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The Times of India
The Times of India
Lifestyle
etimes.in

Is PCOS a hidden epidemic affecting women's fertility?

Polycystic ovary syndrome is another term used in describing many women of fertile age due to the resultant hormonal implications that make infertility a condition in many instances. Several women with the condition exhibit difficulty in becoming pregnant as a result, while numerous others do succeed in it. In this case, the ovulation process is typically affected, complicating impregnation.

This can cause abnormalities in hormonal levels within the body and lead to issues in the menstrual cycle with an increased level of male hormones in the body, known as androgen levels. At times, even smaller cysts may be produced in the ovaries. Ovulation-the act of release of an egg from the ovaries that occurs in the case of conception gets obstructed by this hormonal imbalance process. Women with this condition often suffer from problems concerning irregular ovulation, making them unable to determine their time of ovulation. All the common symptoms like acne, hirsutism, and weight increase can highly interfere with their hormonal levels and consequently reproduction. Knowledge of these challenges is fundamental to effective handling and the enhancement of one's reproductive health.

Irregular ovulation is one of the main problems with fertility in women with PCOS. In such a case, ovulation would not be timed at all. Most women suffering from PCOS develop insulin resistance that causes them to gain weight and increases the hormonal imbalances further. This cycle of ill health creates another vicious circle, which hampers fertility even more.

These are frustrating for women who want to conceive, but several treatments can help manage PCOS and improve fertility outcomes.

Treatment Options for PCOS and Fertility

Lifestyle Interventions: Minor lifestyle changes are the first line of treatment for most women with PCOS who want to conceive. Leading a well-balanced diet, performing regular physical exercise, and practicing stress management may improve insulin sensitivity and hormonal balance. Weight loss can also increase the possibility of conceiving.

Ovulation tracking: Basal body temperature charts may be assessed using kits found in an ovulation predictor kit. High monitoring in conjunction with a health provider can make it possible for women to better understand the patterns in their menstrual cycle. It would help them anticipate when they are likely to have their periods and know potential fertile windows, particularly for women with irregular cycles.

Guided Fertility Support: A wide array of fertility support options can help stimulate the body's natural capabilities or restore and support it in other ways. Healthcare professionals are guiding each process according to every woman's specific needs and profile of health.

Women with PCOS commonly experience difficulties in conceiving. Nevertheless, a normal pregnancy can be achieved with the help of lifestyle modifications and proper medical care. Many women who have PCOS remain successful in conceiving and starting their families if they take an active approach to management and care.

(Author: Dr Garima Sawhney, Senior Gynaecologist and Co-founder, Pristyn Care)

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