Polycystic ovaries and infertility
A major cause of infertility in women is polycystic ovary syndrome (PCOS) affection around 25 percent of women. This is the cause of about 75 percent of ovulation problems. In PCOS, the ovaries are bigger than normal with an abnormally large number of small follicles, which are sacs of fluid that grow around the eggs.
The follicles don't mature which means that ovulation can't happen and eggs are rarely released for fertilisation. This has a profound effect on a woman's fertility. Women who suffer from PCOS have scanty periods or, in some cases, none at all. They may also suffer from obesity, bad skin and excess hair.
Becoming pregnant again
If tests show you're not ovulating, you may be offered drug treatment alone, ovarian stimulatio, ovarian diathermy or IVF, depending on several factors including your medical history, weight, age, length of your fertility problems and the method that proved successful for you last time.
If you're overweight, you may be asked to lose weight before you are offered treatment, as this is often all that's needed to cure PCOS and these treatments are more effective in women whose weight falls within normal limits. Treatments you may be offered inclue:
Drug treatment:
Clomiphene citrate is the drug most commonly used in women with PCOS and results in ovulation in around 80 percent of women, with a pregnancy rate of about 50 percent after six months of treatment. If this doesn't work for you, you may be offered injectible hormones to stimulate ovulation. You'll have blood tests and scans to check your ovaries aren't being over-stimulated.
Ovarian diathermy:
Also known as 'ovarian drilling', this is a surgical treatment that triggers ovulation in up to 80 percent of women with PCOS who have not responded to medication or weight loss. After treatment 60 to 80 percent of wommen go on to become pregnant within a year.
The chance of pregnancy is higher in women who have had fertility poblems for less than three years, as well as those with higher levels of luteinising hormone (LH). The operation is performed under a light general anaesthetic via a laparoscopy and an electric current or laser, which is used to 'drill' small holes into the ovaries. This can either restore ovulation or make the ovaries more sensitive to drugtreatment.
The main risk associated with the proedure is accidental damage to internal organs or blood vessels, and of course, the usual risks associated with general anaesthesia.
2006-06-08 13:41:07
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answer #1
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answered by Jade 5
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that is pretty much what the person ahead of me said... i was disagnosed with PCOS about a year ago and i have been trying to concieve for 1yr 1/2.......i have to take clomid and metphormin....since you are going to see a specialist i would ask him/her about this...it helped me tremendously. I have been through clomid and metphormin and everything and it did not work for ****. I just had something called ovarian drilling done, and the medicine for the first time worked. Ask your doc about ovarian drilling it helps you to ovulate and it is a painless and easy surgery. The only scares i have is 3 little cuts that look like a paper cut. One on my belly button and the others are down close to the pubic hair line.
2006-06-08 17:00:05
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answer #2
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answered by kkds14 3
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Birth manipulate capsules make the PCOS worse ultimately. If you're insulin resistent the metformin might aid however in case you truthfully do not need a weight predicament that's not likely. Chasteberry will aid control your cycle. Natural progeteron cream too can aid. CHeck out the documents on the yahoo institution PCONatural. Good good fortune and God bless
2016-09-08 22:21:25
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answer #3
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answered by ? 4
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