Can PCOS cause infertility? Gynaecologist shares 5 things every woman needs to know

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(via google)

 From ovulation disorders to pregnancy complications, here’s what the gynaecologist said about PCOS’ impact.


Polycystic Ovary Syndrome is a hormonal disorder that usually affects women in their reproductive years. PCOS leads to menstrual irregularity, mood swings, obesity, acne and other complications. In an interview with HT Lifestyle, Dr Kshitiz Murdia, gynaecologist, CEO and co-founder, Indira IVF Hospital Limited said, “Caused by hormonal imbalances, PCOS impacts the ovaries’ ability to release eggs regularly and may lead to multiple health complications, including infertility, diabetes, obesity, and cardiovascular disease.” 


Dr Kshitiz Murdia further shared a few things about PCOS that every woman needs to know:


1. PCOS and ovulation disorders

Polycystic ovary syndrome changes how a woman’s ovaries function, and specifically disrupts ovulation. Increased levels of androgens and luteinising hormone, and lower levels of follicle stimulating hormone, leads to an inability for the eggs to achieve maturity or to release on time. Because ovulation is irregular this leads to cycles that are unpredictable and most often difficult to achieve natural conception. This dysfunction makes PCOS one of the top causes of infertility among women.

2. Increased risk of complication for growing fetus 

Even when a woman is successful in conception, PCOS increases the likelihood of complications. Women face a higher risk of miscarriage, gestational diabetes, pre-eclampsia, and pre-term delivery. Insulin resistance (which is often experienced among PCOS women) further complicates the risks for both maternal and fetal wellbeing. C-sections may also be a requirement for women experiencing complications. While complications can easily arise, the appropriate medical intervention and healthy lifestyle changes can reduce these risks even when unlikely.

3. Diabetes and continuing fertility challenges.

The insulin resistance component of PCOS, along with its subsequent risk for type 2 diabetes, compounds ovarian ageing. This could eventually lead to an exponential decline in egg quality and a shorter reproductive life because menopause may happen far sooner than in unaffected women. This increases the risk of miscarriage and stillbirth that simultaneously poses fertility challenges. One factor in fertility is monitoring blood sugars and managing metabolic health for the sake of reproductive outcomes.

4. The significance of diagnosis and assessment 

The precise diagnosis of PCOS can only occur after a thorough assessment. Hormonal tests to evaluate testosterone, luteinising hormone (LH), follicle-stimulating hormone (FSH), estrogen and sex-hormone binding globulin (SHBG) Provide useful information that can indicate imbalances. Imaging studies such as ultrasound scans can be useful in determining whether your ovaries are enlarged or consist of multiple cysts. Along with conducting many screening tests for diabetes and cholesterol, these tests and tools will assess an ongoing risk of diabetes or cardiovascular disease. Regular pelvic exams are also indicated to rule out other gynaecological matters. The earlier the diagnosis, the earlier your treatment can begin to improve your chances of having a baby and improve your health in general.

5. Treatment and fertility options 

Management of PCOS integrates lifestyle changes to improve health. In particular, dietary approaches to nutrition, monitoring your weight, and frequent physical activity are important aspects of management of PCOS. Many women achieve enhanced insulin sensitivity and ovulatory cycles from these changes. If natural pregnancy is still difficult despite health changes, fertility treatments (like in vitro fertilisation) are useful options. Because in vitro fertilisation allows fertilisation to occur outside of the body (oocyte retrieval and sperm manipulation) and then transfers healthy embryos into the uterus, the complications of treating ovulation in natural conception are bypassed. 

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