A complete evaluation has to be done, blood tests and ultrasound
Then the cause of infertility can be determined. The appropriate treatment can then be decided
Then the cause of infertility can be determined. The appropriate treatment can then be decided
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If you want to get pregnant,and complain of PCOS your doctor may recommend either of the following:
you may be offered the following treatments:
-The fertility drug clomifene is usually the first step, as it can stimulate ovulation. If it doesn't work then you may be offered gonadotrophins. However, gonadotrophins are more likely to overstimulate your ovaries and cause you to have a multiple pregnancies.
If you are obese or resistant to clomifene, the diabetes drug metformin (GLUCOPHAGE) may help. It increases your body's sensitivity to insulin so your insulin and your testosterone levels fall. This helps your body ovulate normally. This is a controversial treatment as the benefits may not outweigh the risks. It has unpleasant side effects, such as nausea and vomiting, but may help if used in combination with clomifene.
-Surgery on your ovaries. A technique called laparoscopic ovarian drilling (LOD) can help some women conceive if clomifene hasn't worked for them. LOD is an effective, lower risk alternative to gonadotrophins.
However, success depends on how long you take clomifene and other factors, such as whether you are overweight. For about a third of women with PCOS, clomifene isn't the answer. Having a BMI (body mass index) greater than 25 makes clomifene less likely to work for you.
you may be offered the following treatments:
-The fertility drug clomifene is usually the first step, as it can stimulate ovulation. If it doesn't work then you may be offered gonadotrophins. However, gonadotrophins are more likely to overstimulate your ovaries and cause you to have a multiple pregnancies.
If you are obese or resistant to clomifene, the diabetes drug metformin (GLUCOPHAGE) may help. It increases your body's sensitivity to insulin so your insulin and your testosterone levels fall. This helps your body ovulate normally. This is a controversial treatment as the benefits may not outweigh the risks. It has unpleasant side effects, such as nausea and vomiting, but may help if used in combination with clomifene.
-Surgery on your ovaries. A technique called laparoscopic ovarian drilling (LOD) can help some women conceive if clomifene hasn't worked for them. LOD is an effective, lower risk alternative to gonadotrophins.
However, success depends on how long you take clomifene and other factors, such as whether you are overweight. For about a third of women with PCOS, clomifene isn't the answer. Having a BMI (body mass index) greater than 25 makes clomifene less likely to work for you.
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