Curtain Raiser 22: IVF with PCOS
This training video about PCOS provides an in-depth overview of the condition, including its causes, symptoms, and treatment options. It is designed to help healthcare providers and other professionals better understand PCOS and how to support women with the condition
1.Understanding PCOS and its Causes
Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects women of reproductive age.
PCOS is a complex condition with a range of symptoms that can vary from woman to woman.
The Rotterdam criteria are used to diagnose PCOS, which requires the presence of two out of three of the following: irregular periods, signs of excess androgen, and polycystic ovaries.
2.Causes of PCOS
Insulin resistance and high levels of insulin in the body are thought to play a significant role in the development of PCOS.
High levels of insulin can cause the ovaries to produce more androgen, a male hormone, which can disrupt the menstrual cycle and lead to ovulation problems.
Obesity and a high BMI are also risk factors for PCOS, as excess body fat can contribute to insulin resistance and hormonal imbalances.
Other conditions, such as hypothyroidism and hyperprolactinemia, can also cause similar symptoms to PCOS.
3.Symptoms and Diagnosis of PCOS
The symptoms of PCOS can include irregular periods, anovulation (lack of ovulation), hirsutism (excess hair growth), and acne.
PCOS is diagnosed using the Rotterdam criteria, which require the presence of two out of three of the following: irregular periods, signs of excess androgen, and polycystic ovaries.
Blood tests may also be used to measure hormone levels, such as testosterone and insulin.
4.Treatment Options for PCOS
Ovulation induction is often used to help women with PCOS to conceive. This involves using medications such as clomiphene, letrozole, or gonadotrophin injections to stimulate ovulation.
Hirsutism can be treated with medication or hair removal techniques, such as electrolysis or laser hair removal.
Weight loss and lifestyle changes can help to improve symptoms of PCOS, as excess body fat can contribute to insulin resistance and hormonal imbalances.
In some cases, IVF or other assisted reproductive technologies may be recommended to help women with PCOS to conceive.
5.Additional Treatments for PCOS
LEOS (Laparoscopic ovarian surgery) or ovarian fulguration can be used to treat PCOS by removing the cysts on the ovaries.
Metformin, a medication used to treat diabetes, can also help to improve insulin resistance and hormonal imbalances in women with PCOS.
CO Q10 supplementation has also shown promise in improving ovarian function in women with PCOS.
6.Managing PCOS Symptoms
Lifestyle changes such as regular exercise, a healthy diet, and stress management can help to improve symptoms of PCOS.
Monitoring blood sugar levels and insulin resistance can help to manage the metabolic syndrome associated with PCOS.
Regular check-ups with a healthcare provider can help to monitor symptoms and ensure that treatment is effective.
PCOS is a complex condition that can have a significant impact on a woman’s reproductive health and overall well-being. However, with early diagnosis and appropriate treatment, many women with PCOS are able to conceive and manage their symptoms effectively. By working closely with a healthcare provider and making lifestyle changes, women with PCOS can take control of their health and improve their quality of life.