Polycystic ovary syndrome (PCOS) is a disease associated with hormonal imbalances and metabolic problems. The disease affects the ovaries and does not necessarily lead to infertility, but is the most common cause of infertility. Research suggests that up to 1.5 million women in the US are affected and treatable.
Here’s how the disease can affect fertility and what to do about it, as well as some of the things that can disrupt ovulation. One sign is irregular or missed periods, but it can also cause other problems, such as weight gain, weight loss, and infertility.
Signs and Symptoms
The prevalence of infertility in people with PCOS is estimated at 70 to 80 percent, according to the Centers for Disease Control and Prevention (CDC). The signs and symptoms of PCOS usually occur in late adolescence and early adulthood.
Some may also have insulin resistance, which leads to higher insulin levels in the blood. Left untreated, type 2 diabetes can lead to high blood pressure, heart disease, kidney failure, and other health problems.
Another symptom that may indicate that you have fertility problems is irregular or missing menstrual periods. Some may not ovulate regularly or not ovulate at all, and some may cause infertility, infertility, and infertility symptoms.
Cure
There is currently no cure for PCOS, and treatment and management depend on the target. In the case of infertility caused by PCOS, treatment involves correcting problems with ovulation and addressing metabolic problems such as insulin resistance.
Hormonal birth control pills can be helpful for those who do not want to get pregnant, but they can also be used to regulate the menstrual cycle and to protect against irregular periods associated with PCOS. Some treatments help you reach ovulation and get pregnant.
Therefore, a healthy, balanced diet and regular exercise are essential, and your doctor will probably recommend these basic health measures first. Maintaining a healthy weight in the body can help regulate menstruation and keep blood sugar levels under control.
Clomiphene citrate is a stimulant for ovulation, so work on blocking the feedback of estrogen to your brain. Many calendar fertility apps can help you figure out On which days you are most likely to ovulate, and if not, it is a good time to track your period.
If you are taking an oral medication, start with the lowest possible dose, but your doctor may increase it if necessary. You can also take oral medication in combination with other medications, such as estrogen replacement therapy or progesterone.
Clomiphene citrate or clomid is very effective when it helps women with PCOS to ovulate. However, according to a study by the American College of Obstetricians and Gynecologists, about 15 percent of women without PCOS do not respond to the maximum dose.
Letrozole and Femara are aromatase inhibitors; these drugs block estrogen production and increase the release of follicles – stimulating hormones (FSH) to stimulate ovulation. These drugs are used to treat breast cancer and to treat jumps – people with PCOS start ovulating.
Metformin is used to treat type 2 diabetes; it increases the body’s ability to use insulin effectively and lowers blood sugar levels.
Although not as effective as letrozole or clomiphene, metformin is recommended for women with PCOS who have difficulty getting pregnant because it is not an initial treatment for it. Women who take the formalin but do not want to become pregnant can use birth control, which may then initiate ovulation. Gonadotropins are injectable hormones that can help you reach ovulation, and they can be used to promote regular periods and ovulation. They can promote ovulation, but they are not the same as other hormones such as progesterone, testosterone or estrogen.
Surgery
PCOS can thicken the outer shell of the ovaries, and this treatment may require frequent doctor visits to see how your body reacts. If you are not responding to medication, a surgery called laparoscopic ovarian bore is an option, although it is rare in practice.
During this procedure, the surgeon will make several tiny incisions and insert a laser and a fine needle to make some holes in the surface of the ovaries. After the incision, a laparoscope is used to examine the internal organs.
This is usually done under general anesthetic and outpatient, and restores ovulation within 6-8 months, according to the American College of Obstetricians and Gynecologists.
Healthy Diet
A healthy diet is important for the overall health of all people, and a low-calorie, low-carbohydrate diet that provides important nutrients significantly improves insulin sensitivity and fertility in people with PCOS, “said Dr. Michael J. D’Alessandro, obstetrician and gynecologist at the University of California, San Francisco.
