Polycystic Ovarian Syndrome or PCOS, earlier known as polycystic ovarian disease is due to hormonal imbalance in women of reproductive age group. The global prevalence of PCOS is estimated between 4% and 20%. The World Health Organization (WHO) data suggests that approximately 116 million women (3.4%) are affected by PCOS globally. It is one of the major causes of infertility, that’s why
Dr. Gopalkrishna Gawade of City fertility centre has explained PCOS in our latest blog. You can also watch video in above link.
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Polycystic ovarian syndrome (PCOS) is a hormonal imbalance caused by your ovaries (the organ that creates and releases eggs). If you have PCOS, your ovaries create abnormally high levels of androgens. This produces an imbalance in your reproductive hormones.
The most common signs and symptoms of PCOS include:
Irregular periods: Abnormal menstruation involves missing periods or not having a period at all. It may also involve heavy bleeding during periods.
Abnormal hair growth: You may grow excess facial hair or experience heavy hair growth on your arms, chest and abdomen (hirsutism). This affects up to 70% of people with PCOS.
Acne: PCOS can cause acne, especially on your back, chest and face. This acne may continue past your teenage years and may be difficult to treat.
Obesity: Between 40% and 80% of people with PCOS have obesity and have trouble maintaining a weight that’s healthy for them.
Darkening of the skin: You may get patches of dark skin, especially in the folds of your neck, armpits, groin (between the legs) and under your breasts. This is known as acanthosis nigricans.
Cysts: Many people with PCOS have ovaries that appear larger or with many follicles (egg sac cysts) on ultrasound.
Skin tags: Skin tags are little flaps of extra skin. They’re often found in your armpits or on your neck.
Thinning hair: People with PCOS may lose patches of hair on their head or start to bald.
Infertility: PCOS is the most common cause of infertility. Not ovulating regularly or frequently can result in not being able to conceive.
Excess androgen: With PCOS, the ovaries may produce high levels of androgen. Having too much androgen interferes with ovulation.
Insulin resistance: Insulin is a hormone that the pancreas makes. It allows cells to use sugar, your body’s primary energy supply. If cells become resistant to the action of insulin, then blood sugar levels can go up. This can cause your body to make more insulin to try to bring down the blood sugar level. Too much insulin might cause your body to make too much of the male hormone androgen.
Low-grade inflammation: Research shows that people with PCOS have a type of long-term, low-grade inflammation that leads polycystic ovaries to produce androgens. This can lead to heart and blood vessel problems.
Heredity: Research suggests that certain genes might be linked to PCOS. Having a family history of PCOS may play a role in developing the condition.
- Infertility
- Gestational diabetes or pregnancy-induced high blood pressure
- Miscarriage or premature birth
- Metabolic syndrome — a cluster of conditions including high blood pressure, high blood sugar, and unhealthy cholesterol or triglyceride levels that significantly increase your risk of heart and blood vessel (cardiovascular) disease
- Type 2 diabetes or prediabetes
- Sleep apnea
- Depression, anxiety and eating disorders
If you don’t plan to become pregnant, treatments include:
Hormonal birth control: Options include birth control pills, patches, shots, a vaginal ring or an intrauterine device (IUD). Hormonal birth control helps to regulate your menstrual cycle, some forms will also improve acne and help with excess hair growth.
Insulin-sensitizing medicine: Metformin is a drug used to treat diabetes. It works by helping your body process insulin. Once insulin is under control, some people with PCOS see improvements in their menstrual cycles.
Medications to block androgens: Some medications can block the effect of androgens. This helps control acne or hair growth. Talk to your healthcare provider about whether such treatment is right for you.
Lifestyle changes: Eating a nutritious diet and maintaining a body weight that’s healthy for you can have a positive effect on insulin levels.
If you want to become pregnant now or in the future, treatment for PCOS includes:
Drugs to induce ovulation (releasing an egg): A successful pregnancy begins with ovulation. Certain drugs have been proven to induce ovulation in people with PCOS. The medications clomiphene and letrozole are taken orally, while gonadotropins are given by injection.
Surgery: A surgical procedure can help restore ovulation by removing tissue in your ovaries that produces androgen hormones. With newer medications available, surgeons rarely perform this procedure.
In vitro fertilization (IVF): This is an option for people with PCOS when medication doesn’t help with ovulation. Your provider fertilizes your egg with your partner’s sperm in a lab before transferring it to your uterus.
Yes, you can get pregnant if you have PCOS. PCOS can make it hard to conceive while also increasing your risk for certain pregnancy complications, but many people with PCOS do get pregnant on their own with lifestyle modifications, stress management and certain medications. IVF treatments are also very effective in case of PCOS.
Dr. Gopalkrishna Gawade of City Fertility Centre, Pune; has devised a treatment plan with lifestyle modifications for PCOS treatment which not only include allopathy but also involves ayurveda, yoga & meditation. For consultation, call us at +91-8669993336.
At City Fertility Centre, our main goal is to achieve pregnancy in every patient and provide holistic care till the delivery of the baby. Holistic fertility is an approach to male and female infertility issues that considers the mind, spirit, body, emotions and lifestyle factors as key to maximizing one’s natural fertility. Holistic fertility involves ayurveda, yoga, allopathy and meditational aid in natural fertility or fertility treatments.
Dr. Gopalkrishna Gawade is one of the top fertility expert doctor in Pune.
At City Fertility Centre, with experienced staff of fertility expert doctors, skilled embryologists & nursing staff with state-of-the-art IVF lab, we provide best infertility treatment in Pune with transparent & ethical practice at affordable rates. To book appointment with Dr. Gopalkrishna Gawade. Call us at +91-8669993336.
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We got this reference through one of my friend, with full faith we visited the clinic for consultation. We had already taken consultation and treatment from many renowned gynecologist in Pune. Dr. Gopalkrishna Gawade Sir made us feel confident and comfortable in the first visit itself. He explained us the procedure and line of treatment.
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FAQ
It is the procedure of choice for those with fallopian tube issues, as well as for such conditions as endometriosis, male factor infertility and unexplained infertility.
Success rates strongly depend on the age of the patient, their condition, medical history and the treatment used. Indira IVF has a record success rate which ranges between 70- 74%. With accurate diagnostics and holistic approach to relieve stress can increase the chances beyond 80%.
No. The procedure is not painful as it is done under light sedation, but may cause mild discomfort. At our clinic, we use mild anesthesia administered through an IV route which relieves discomfort.
There is no evidence that travel impacts IVF pregnancy rates.
Women have a 10 to 20 percent chance of getting pregnant with each IUI cycle. The more cycles you go through, the better your chances become.
Intracytoplasmic sperm injection (ICSI) is a technique used during in vitro fertilization (IVF) where a single sperm is injected directly into the egg for the purpose of fertilization.
Ideal candidates for ICSI include men with severe infertility issues, including a low sperm count. Other candidates include men who have sperm motility issues, problems with sperm development, or a blockage that prevents sperm from being ejaculated.
Yes, alcohol can lead to infertility in both men & women.
Laparoscopy still has an important role in the diagnosis and treatment of infertility. A significant number of infertile women, such as those with a tubal factor, PCOS, and women with unexplained infertility can benefit from it.
Most women go home 2-3 days after this surgery, but complete recovery takes from six to eight weeks.
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“More than half of all infertility cases are caused by stress. Here’s how to find peace in your life. Smile. Relax. Fall in love with yourself again, because you deserve it. Let us help you through this beautiful journey to attain parenthood.