Polycystic Ovarian Syndrome (PCOS)

What is Polycystic Ovarian Syndrome (PCOS)?
What is Anovulation?


An estimated 10 % of women of childbearing age have Polycystic Ovarian Syndrome (PCOS), making PCOS a leading cause of infertility. PCOS is a complex issue and no one knows its exact cause. In infertility cases, women with PCOS may produce too much insulin, which in turn causes the ovaries to over-produce male hormones called androgens. This can lead to a number of symptoms, including excessive hair growth, weight gain, and ovulation issues and infertility.

Frequently, women with Polycystic Ovarian Syndrome (PCOS) have problems with their menstrual cycle and issues with ovulation (or anovulation). In women with PCOS, the ovaries do not produce sufficient hormones and the egg or ovum may not mature. In PCOS, developing ova may remain as cysts (or appear cyst-like). In such cases, ovulation does not take place and the reproductive hormones are thrown out of balance, specifically progesterone. Without hormonal balance and progesterone, a woman’s menstrual cycle may be irregular or absent. As noted above, the ovaries (or ovarian cysts) can produce male hormones called androgens.

Symptoms of PCOS include infrequent menstrual periods, no menstrual periods, and/or irregular bleeding, infertility or inability to get pregnant because of a failure to ovulate, increased growth of hair on the face, chest, or stomach, weight gain or obesity, high cholesterol, and high blood pressure.

For trying-to-conceive women, treatments of PCOS include fertility medications: Clomiphene (pills) and Gonadotropins (shots) can be used to stimulate the ovary to ovulate. Natural fertility supplements, such as FertilAid for Women, are popular with PCOS sufferers as well.

What is Anovulation and Amenorrhea?

Anovulation is indicated when a woman does not ovulate, or release an egg, during her menstrual cycle. Anovulation may occur in women with PCOS, as well as women with other infertility issues. For some women with infertility symptoms, the ovaries/follicles do not develop properly, the egg does not mature, and ovulation may not take place every cycle, may take place sporadically, or in some cases, ovulation may not take place at all.

Who who experience anovulation women may never ovulate without the help of fertility drugs. Also, women may also experience amenorrhea, or have no menstrual periods for months or even years at a time.

Polycystic ovarian syndrome is a very common cause of anovulation and infertility. When it is suspected, additional testing may be indicated. In cases of anovulation or PCOS, clomiphene (pills) and Gonadotropins (shots) can be used to stimulate ovulation.

Back to Infertility and Fertility Medications

Comments

My husband and I have been ttc for just over a year with no luck. We were both getting frustrated, but thought that maybe it was just bad timing and stress. I went in yesterday for my annual exam (with a new gynecologist due to insurance change) and was told that I may have PCOS. I am supposed to go for a blood test next month, but that is weeks away and I am feeling overwhelmed and like this is somehow my fault. Not sure what I am looking for here...I guess maybe someone that understands to tell me that it is going to be ok and that I still have a chance to get pregnant. Anyway...thanks for reading.

hello...
My PCOs test is normal ....but i am still not geeting my periods for 1 month . i am 17 and i am a obese but i have started excersing .... what should i do now ??

I have PCOS and when I was 18 was told by time I turned 21 they would want to do a full hysterectomy... I had a lot of female issues. My doctor told me if I wanted children I had better start soon. He gave me Provera to start my period and 5 days after I started I was to take Clomid for 5 days and have sex 5 days later for 5 days. He told me it might take 6 months to a year to conceive and not to get discouraged. I started my period on October 6, 2008 and found out I was pregnant on November 8th, 2008. I delivered a beautiful little girl at 36wks on June 22 , 2009 and couldn't be happier but now my daughter is almost 5 and I'm wanting another one. I tracked my ovulation with the strips you get at wal-mart and hopeful that worked. Clomid made me so sick Hot Flashes, Anxiety, Paranoia... just to list a few. Good luck ladies!!!!

Im 25 years old and I have been trying to conceive. Im a student and I"m not able to recieve healthcare benefits to at least get some fertility help. I've stopped the birthcontrol almost a year ago and I really need to know what to do as far as calculate for ovulation..especially when i really dont have any periods. I had my period in earlyJune (first time since 2009) and it last til July 22,2013. I've started going to the gym and cutting back on a lot of foods but i have yet to seem some results. I take vitamins. Is there anything else that I can do until Im able to afford health insurance?? ;'(

reply
Alise — Jul 30, 2013

Im 25 years old and I have been trying to conceive. Im a student and I"m not able to recieve healthcare benefits to at least get some fertility help. I've stopped the birthcontrol almost a year ago and I really need to know what to do as far as calculate for ovulation..especially when i really dont have any periods. I had my period in early (first time since 2009) and it last til July 22,2013. I've started going to the gym and cutting back on a lot of foods but i have yet to seem some results. I take vitamins. Is there anything else that I can do until Im able to afford health insurance?? ;'(

hi
i was diagnosed with PCOS at the age of 14 it runs through my family as my mother grandmother and aunties all have it. I am now 24 and trying to conceive naturally but my periods last so long its hard to calculate as my cycle can last anything from 7 days to over a month or longer, i have been put on different medication but nothing seems to work for me. Is there a way for me to regulate and monitor my period and get it to be as regular as possible and be able to do ovulating calculations? thank you for reading x

Hi...
Iam 25 years old n havin irregular periods. I have hypothyroidism and pcos. I am takin 1000mg metformin tabs and 50 mg thyronorm.. Even after takin medicines , periods not regular for me. Will it b difficult to conceive ? How can I find the fertile days ?

I have had pco since my teens now im 34.I became pregnant when i was 25 which wasn't planed. After 3 years of trying and going to doctors my partner and i went through fertility treatment which was 500km away but lucky for us this did work first time round.I done ovulation induction with injections.From my experience I would go and see a fertility doc that knows all about this and not waist time with a gp like i did.We are trying again Im using clearblue monitor just to see when i will ovulate if this doesn't work i will book to see my fertility doctor.

x

I had always had long cycles at around the 35 day mark which eventually increased to around 45 days. My period then suddenly stopped for 4 months so I went to see my GP who asked me to do a blood test. While waiting for the results my cycle returned and all hormone levels seemed normal.
In November of 2011 I fell pregnant (not planned) and in my 6th week I had some bleeding. The doctors did a scan and told me I had most likely miscarried but they would monitor me for a few days. I was booked in for a D&C on the Monday but was scheduled for an ultrasound first. It turned out I hadn't miscarried but was not as far along as first thought.
All was going well until my 12 week scan when it looked like the baby had some arm deformities. It turns out my husband and I both carry the gene for a disease called Fanconi Anaemia (1 in 350000 chance) and our baby was very sick and wouldn't have a good chance of survival if we continued on.
After many complications after the termination and having to go in for a second D&C my body was returning to normal. After another scan my ob found that it looks like I have PCOSI. We are trying again and are in our second month. If I am not pregnant by the end of June I am to go back and see my ob to be put on fertility meds. Fingers crossed it doesn't come to that however that is the smallest of our worries compared to the FA we need to worry about with every pregnancy. Fingers crossed

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