Fertility in patients with PCOS
Polycystic ovarian syndrome (PCOS) is diagnosed when at least two
of the following findings are present: • Typical ultrasound image of the ovaries. (many small immature ovarian follicles)• Symptoms of becoming masculine or elevated levels of male sex hormones.(excessive body hair, acne) • Menstrual cycle disorders with absent/infrequent ovulation(more than 35 days of menstrual cycle) or irregular uterine hemorrhage with no ovulation. |
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Etiology under PCOS & subfertility
• Although the causes have not yet been definitively clarified, hormonalimbalances seem to play a key role in the development of the syndrome. • Constant anovulation and infertility are common consequences as the follicle ripening process is affected. • If a patient reports long-term menstrual cycle disorders and external signssuch as overweight, acne or hirsutism, PCOS should be confirmed with vaginal ultrasound and hormone testing. • PCOS is one of the most common causes of infertility at a young age. |
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Subfertility treatment
• In those who are obese, they need to lose weight before treatment begins.If there is no response to ovulation-induced oral medications, the injection should also be considered. There is a possibility of ovarian hyperstimulation syndrome (e.g. ovarian expansion, ascites, thrombosis, etc.) as PCOS patients are often overreacted to ovulation inducer, compared to other infertility patients. • Insulin-sensitivity enhancer for treating pre-diabetes can be used toimprove the cause of PCOS. The oral medication can be changed depending on the patient's condition. • It is important to use a variety of medications to find hormone balance during IVFand then effective dose of oocyte-maturing injections should be administered. • If you fail to get pregnant, you should consider male factors.Seoul IVF Clinic has a variety of treatment options. |