IVF with PCOS

IVF is an excellent option when PCOS fertility medications fail

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, requiring two of the following: irregular periods, excess androgen, and polycystic ovaries.

2. Causes of PCOS

• Insulin resistance and high insulin levels play a significant role in PCOS development.
• Excess insulin can increase androgen levels, disrupting the menstrual cycle and ovulation.
• Obesity and high BMI are key risk factors, contributing to insulin resistance and hormone imbalance.
• Conditions like hypothyroidism and hyperprolactinemia may also mimic PCOS symptoms.

3. Symptoms and Diagnosis of PCOS

• Symptoms include irregular periods, anovulation, hirsutism, and acne.
• Diagnosis is based on Rotterdam criteria: 2 of 3 — irregular cycles, high androgens, or polycystic ovaries.
• Blood tests may assess hormone levels like testosterone and insulin.

4. Treatment Options for PCOS

• Ovulation induction using clomiphene, letrozole, or gonadotropins is common.
• Hirsutism can be managed with medications or cosmetic treatments like laser hair removal.
• Weight loss and lifestyle changes help manage insulin and hormone levels.
• IVF may be recommended if other fertility treatments are unsuccessful.

5. Additional Treatments for PCOS

• LEOS (laparoscopic ovarian surgery) or ovarian drilling may improve ovulation.
• Metformin improves insulin sensitivity and may regulate cycles.
• CO Q10 supplements show promise in improving ovarian response.

6. Managing PCOS Symptoms

• Adopting a healthy lifestyle with exercise, balanced diet, and stress control is crucial.
• Monitoring glucose levels helps manage metabolic syndrome.
• Regular consultations with a healthcare provider are essential for long-term success.

Conclusion

PCOS can significantly impact reproductive and overall health. However, with early diagnosis and proper treatment, many women with PCOS can successfully conceive and manage symptoms. Working closely with an expert IVF specialist like Dr. Pankaj Talwar, and making informed lifestyle changes, gives women a strong foundation for better fertility and long-term well-being.