PCOS

PCOS

iui vs ivf pcos

PCOS & IUI treatment

Women with PCOS Have Higher Intrauterine Insemination (IUI) Success Rates Compared to Women with Other Causes of Infertility. ... Women who have ovulatory dysfunction, such as polycystic ovary syndrome (PCOS), have the best chances of success with IUI compared to infertility resulting from other causes.  PCOS is the most common ovulatory disorder affecting one in 10 women. For women 25 to 35 years old whom have an ovulatory dysfunction like PCOS, the pregnancy rate is just over 25 percent—an impressive increase over the natural pregnancy rate of 20%. However, just like the natural pregnancy rate, these numbers will decline as age increases.

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PCOS & IVF treatment

To treat infertility specifically, fertility medication can be given to stimulate ovulation, although this can increase the risk of multiple births. The other option is to undergo in-vitro fertilisation (IVF), where the maturation of eggs is encouraged in a controlled environment. Once the eggs have been collected they can be fertilised outside the body before being replaced in the womb.

The good news is that women with PCOS generally respond well to IVF treatment. In fact the greatest problem with these patients is that they can respond too well to stimulation, which puts them at risk of Ovarian Hyperstimulation Syndrome (OHSS). This is a potentially dangerous condition caused by overstimulation of the ovaries which causes them to swell and leads to a variety of symptoms.

At CREATE many PCOS patients are treated with our Mild Stimulation protocols, which include 5-9 days worth of stimulating drugs rather than the 4-5 weeks worth used in conventional IVF. This approach has the benefit of largely avoiding the severest risks of OHSS and in addition, this lighter regimen also has the added advantage of leaving the body less stressed and hopefully more receptive to implantation.

10 common questions about PCOS

1What is the main cause of PCOS?
What causes it? Doctors don't know exactly what causes PCOS. They believe that high levels of male hormones prevent the ovaries from producing hormones and making eggs normally. Genes, insulin resistance, and inflammation have all been linked to excess androgen production.
2Is PCOS serious?
The cysts are not harmful, but they can lead to an imbalance in hormone levels. Women with PCOS may also experience menstrual cycle abnormalities, increased androgen (sex hormone) levels, excess hair growth, acne, and obesity
3How do you get PCOS?
PCOS is caused by an imbalance in the hormones (chemical messengers) in your brain and your ovaries. PCOS usually happens when a hormone called LH (from the pituitary gland) or levels of insulin (from the pancreas) are too high, which then causes the ovaries to make extra amounts of testosterone.
4What are the 4 types of PCOS?
In this section, we will cover different types of PCOS and what kind of PCOS do you have.There are four types of PCOS: Insulin-resistant PCOS, Inflammatory PCOS, Hidden-cause PCOS, and Pill-induced PCOS. This is the most common type of PCOS. This type of PCOS is caused by smoking, sugar, pollution and trans fat
5How does PCOS make you feel?
Research shows experiencing the symptoms of PCOS, including excess hair growth, hair loss, acne, weight changes and fertility problems, can negatively affect mood, self–confidence and body image
6Is PCOS caused by stress?
Researchers believe that stress and environmental factors (including diet, exercise, and pollution) play a role in the development of PCOS. Other possible causes include excessive prenatal exposure to male hormones (androgen or testosterone) and excessive insulin production
7Can I get pregnant if I have polycystic ovaries?
Polycystic ovarian syndrome (PCOS) is one of the most common causes of female infertility, affecting an estimated 5 million women. But you can get pregnant with PCOS. ... Most women will be able to conceive with a combination of lifestyle changes and fertility drugs
8Is PCOS is a serious problem?
PCOS also may cause unwanted changes in the way you look. If it isn't treated, over time it can lead to serious health problems, such as diabetes, heart disease and even cancers! Most women with PCOS grow many small cysts on their ovaries. ... The cysts themselves are not harmful, but lead to hormone imbalances
9Is PCOS a lifelong disease?
Polycystic ovary syndrome is a lifelong condition, but it can be treated in a number of ways. Treatment depends on the symptoms and whether or not a woman wants to become pregnant. Long-term treatment may be needed to help prevent endometrial cancer, diabetes, and heart disease.
10Can PCOS be cured by losing weight?
Modest weight loss will not cure PCOS, but it will help. Weight loss can restore the normal function of the ovaries and result in normal hormone production. This may in turn lead to improvements in symptoms of PCOS, such as excess facial and body hair growth, acne or scalp hair loss

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