IVF in PCOS: Learn How It Can Help You Start Your Family
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Dr. Namita Kotia has been practicing infertility treatment at Aastha Fertility Care since 2010, and during this time, she has helped around 2000+ couples become parents through IVF treatment and also other assisted reproductive technology (ART) methods like ICSI, IUI, GIFT, etc. Dr. Namita provides her patients with the best possible care and treatment options.
A hormonal disorder known as PCOS or polycystic ovary syndrome affects females of childbearing years. Irregular or prolonged menstrual cycles or elevated levels of androgens, a male hormone, are symptoms of PCOS.
Metabolic syndrome and pre-diabetes are frequently identified alongside PCOS. This condition frequently results in the development of follicles in the ovaries, preventing the eggs’ release and making pregnancy difficult. Although the precise reason is unidentified, this disorder is treatable, and through early intervention, females can escape diabetes, heart disease, or other long-term consequences.
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Let’s examine the connection between fertility and PCOS. If you have PCOS and are concerned about its impact on fertility, you can reach Aastha Fertility Care and find out about the fertility or IVF treatment option available.
Table of Contents
The Need For PCOS
PCOS, a hormonal condition, affects about 5% to 10% of all females, although it is not well-known. In contrast to commonly recognised illnesses, PCOS includes many symptoms and issues frequently present concurrently.
Severely PCOS-affected females may not ovulate or release eggs regularly. Therefore, it may affect reproduction. Females with PCOS have a reduced chance of conceiving a child, which may be changed for a few females through weight loss, exercise, or other lifestyle changes.
Despite the lifestyle adjustments mentioned above, a few females can still have irregular ovulation even after lifestyle modifications. So, here comes the need for in-vitro fertilisation, among the most effective fertility treatments.
IVF in PCOS- Success Rates
When fertility drugs and other treatment options are unsuccessful for women with PCOS, IVF is a great alternative. Through IVF, there are lower risks and a higher probability of becoming pregnant. Multiple steps are there in the IVF and PCOS protocol, and the IVF specialist will give instructions on each step.
IVF in PCOS has a success rate of around 50% to 70%, which is fantastic for PCOS-affected females who want to get pregnant. When women undergo in vitro fertilisation or IVF before 40, most of them with PCOS, who have not been successful in conceiving with alternative therapies, could do so.
Placing one embryo into the woman’s uterus may help physicians lower the possibility of multiple births.
PCOS’ Effects On Fertility
Increased Chances of Pregnancy
Some women still have irregular ovulation after adjusting their diet and lifestyle. Females can use in vitro fertilisation (IVF) to aid in pregnancy when facing such issues. Consuming medications to promote ovulation is part of the beginning of treatment.
Occasionally, PCOS patients who take only their medicines cannot conceive or ovulate. In this situation, the woman might get fertility shots to aid in the body’s egg release. This particular class of medication includes a hormone that informs the ovaries about egg release. Women receiving fertility injections frequently release a couple or more embryos in a month.
- Healthy Pregnancy Achievement
In IVF, the donor or partner’s sperm is used to fertilise the woman’s eggs in a facility after removing them. A baby could be implanted into a woman’s uterus five days after conception. More embryos can be stored for later use if necessary.
For PCOS-afflicted females who want to extend their family, IVF is among the most popular therapies. IVF-using females have a 70% probability of getting conceived in their first effort. When pregnant, these females also have a sixty percent likelihood of giving birth to a healthy baby. Females with PCOS must speak with a fertility expert if they are interested in learning more about IVF.
- Embracing The Risk
When a woman with PCOS wants to have children, one of the most popular therapies is IVF. About 70% of females who try to conceive through IVF will succeed. Also, these females have a 60% probability of delivering a live child after they conceive. A reproductive expert must be consulted by a PCOS-afflicted female interested in learning more about IVF.
Difficulties in IVF In PCOS
Even though 4-20% of females have endometriosis or PCOS worldwide, some females can have difficulties conceiving because of irregular menstrual cycles, preventing eggs from being released. It makes natural egg fertilisation challenging and might be caused by ovulation or egg overproduction.
In these cases, IVF is used to fertilise the overproduction eggs in a laboratory environment before re-implanting them as an embryo in the uterus or womb. Overproduction frequently compromises egg quality.
However, most females give birth to healthy infants after the embryo is implanted in the womb. It is often noted that even though PCOS may appear to be a barrier to conceiving due to ovarian cysts, it, in fact, aids in egg release.
Some Other Fertility Treatment Options For PCOS
Infertility treatments are an excellent option for PCOS-afflicted females who wish to conceive a child.
Since some medications may result in multiple egg production, increasing the multiple births risks, regular medical supervision is crucial.
Oral Fertility Medications
The medication usage that promotes ovulation is the initial infertility treatment choice advised to women with PCOS. Ovulation could be controlled by oral medications clomiphene citrate (Clomid) and Letrozole or other oral medications.
Injectable Fertility Medications
When oral medicines fail, the option available for women with PCOS is fertility drugs given through injections. Injectable fertility drugs are much more effective and successful in promoting egg development.
Intrauterine Insemination Or IUI
IUI (Intrauterine Insemination) could be continued along with drugs that cause fertilisation. The medicines are given some weeks before the Intrauterine Insemination or IUI procedure. An ultrasound scan is done to check the development of the egg and to choose the ideal time for the IUI process.
At a specified time, a sample of semen is directly delivered into the woman’s uterus. After a few weeks of the process being completed, blood tests are done to check if the woman is pregnant. The monthly success rate for couples undergoing IUI procedures is about 15%.
Surgery is a feasible option after all other fertility treatments have failed. Before surgery, the specialist will suggest an ultrasound scan of the vaginal area and other tests.
Women with PCOS may have trouble getting pregnant. Even so, there are ways to continue getting better outcomes. A family history of insulin intolerance or diabetes mainly contributes to PCOS. Cysts develop due to abnormal increases in weight and erratic menstrual cycles.
The positive aspect of women choosing IVF to extend their family is that since artificial fertilisation or ART may occur without the natural fertilisation process, it simplifies conception.
With Aastha Fertility, women with PCOS can consult a specialist and choose IVF treatment to get a higher likelihood of conceiving a child. Our IVF specialists will guide you and help create an individualised, cost-effective treatment plan.