PCOS – POLYCYSTIC OVARY SYNDROME
PCOD is characterized by enlarged ovaries with multiple small cysts, an abnormally high number of follicles at various stages of maturation, and a thick, scarred capsule surrounding each ovary.
• Polycystic ovaries
• Polycystic ovarian syndrome
• Stein-Leventhal syndrome
• Poly follicular ovarian disease
PCOS treatment for Infertility:- The first PCOS treatment for infertility is usually the administration of medication to stimulate ovulation.
Clomiphene Citrate [Clomid or Serophene] – This is an oral fertility drug used to stimulate ovulation, correct ovulation process, to improve egg production & to fix luteal phase deficiency. The drug is taken for five days early in the menstrual cycle.
Metformin [Glucophage]:- The drug is an insulin-sensitizing agent used to induce ovulation. If Clomid fails to ovulate, a combination of Metformin and Clomid is taken as a PCOS treatment drug. Metformin increases fertility by improving the effectiveness of the insulin while decreasing the insulin levels and in turn androgen levels. Normalizing the androgen levels enhances the natural ovulation.
hCG [Human Chorionic Gonadotrophin]:- The drug is an intramuscular injection used in conjunction with Clomid. hCG acts as LH [Lutenising Hormone]. HCG stimulates the follicle to release its egg [ovulate].
The other commonly used PCOS treatment drugs for infertility include hMG [Human Menopausal Gonadotropins], FSH [Follicle Stimulating Hormone], GnRH [Gonadotrophin Releasing Hormone], GnRHa [GnRH analogs] and prolactin inhibition drugs.
- Medical Procedures:-
- IUI [Intrauterine Insemination]:- A basic PCOS treatment for women with infertility is IUI or also known as Artificial Insemination. It is a fast and painless procedure where the partner’s sperm is directly introduced into the female uterus for the purpose of conception. The procedure is usually done in conjunction with the ovarian stimulation drugs because regular menstrual cycle and healthy ovulation make conception very successful.
- IVF [In Vitro Fertilization]:- A simple, safer and more successful PCOS treatment option to induce ovulation in infertile women is IVF. The procedure involves the removal of eggs from the female partner’s body and fertilizing them with the sperm of a male partner. The resulting embryo is then transferred back to the uterus. Ovarian stimulation drugs [hCG, hMG, FSH or progesterone] are used to stimulate ovaries to produce oocytes [eggs]
The success rates of PCOS treatment options to induce ovulation depends on the age of the women, the type of ovarian stimulation medication and other factors that contribute to infertility in the women.