It is also helpful to speak to a dietitian or nutritionist who can provide input on healthy eating and motivation. In people with a high BMI, weight loss can improve the symptoms of PCOS, and it is also beneficial to follow a diet of low carbohydrates, high protein, and moderate fat three times a week.
Acupuncture for PCOS has not yet been well studied and further research is needed to determine whether it has any benefit as a treatment for PCOS.
Essential oils are plant extracts that produce fragrances that can influence the way you feel. Many people find inhaling essential oils relaxing and invigorating, others use them to alleviate symptoms of various health conditions. Research into the efficacy of essential oil is limited, but it is one of the most popular treatments for PCOS and other reproductive disorders.
Research Studies
A 2017 study looked at the effects of essential oils on PCOS and other reproductive disorders such as breast cancer, infertility, and ovarian cancer.
The researchers concluded that mint inhibits testosterone and restores follicular development in ovarian tissue. It also shows that a combination of essential oils such as mint, lavender, rosemary, sage, and thyme has the potential to treat PCOS.
Whether this will be transmitted to humans remains to be seen, and there is not yet enough research to draw clear conclusions from this.
Essential oils are generally considered safe, although side effects can occur. Therefore, make sure you use them correctly and only when you feel better.
Even natural herbs and supplements can interact with medications, so discuss these supplements with your doctor. Some medications can cause or even interfere with side effects such as nausea, vomiting, diarrhea, and vomiting.
If you are struggling with PCOS and infertility and do not respond to treatment, your doctor should investigate the cause. There have not been enough high-quality studies to investigate the effects of supplements on fertility. Talk to your doctor about what nutrients you are lacking and whether supplements are a good choice for you. If you are taking medication for PCOS or gender-related infertility, talk to a doctor before taking any supplements.
Endometriosis is a type of tissue that covers the uterus and grows elsewhere in the pelvis. This abnormal tissue growth can block the fallopian tube and damage eggs and sperm.
According to the American College of Obstetricians and Gynecologists, about 40 percent of infertile women suffer from endometriosis, but not all with the disease have symptoms.
One procedure, laparoscopic ovarian bore, showed the presence of endometriosis in women with PCOS, but not in women without the disease. A 2019 study looked at the overlap between PCOS and endometriosis, and this study included women without PCOS who did not respond to clomiphene citrate, a common treatment for the condition.
Fertility
Fertility treatments can be an emotional rollercoaster, and difficulties imagining them can be frustrating, according to the American College of Obstetricians and Gynecologists.
This is a physical problem, but it can put an additional strain on the relationship and mental health. Depression and anxiety are fairly common, although it is unclear how these conditions are related. If you have depression or anxiety or have difficulty with it, you should be sure that you are not alone. Your doctor can assess your symptoms and refer you to a specialist if necessary.
Sometimes lifestyle adjustments, medications, or operations do not work, and sometimes lifestyle adjustments, medications, or operations do not work.
If that happens, IVF could be an option, or you will start using fertility injections to stimulate your ovaries, and if that doesn’t work, you may have to stop.
They probably produce several eggs at once, and once the eggs are harvested, they are fertilized with sperm. Fertilized eggs can be frozen for later use, or fertilized with own eggs, which can then be frozen – dried and refrozen.
IVF can increase the likelihood of multiple births, and when an implant develops, it is transferred into the uterus to be implanted and developed.
If you have symptoms of PCOS, go to your doctor to get a diagnosis and treatment, and start treatment. Your doctor will refer you to a fertility specialist and advise you on the procedure. If you are going to get pregnant at some point, you need to start treating it yourself if you are going to get pregnant.
PCOS is a disease that causes hormonal imbalances that can disrupt ovulation, and some people with PCOS have difficulty getting pregnant. There are no effective treatments, but in some cases, it can cause people to have difficulty getting pregnant, especially in the elderly.
It is also important to note that PCOS does not mean that you can never get pregnant, but that you have to get pregnant due to medical procedures. If you don’t want to get pregnant, you should always use contraception, even if you have PCOS, according to the Centers for Disease Control and Prevention.
Sirisha B