Polycystic ovary syndrome (PCOS) is a condition of hormonal imbalances that affects women of reproductive age. It is a very condition, seen in 10% of women in the world. One of the most significant ways that PCOS can affect women is by disrupting their fertility.
PCOS have the presence of multiple small cysts in the ovaries, hormonal imbalances, and irregular periods. Women with PCOS often struggle with infertility and are at higher risk for developing other health issues such as type 2 diabetes, heart disease, and endometrial cancer.
Polycystic ovary syndrome (PCOS) is rising. It is seen in 20% of women during their reproductive years. One of the main symptoms of PCOS is irregular or missed periods.
PCOS is presented with several symptoms, including irregular periods, excess hair growth, and acne. However, the most significant impact of PCOS is that it can cause infertility. This is because PCOS can interfere with ovulation, making it difficult for a woman to become pregnant.
The reason why PCOS can affect ovulation is that the hormonal imbalances associated with the condition can prevent the release of an egg from the ovaries. In a typical menstrual cycle, the ovaries release an egg that travels down the Fallopian tubes to the uterus, where it may be fertilized by sperm. However, in women with PCOS, the ovaries may not release an egg, or the release may be delayed or irregular. PCOS women struggle to conceive naturally.
In addition to interfering with ovulation, PCOS can also affect the quality of a woman’s eggs. Women with PCOS may have a higher number of immature follicles in their ovaries, which can result in lower-quality eggs. This can make it more challenging for a woman to conceive and may increase the risk of miscarriage.
Another way that PCOS can affect fertility is by increasing the risk of other conditions that can interfere with conception, such as endometriosis and uterine fibroids. Women with PCOS may also be at higher risk for gestational diabetes and other complications during pregnancy, which can impact their ability to conceive in the future.
One question that women with PCOS often ask is whether pregnancy can cure PCOS. While there is no cure for PCOS, pregnancy can have a temporary positive effect on some of the symptoms of the condition.
Right after a woman gives birth, her high hormone levels will fall over the next few days Estrogen and progesterone levels will decrease after the baby is delivered. She’ll then experience a rush in oxytocin right after birth. An emotional roller coaster the next few weeks after giving birth is common. Altered sleep patterns and the baby’s priorities will impact further. After around three months after childbirth, hormone levels are stabilized and postpartum depression develops.
Can PCOS return after pregnancy?
Some of the classic symptoms of PCOS, such as hormonal imbalance and associated weight gain, can return or can worsen after pregnancy. Carrying pregnancy and subsequent delivery do not stop PCOS from appearing again.
Why does my AMH score high in PCOS?
AMH is a hormone generated by developing follicles, which are the follicles with immature eggs. AMH declines with advancing age as the number of follicles are reduced. Women with PCOS often have elevated AMH levels, due to high levels of follicles.
Knowing the normal range of AMH and its relationship with age, we can identify patients with higher than usual AMH scores using a simple blood test. This to some extent act as one possible indicator of PCOS. One can take an AMH blood test on any day of your menstrual cycle and receive the results on the same day.
Your fertility doctor will advise you to have a full internal ultrasound scan if it is for conception. This is a comprehensive scan which can look at the antral follicle count (AFC) and any cysts in the ovary
Why do I have a problem with fertility, when my AMH score is high?
Women with PCOS often respond well to IVF treatment or may over-respond to certain medications. These medicines stimulate the ovaries which causes the risk of Ovarian Hyperstimulation Syndrome (OHSS). OHSS is a potentially serious complication to deal with.
The safest option for PCOS patients is mild stimulation treatment. We at Yash IVF, have pioneered safe and successful Natural and Mild IVF protocols to suit PCOS women and their individual circumstances.
Fortunately, there are treatments available for PCOS that can help women manage their symptoms and improve their chances of conceiving. These may include lifestyle changes such as weight loss and exercise, as well as medications, which can help stimulate ovulation. Sometimes, in vitro fertilization (IVF) may be necessary.
I am a PCOS patient with a normal BMI, should I lose weight to improve my insulin levels?
As PCOD management calls for Diet and physical exercise to lose weight in case of the PCOD obese patient. If you are already within ideal body weight, you do not need to start a weight loss diet plan. Losing weight can cause more damage.
Will a lean person with PCOS experience similar symptoms to obese PCOS?
Yes, a lean PCOS woman may experience similar symptoms as that of obese PCOS. These symptoms are visible body hair, irregular or missed periods along with insulin resistance
It is truly frustrating to see the research aimed at PCOS linked to obesity. There are many patients with PCOS with normal weight. There are certain steps to ensure good health.
Get your insulin and glucose levels tested. PCOS increase the risk of insulin resistance even if you’re not overweight.
Try to maintain a healthy weight range to control PCOS with healthy habits
Begin resistance or strength training which builds muscles. This will build your lean muscle.
Build emotional support from friends and professionals to reduce stress.
In conclusion, PCOS is a common condition that can have a significant impact on women’s overall health and fertility. It can interfere with ovulation, affect the quality of a woman’s egg, and increase the risk of other conditions that can interfere with conception.
However, there are evidence-based guidelines to improve overall health and fertility. Proper and timely treatment and management can help many women with PCOS to conceive and have successful pregnancies. If you suspect that you may have PCOS or are struggling to conceive, it is important to speak with your healthcare provider to discuss your options and develop a treatment plan that is right for you.