Polycystic Ovary Syndrome (PCOS) & Fertility: What You Should Know
Polycystic ovary syndrome (PCOS) is a common endocrine disorder affecting 1 in 10 women of reproductive age. Symptoms vary from person to person, but may include excess body hair, thinning hair, acne or oily skin, and weight gain. Fertility is often impacted, as well – in many women, ovulation becomes non-existent or irregular due to increased testosterone or underdeveloped follicles, making getting pregnant difficult.
Although the exact cause of PCOS is unknown, some suggest genetics and higher levels of the male hormone androgens may play a role. Exploring treatment options is possible with the help of a compassionate, attentive healthcare provider who understands and respects each person’s unique experience.
How PCOS Is Diagnosed
Because PCOS symptoms can overlap with other conditions, diagnosis typically involves a combination of medical history, physical examination, and testing. Your physician may:
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Review your menstrual cycle patterns and symptoms.
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Order blood tests to check hormone levels, including testosterone, AMH, and other reproductive hormones.
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Recommend an ultrasound to examine the ovaries for multiple small follicles or cysts.
A diagnosis usually requires at least two of the following three criteria: irregular or absent ovulation, excess androgen levels, or polycystic ovaries seen on ultrasound.
PCOS, Fertility, and Trying to Conceive
While there is currently no cure for PCOS, if you are living with the condition and hope to become pregnant, your chances of success improve the earlier you seek treatment to manage your symptoms. Activities like brisk walking, jogging or swimming for 30 minutes or more a day can help with weight management and improved frequency of menstrual cycles and ovulation. Other options your doctor may recommend include hormone therapy through medication to induce ovulation, and more advanced fertility treatments such as in vitro fertilization (IVF).
Fertility Treatments for PCOS
When lifestyle changes and first-line medications are not enough, fertility treatments can greatly improve the chances of pregnancy. Common options include:
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Ovulation Induction – Medications such as letrozole or clomiphene citrate help stimulate ovulation.
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Intrauterine Insemination (IUI) – Sperm is placed directly into the uterus during ovulation to increase the chance of fertilization.
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In Vitro Fertilization (IVF) – Eggs are retrieved, fertilized in the lab, and embryos are transferred to the uterus. IVF allows physicians to carefully monitor and support ovulation and embryo development.
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Egg Donation – For patients who are unable to produce healthy eggs, egg donation provides another path to pregnancy.
A fertility specialist can help determine which treatment is most appropriate based on your age, health, and personal goals.
At Reproductive Biology Associates, our physicians have helped many women with PCOS deliver healthy babies. Our process involves:
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Reviewing your complete medical history (as well as your family’s medical history)
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Fertility testing (for you and your partner)
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A detailed, customized plan for how to manage your PCOS symptoms throughout each stage of your fertility journey
For advanced PCOS-related infertility care in Atlanta, GA, contact our fertility specialists for an introductory conversation. We have five convenient locations and a team you can trust. And we do it all with one goal in mind: helping you create your family.