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PCOD & Fertility: Effective Options to Consider

 

PCOD is a disorder that results in aberrant hormone levels and metabolic problems. Although it affects the ovaries, this illness does not necessarily result in infertility. Pregnancy is a possibility. Nonetheless, PCOD is a somewhat common cause of infertility. A study published in PubMed Central states that 5–13 percent of women in their reproductive years suffer from PCOD, but that it is treatable. This blog describes the disorder's effects on fertility and offers solutions. Additionally, one can discover who to contact for a PCOD treatment  in Mumbai that works. Let's begin by studying the effects of PCOD on fertility.  

How does PCOD impact fertility?

A hormonal imbalance in PCOD patients can result in the following: 

  • When androgen levels are high, the ovaries produce tiny, painless, fluid-filled sacs.

  • thickening of the ovaries' outer shell

  • elevated blood levels of insulin.

  • These things are all capable of interfering with ovulation. One sign that this is happening is sporadic or skipped periods.

Symptoms for PCOD

PCOD symptoms typically start to show up in late adolescence or early adulthood. They might consist of:

  • Growing hair excessively is similar to men being more prone to facial hair growth and scalp hair loss.

  • Acne vulgaris, skin tags, greasy skin, and thicker, darker patches (acanthosis nigricans) on the neck, groin, or under the breasts are some possible symptoms.

  • Gaining weight or having difficulties dropping it

  • Additionally, insulin resistance can occur, leading to higher blood insulin levels. Type 2 diabetes may develop from this if left untreated.

  • Absence or irregular menstruation may be a sign of reproductive problems. It is possible not to be ovulating regularly or at all.

Fertility Treatment for Women with PCOD

Treating metabolic issues including insulin resistance and correcting any ovulation anomalies are the first steps in treating PCOD-related infertility.

  • Birth Control Pills: For women who wish to avoid getting pregnant, hormonal birth control pills may be helpful. Additionally, there are medications that can facilitate ovulation and conception. In addition, they can guard against endometriosis and help control menstrual cycles in women with PCOD who experience irregular periods. The doctor will probably start by advising some basic health measures.

  • Keep Healthy Body Weight: Blood glucose control and menstruation can both be better managed by maintaining a healthy body weight. Exercise on a regular basis and a nutritious, balanced diet are crucial.

  • Period Monitoring: Now is a great time, if one hasn't already, to begin monitoring the periods. There are several fertility apps and calendars available to help one figure out when days one is most likely to ovulate.

  • Clomiphene Citrate: It is also known as Clomid, is an ovulatory stimulant that prevents the brain from receiving estrogen feedback. During the first five days of the menstrual cycle, this oral medication is taken once daily. One starts on the lowest dose that is feasible, and the doctor can increase it as needed.

  • Letrozole: Letrozole is an inhibitor of aromatase. It is used to induce ovulation in PCOD patients and treat breast cancer. Follicle-stimulating hormone (FSH), which promotes ovulation, is released more readily when this medication is used, and it also suppresses the manufacture of estrogen.

  • Metformin: Type 2 diabetes is treated with metformin prescriptions. It enhances the body's ability to appropriately use insulin. While it can aid in promoting regular periods and ovulation, this is not a first-line treatment for PCOD.

It is generally not recommended for women with PCOD who are experiencing infertility to take metformin. It can, however, cause ovulation. Because they may start ovulating, metformin-using women who do not wish to get pregnant should use birth control.

  • Gonadotropins: Injectable hormones known as gonadotropins have the ability to trigger ovulation. Regular trips to the doctor may be necessary during this treatment to track the body's reaction.

  • Laparoscopic Ovarian Drilling Surgery: Laparoscopic ovarian drilling is a type of surgery that can be considered if medication has not worked; in actuality, this procedure is not very common. 

Ovulation may be inhibited by PCOD because it thickens the ovaries' outer layer. Numerous tiny incisions will be made by the surgeon throughout this procedure. To view the internal organs, a laparoscope will be introduced through one incision. The ovary's surface will then have a few holes made in it using a laser or tiny needle. This typically restores ovulation for six to eight months. The procedure is frequently carried out under general anesthesia as an outpatient surgery.

  • In vitro fertilization (IVF): Medication, surgery, and lifestyle modifications may not always be effective. IVF may be an option if this befalls someone. To start, fertility injections will be administered to stimulate the ovaries. Most likely, one will lay many eggs at once. 

Sperm will fertilize the eggs after they have been removed. It is possible to freeze some fertilized eggs for later use. A portion will be moved to the uterus for growth and implantation.

See A Reputable Gynecologist in Mumbai for Treatment of PCOD

Seeking treatment for PCOD/PCOS or experiencing symptoms like irregular periods, weight gain, or difficulty conceiving should be consulted to a renowned gynaecologist in Mumbai. One such well-known and renowned gynecologist from Mumbai is Dr. Chaitali Mahajan Trivedi. The expert doctor is dedicated to helping women reverse and treat symptoms of hormone imbalances, which are a major cause of excess weight gain, adult acne, facial hair growth that is not desired, depression, anxiety, and depressed female infertility.

See Dr. Chaitali Mahajan Trivedi at Nanavati Super Speciality Hospital to capitalize on the advantages. 

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