PCOS, or polycystic ovarian syndrome is a condition that affects women and is becoming increasingly common. Essentially, PCOS is remarked by increased production of endogenous hormones.
The imbalance that is created then leads to problems with ovulation. In the usual turn of events, one egg is released by either of the ovaries, and this egg, if fertilized, then leads to pregnancy.
In PCOS, this is not the usual trajectory. Either the egg is not matured as it should, or the egg is not released. It also then causes irregular periods as well. In some women, there might also develop cysts on the ovaries as well.
So, women who have PCOS, have a higher risk of facing fertility issues; this does not mean that those with PCOS definitely have infertility or fertility problems. Many women are able to manage their condition better with the aid of a gynecologist doctor in Karachi, and get pregnant as a result.
Things to improve your chances of getting pregnant
PCOS cannot be cured, it is a chronic condition that can only be managed. Some things to do in this regard include:
PCOS leads to hormonal changes that then make losing weight a challenge. As obesity also has impact on fertility, as it too leads to issues with ovulation. This then decreases the odds of getting pregnant.
Furthermore, PCOS can also cause insulin resistance, which also not only paves way for weight gain, but also itself causes fertility problems.
Hence, it is recommended that women who are obese or overweight and have PCOS, also try to lose the extra weight. It will help them in regulation of their disease and hormones. However, losing weight alone will not guarantee pregnancy. It will, however, improve the efficacy of fertility treatments.
Eating well is important under all circumstances, but it is especially vital for women with PCOS, who are trying to get pregnant.
Diet plays an important role for our hormone regulation. Moreover, eating unhealthy and calorie-rich foods also increases the risk of obesity, which in turn leads to many health problems, including fertility issues.
Similarly, diet also impacts insulin secretion, since its regulation is one of the challenges that women with PCOS face. So, it is extremely important that you pay careful attention to your diet.
Try to incorporate more fresh fruits and vegetables alongside consuming whole grains. Cut back on refined food, sugar, fried and junk food. Avoid foods that are high in calories and low in nutrition.
Exercise, alongside healthy diet, is also helpful in regulating the periods. While that might not always translate into easier time conceiving baby, but regular exercise and a good diet may have a better impact on the hormones.
Some medications can also be of help with PCOS. These include:
Clomiphene citrate: Commonly known as Clomid, its used to induce ovulation. With the release of eggs, there is also the increased chance of having a baby. However, the dosage of clomid varies from person to person. Moreover, it’s also given for only 6 months, as otherwise it increases other health risks.
It is important to note that some women might have clomid resistance, and thus are unfortunately not able to benefit from it.
Metformin: This medicine essentially targets women who have insulin resistance issues. Metformin helps in controlling blood sugar levels, promotes weight loss which in turn aids in regulating the periods. However, on its own, metformin does not help women conceive. It helps in the management of PCOS.
Letrozole: This drug is resorted to when clomid and metformin are not helpful. Its aim is to stimulate ovulation.
Gonadotropins: Made up of hormones LH and FSH, this medicine comes in injectable form and helps in the production of eggs. It may be done in tandem with intrauterine insemination.
The best gynecologist in Rawalpindi may also use surgical methods and IVF if all else fails.