Pcos and how to get pregnant. Pregnant.

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Ok,, a simpler form *PCOD* PCOD is a multi-organ disease which start from ovary in form of small follicles on outer layer of ovary ,, it starts secreting hormones which normally a female body should not secrete ,,, It is basically a urban problem The reasons are 1) stress full life 2) irregular life style 3) lack of mental peace 4) no physical exercise Person suffering from PCOD Present themselves 1) irregular periods ( sometimes no periods at all ) 2) weight gain ( even without taking excess food ) 3) No weight loss ( although doing lots of exercise) 4 ) acne 5) hair loss 6) infertility 7) mood swing 8) lethargy So a vicious cycle forms More weight -more PCOD More PCOD-more weight So somehow we have to break the cycle 50% role of medicine ( intrinsic ) 50% role of life style (extrinsic) If we attack both ways only then it can be cured So co-operation of patients are very much required. I give non hormonal treatment for PCOD Regarding life style 1) stress free life 2) regular life style 3)physical exercise 4) proper sleep It is very much curable , if treated in time and with full discipline,, lots of my pregnant patients were once case of PCOD. Normally three months treatment but in few cases it may take longer ,, Simultaneously we give treatment for PCOD and pregnancy. Diet has a great role , avoid fat and sugar , For proper PCOD diet better take help of dietician ,,, PCOD is spreading like epidemic in urban areas ,,,

How PCOS is related to the infertility? Women with PCOS have good number of eggs inside the follicles but they cannot be released (Ovulation). As a result, sperms cannot meet the eggs, leading to infertility. Additionally, obesity, diabetes, high testosterone and insulin level all can be risk factors for infertility. How PCOS is treated? Unfortunately, there is no cure for PCOS. However, it can be kept under control. Majority of the women can keep the disease under control with lifestyle changes (diet and exercise), rather than medicines. These can also help to prevent the long-term consequences. You should aim to keep your weight to a level that is normal. Losing only a small portion of weight will improve regularity of your periods, ovulation and also the chance of pregnancy. Some women are prescribed “Insulin sensitizers” like inositol and metformin to reduce the level of insulin. Treatment of fertility depends on your age, duration of infertility and other fertility factors. Usually the first line of treatment is OI (Ovulation Induction). The next lines are IUI (Intrauterine Insemination) and IVF (In Vitro fertilization) respectively. What is Ovulation Induction? Medicines (tablets, injection) are given to help your eggs grow and rupture. In the first cycle, it is important to see (by ultrasound) whether eggs are growing or not. If the eggs rupture, the chance of pregnancy per cycle is 15% and after 4-6 cycles of OI, it is nearly 50-60%. That means, out of 100 women who had ovulation, 15 can conceive after one month. How IUI is done? IUI is one step ahead of OI. Here along with medicines given for OI, husband’s sperm is collected, processed (“preparation”) and then inserted inside the uterus. The success rate is 15-20% per cycle. When IVF is advised? If a woman fails to conceive after 4-6 cycles of IUI, if the age is on higher side, there is long duration of infertility or additional problems like sperm defects or tubal blocks, IVF is advised. The success rate is 40-50% per cycle. But caution should be taken as these women are at risk of developing OHSS (Ovarian hyperstimulation syndrome- excessive response by ovaries) and twin pregnancy. Frozen embryo transfer reduces the risk. Is there any role of laparoscopy? Only very few women who fail to ovulate with any medicines, sometimes laparoscopy is done where some cysts are punctured using electric current (laparoscopic ovarian drilling- LOD). Additionally, LOD can be done for women requiring laparoscopy for other purposes (like pain, testing the tubes). However, LOD carries risk of ovarian damage and therefore, should be done in selective patients. Conclusion PCOS is common but majority of the women can do well with life style changes. The chance of pregnancy after treatment is higher for women with PCOS than for other women.

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