PCOS: Understanding Infertility's Most Common Cause and Your Treatment Options

Getting pregnant with PCOS | Dr Sandesh Kade (Best Gynaecologist in Abu Dhabi)

PCOS, a multifaceted hormonal condition, impacts millions of women globally with its intricate complexities 

 It’s one of the leading causes of infertility, making it crucial for individuals with PCOS to understand its implications and explore effective treatment options. 

In this blog, we delve into the intricate relationship between PCOS and infertility while shedding light on strategies to improve fertility and increase the chances of conception. 

In this blog, we will explain everything you need to know about getting pregnant with PCOS and laparoscopy for infertility to help you understand it better and make an informed decision about whether it is right for you.  

Unraveling PCOS and its Link to Infertility

PCOS is characterized by disrupted hormone levels, irregular periods, and the development of ovarian cysts. 

These disruptions can hinder ovulation, making it challenging for women to conceive naturally. 

Research indicates that up to 70% of women with PCOS experience fertility issues, highlighting the significance of addressing this condition for those desiring pregnancy. 

This procedure can also be used to perform corrective surgery on these conditions, which may improve your chances of having a baby naturally or with other fertility treatments.   

Laparoscopy is not a miracle cure for infertility, but it can be a valuable tool to help you overcome some of the obstacles that may be preventing you from conceiving. 

Understanding the Mechanisms: How PCOS Impacts Fertility

PCOS disrupts the delicate interplay of hormones involved in the menstrual cycle and ovulation. 

Increased concentrations of androgens, which are typically male hormones, can disrupt the normal ovulation process, resulting in irregular or absent menstruation. 

Additionally, insulin resistance, a common feature of PCOS, further exacerbates hormonal imbalances and contributes to infertility. 

Symptoms of PCOS

The symptoms of PCOS can vary from woman to woman, but some of the most common include: 

  • Irregular periods or no periods at all. 
  • Abnormal hair growth on areas such as the face, chest, abdomen, or back may occur as a symptom of PCOS. 
  • Acne 
  • Weight gain or difficulty losing weight 
  • Skin darkening around the neck, armpits, or groin (acanthosis nigricans) 
  • Baldness or thinning hair 

Diagnosis of PCOS

There is no single test for PCOS.  Diagnosing PCOS usually involves considering various factors, including the patient’s medical background, symptoms, and a thorough physical examination. 

A pelvic ultrasound may also look for cysts on the ovaries. 

Exploring Treatment Options for PCOS-Related Infertility

While PCOS poses challenges to fertility, numerous treatment strategies exist to help individuals overcome these obstacles and increase their chances of conceiving. Let’s explore some of the most effective approaches: 


Lifestyle Modifications: The Foundation of Fertility Management 

Ensuring a balanced lifestyle is essential for effectively managing PCOS and enhancing fertility results. 

Weight management is crucial, as excess body weight can exacerbate hormonal imbalances and insulin resistance.  

Adopting a balanced diet, engaging in regular physical activity, and managing stress levels can all positively impact fertility in women with PCOS.  

Medications to Induce Ovulation

Women experiencing challenges with regular ovulation may receive prescriptions for medications like clomiphene citrate or letrozole to induce ovulation. 

These medications assist in balancing hormone levels and facilitating the release of mature eggs from the ovaries, thereby enhancing the chances of conception. 

Assisted Reproductive Technologies (ART) 

In cases where conventional treatments prove ineffective, assisted reproductive technologies offer alternative pathways to pregnancy.  

 Methods like intrauterine insemination (IUI) or in vitro fertilization (IVF) offer solutions to circumvent ovulation difficulties linked to PCOS, allowing couples to attain pregnancy through medical intervention. 

Here are some additional tips for getting pregnant with PCOS: 


Track your ovulation: Various methods exist for monitoring ovulation, including utilizing ovulation predictor kits or tracking basal body temperature changes. 

 Have sex regularly: Try to engage in sexual intercourse every second day throughout your fertile period. 

Manage stress: Stress can worsen PCOS symptoms and make it more difficult to conceive. Discover effective stress management techniques like yoga or meditation to promote overall well-being. 

See a doctor: If you’re aiming to get pregnant and have PCOS, it’s crucial to consult with a physician to explore available treatment pathways. 

Getting pregnant with PCOS can be challenging due to irregular ovulation, but with the right treatment and support, many women with PCOS are able to conceive and have successful pregnancies.  

Consult Dr. Sandesh Kade for PCOS treatment in Dubai

Dr. Sandesh Kade, a prominent PCOS specialist in Dubai, offers tailored treatment focusing on individual concerns like infertility, acne, or obesity.  

His approach may include weight management, dietary adjustments, and medication for symptoms like irregular periods or fertility issues. 

If conventional methods fail, laparoscopic ovarian drilling (LOD), a minimally invasive surgical option, might be considered. Contact Dr. Sandesh for comprehensive PCOS care.  

Frequently Asked Questions

Determining the optimal age for pregnancy with PCOS is not a universal decision, as it varies based on individual circumstances and medical factors.

However, some experts recommend that women with PCOS try to conceive before they are 35 years old.

This is because fertility can decline with age, and women with PCOS may already have a lower baseline fertility rate. 

Yes, it is possible to have a period without ovulating. This is common in women with PCOS. The shedding of the lining of the uterus causes a period. However, ovulation is not necessary for a period to occur. 

Achieving pregnancy quickly with PCOS may require a combination of lifestyle modifications, medication, and possibly assisted reproductive technologies.  

Consulting a fertility specialist can provide personalized guidance tailored to individual needs.  

Yes, it’s possible to have PCOS despite having regular menstrual cycles. Diagnosis typically involves assessing additional symptoms, such as hormonal imbalances and ovarian morphology, rather than solely relying on menstrual regularity.  

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