Dr Rashmi Prasad

One of the most common causes of female infertility is Polycystic Ovarian Syndrome (PCOS). However, infertility is not always a result of this illness. It is possible to get pregnant. When it comes to reproductive issues, PCOS might be a contributing factor.    PCOS affects fertility in a variety of ways PCOS is characterized by a hormonal imbalance that may lead to a variety of symptoms, including:    1. Androgens: an excess of male hormones  2 . Tiny, non-painful, fluid-filled sacs form in the ovary 3. The thickness of the ovaries' outer shell  4. Insulin levels that be abnormally high    All of these factors have the potential to disrupt ovulation. Periods that are irregular or missing may be an indicator of this. Between 70% and 80% of PCOS sufferers are unable to conceive. They can opt for IVF with the Best IVF Center in Bihar.   Symptoms of Polycystic Ovarian Syndrome:   Late adolescence or early adulthood is the typical time period for the onset of symptoms of PCOS. They may include:  1. Facial or other areas of the body where men are more prone to develop hair, excessive hair growth  2. Hair loss on the head  3. Excessive sebum production or acne-prone skin  4. The thick, black skin patches (acanthosis nigricans) on the neck, groyne or beneath the breasts (skin tags)  5. Rise in weight or difficulty in shedding it  6. High amounts of insulin in your blood are also possible if you suffer from insulin resistance. Type 2 diabetes may develop if left untreated.    If your menstrual cycle is erratic or completely missing, you may have reproductive issues. In certain cases, you might not have been ovulating at all.    PCOS-related infertility treatment options:   The therapy and management of PCOS are based on the patient's goals, since there is no cure at this time. PCOS-related infertility may be treated by addressing insulin resistance and addressing any ovulation abnormalities.    Those who don't want to become pregnant may use hormonal birth control tablets. There are several methods for assisting with ovulation and subsequent conception. As a side benefit, it may assist women with PCOS who have irregular periods avoid developing endometriosis by regulating their cycles.    First, your doctor is likely to suggest that you take care of some of your fundamental health needs.    Menstrual irregularities and high blood sugar levels may be minimised by maintaining a healthy body weight. The importance of a well-rounded diet and frequent physical activity cannot be overstated.    When it comes to keeping track of your menstrual cycle, now is an excellent moment. Many calendars and fertility apps are available to assist you in determining when you're most likely to ovulate.    Citrate of clomiphene (Clomid)  Taking clomiphene citrate may help you conceive. It works by preventing the brain from receiving signals from oestrogen. For the first five days of your menstrual cycle, you should take this oral medicine once a day. You'll begin with the smallest dosage feasible. It may be increased by your doctor as necessary. Women with polycystic ovary syndrome (PCOS) may ovulate with the aid of Clomiphene citrate (Clomid). About 15% of women with PCOS, however, do not react to the highest dosage.    Metformin  Type 2 diabetes is treated with Metformin. A better use of insulin may be achieved by taking this supplement.    PCOS patients should not take this as their first line of therapy; nevertheless, normal menstrual cycles and ovulation may be aided with its usage. Women with PCOS who have trouble conceiving are not frequently prescribed metformin since it is less successful than letrozole and clomiphene. Metformin, on the other hand, may lead to ovulation, so women who don't want to become impregnated should take birth control.    Surgery  Laparoscopic ovarian drilling surgery, if medicine hasn't worked, may be an alternative if treatment hasn't. However, this procedure is seldom used.    Among women with PCOS, IVF is one of the most frequent therapies. Up to 70 percent of women who use IVF to conceive have a successful pregnancy. These women also have a 60% probability of giving birth to a healthy baby.    PCOS may cause the outer shell of the ovaries to become thicker, which can prevent ovulation. The IVF Specialist Doctor in Patna will make a series of small incisions throughout this surgery.    To observe your interior organs, the laparoscope is inserted with a single incision. Afterwards, a laser or tiny needle will be introduced in order to produce a few holes on the ovary's surface. For a period of six to eight months, this usually helps to reestablish ovulation. As an outpatient operation, it's commonly done under general anaesthesia. There are no long-term effects.