequent or mostly absent. The symptoms can vary from one woman to another and may also include obesity, high levels of cholesterol or even acne. There have been some symptoms of skin tags as well as extreme tiredness, or lack of mental alertness combined with depression, anxiety and decreased sex drive. Excess male hormones and infertility are also observed in some cases.
Incidence and diagnosis of PCOS
Polycystic ovarian syndrome (PCOS) accounts for 90% of women with infrequent periods 30% of women with absent periods and over 70% of women with anovulation.
PCOS can be inspected with laparoscopy which allows direct inspection of the ovaries. However polycystic ovaries may appear normal at laparoscopy. Ultrasound of the vagina may show the PCOS. To know the total number of visible cysts, a pelvic scan of ovaries is recommended. However it is also to be noted that in case there is no visible cyst, it is not to be concluded that one does not have PCOS.
It is advisable to check the blood hormone levels of LH, FSH, androgens, and SHBG. The best time for these tests is the first four days of the cycle. However in situations where the woman has no period, then the test can be performed anytime and repeated if the tests do not provide a clear picture. It is seen that FSH levels are low or normal and LH levels are often raised. However, even if the level is normal, it cannot be assumed that there is no (PCOS). There is a possibility that the levels of androgens and testosterone may be raised.
To treat PCOS, removal of ovarian cysts is not an effective option. Cysts which form on the ovaries are due to the production of excess insulin leading to hormone imbalance. Hence removing the cyst only removes one symptom and not the entire problem.
Health risks associated with PCOS
Women who have Women with PCOS a much higher chance of contracting type 2 diabetes as well as cancer and cardiovascular disease (CVD). Getting your symptoms under control at an earlier age can help to reduce the above complications.
Treatment of PCOS at Raipur Centre, India
Treatment is usually ineffective pharmaceutically and is usually more effective if there is a strategy to change the lifestyle. In case the woman is overweight she needs to lose weight. This will help in getting the menstruation back and ovulation in patients having a polycystic ovarian syndrome. Including some changes in like exercise and weight control also helps in reducing chances of type 2 diabetes in later life.
Since there is no definite treatment for PCOS, it needs to be controlled to prevent problems. The treatment method is based on one’s symptoms, if one wishes to get pregnant and lowering one’s chances of getting heart disease and diabetes. Most women will need a combination of these treatments to meet these goals.
Birth control Pills: This option is for women who do not wish to get pregnant and still control menstrual cycles, reduce male hormone levels and help clear acne. However, symptoms return once the pills are stopped.
Diabetes medications: Metformin (Glucophage) helps women with PCOS symptoms. It lowers testosterone production, controls blood glucose, and slows down abnormal hair growth. Ovulation may return after a few months of use. Cholesterol levels will improve along with BMI (body mass index).
Fertility Medications: PCOS leads to lack of ovulation. T. Clomiphene citrate +Metformin are also used which helps in stimulation of ovulation. Another option is IVF with gonadotropins treatment.
Surgery: Ovarian drilling helps to bring on ovulation. When medicines fail, the next option is surgery. Laparoscopy is also another option. Surgery is recommended when the medical treatment fails and for women who have experienced OHSS.
Life style modifications: Many women with PCOS are obese or overweight. A healthy diet and exercise goes a long way in helping women with PCOS. It has been seen that marginal reductions in body weight can regularise a woman’s period.
Success Rate at Raipur Centre
Usually induction of evolution with clomiphene tablets is the first choice and is an effective treatment of PCOS. Data shows that around 70% of women have experienced restoration of ovulation and around 30% of women will be able to get pregnant within three months of treatment. Post surgery it is seen that in close to 70-90% of women ovulation will occur spontaneously. Chances of pregnancy is in the range of 40-60% post one year.
Raipur fertility research centre has 15 years of experience in providing couples with the latest in assisting means of reproduction in India. The hospital and their dedicated staff provide a warm atmosphere where one can be sure that all concerns of infertility are patiently listened to and efficiently addressed. The staffs are knowledgeable and the latest technological processes are followed to make the experience of creating a baby the most wonderful experience of one’s life.
PCOS Treatment Cost
Raipur IVF has been the pioneers in introducing assisted reproduction and has been one of the first clinics in India, specialising in various forms of infertility treatments using assisted means of reproduction.
The state of art technology at Raipur IVF provides a one-stop solution for curing all aspects of infertility at a convenient cost.
At the Raipur centre, infertility is diagnosed and treated with the latest methods in technology and training. We offer a gamut of medical and surgical options ranging from simple treatment to the latest and most complicated methods in treating infertility.
Raipur Fertility Centre offers world-class treatment and their excellence can be measured by their success rate. With a mission of helping couples to create dreams, they provide get low cost treatments with the best technology and team. The hospital is very clear in its target of providing its patients world-class treatment at a fraction of the cost available anywhere else