Infertility is observed among 12%-15% of worldwide couples. To deal with female infertility a complete history of the patient followed by a physical, gynecological, and endocrine examination are necessary. PCOS was first described by Stein and Leventhal in 1935. Polycystic ovary syndrome (PCOS) is one of the most common endocrine and reproductive disorders. PCOS is affecting 7 to 15% of women of reproductive age. Teenagers are also getting affected in a large range. In PCOS, there is the presence of at least two of the Rotterdam criteria: oligo-anovulation, clinical or biological hyperandrogenism, and micropolycystic syndrome (ovarian volume > 10 ml and/or more than 12 follicles by the ovary).
Patients, suffering from PCOS consult for different degrees of hyperandrogenism (hirsutism, seborrhea, and acne), and irregularity in the menstrual cycles. They suffer from obesity and infertility.
An Introduction to PCOS
Polycystic Ovary Syndrome is a hormonal disorder. In this disorder, ovaries got enlarged along with small cysts on the outer edges.
The cause of polycystic ovary syndrome isn’t well understood yet, but according to medical researchers, few genetic and environmental factors trigger the symptoms of PCOS.
Symptoms include irregular menstrual cycle, excess hair growth, acne, and obesity.
Medications
Treatments include a few medications along with a well-maintained daily lifestyle. Birth control pills are prescribed to regularize menstrual cycles; medication called metformin is applicable to prevent diabetes, statins to control high cholesterol, hormones to increase fertility, and procedures to remove excess hair.
Apart from medications, a healthy lifestyle along with a good diet and regular exercise is a must to deal with PCOS. If you follow the medications properly, then you do not need to search for the best IVF Centre in India, to get pregnant!
Suggested Daily Routine for PCOS Patients
Patients with PCOS are suggested to maintain their body weight. Obesity is threatening for the patients, so patients who are suffering from this should control their body weight to have a smoother life.
Few suggestions are advised by the infertility specialist in Siliguri for PCOS patients in their daily life:
- Regular Exercise
- Practicing Yoga Asanas
- Avoid preserved and processed foods
- Increase the intake of antioxidants
- Avoid carbs
- Avoid trans fats
- Be concerned about your mental health
- Intake of fresh fruits and green vegetables
- Stay hydrated: minimum 3liters of water must be consumed within 24 hours
- Strictly no to alcohol and tobacco
The Connecting Link between Infertility and PCOS
Clinical diagnosis of infertility is suggested after almost one year without pregnancy in couples with regular sexual intercourse. PCOS is the first cause of female infertility, though a definite evaluation should be conducted after exclusion of other endocrine disorders (thyroid dysfunction, congenital adrenal hyperplasia, Cushing syndrome, premature ovarian insufficiency, etc.), anatomical dysfunctions (endometriosis, pelvic inflammatory diseases) or iatrogenic causes (surgery, chemotherapy, radiations).
The medical and surgical as well as familial history of the patient must be evaluated. A complete physical and gynecological examination should also be conducted during the diagnosis of infertility.
In an addition, blood sample tests, ultrasonography, and hysteroscopy are also recommended.
Fertility can be achieved
With accurate diagnosis and proper treatment, most women with PCOS are capable of getting pregnant. The majority of women can be treated successfully with a short medication course. The medication course should have been taken at the beginning of each cycle for several cycles.
If the medication course is not working, the patient may be offered injections or IVF treatment. An increased risk of multiple pregnancies (rarely more than twins) can occur with these treatments.
A medicine called Clomifene is usually prescribed for the first treatment for women with PCOS who are trying to get pregnant.
Clomifene helps in the monthly release of an ovum from the ovaries (ovulation). If clomifene is not working in ovulation, Metformin can be recommended.
Metformin is also beneficial for long-term health benefits, such as lowering high cholesterol levels and reducing the risk of heart disease.
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Best IVF Center in Siliguri also suggests the same.
Polycystic ovary syndrome (PCOS) is not a disorder to be cured completely, but the symptoms can be lowered.
Treatment options can vary as someone with PCOS experiences a range of symptoms, or just a single one.
A regular healthy lifestyle, proper diet, physical exercises, and a maintained BMR (Basal Metabolic Rate) can lower the suffering from PCOS as well as the risk of infertility.
Several medication-based treatments are also recommended if the situation is serious. Some surgeries are also applicable if the situation gets critical.
For more queries you can always consult with the best fertility expert in Siliguri.