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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.
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Comments
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
iam 35 and me and my husband had been trying to have kids for 5yrs + and finally i got pregnant and at 2 months i had a MC i was so upset and depressed and wanted to know why me and year later i got pregnant and at 5 1/2 i delivered a baby boy early and he died after 3hrs and i went tru the pain all over again because i was thinking i was so close and my dr said be careful cause you can get pregnant quick i thought to myself not me not that quick and the next month as soon as i had my period i was pregnant again but due to no surprise i lost my baby at 4 1/2 months i delivered early again on 7/24/11 my first son on 2/3/11 i too have PCOS so keep the faith and be strong and always pray cause GOD knows what you need and will bless you at the right time when you least exspect i cause i never thought i would know what it feel like to have a baby inside of me but i did and wouldnt trade it for nothing in the world and i always had my husband by my side which helps you to cope better going tru this you need a support team to lean on so me and my husband are starting to try again its moving slow but i hope within a few months we are bless with a child so if you have PCOS you still can have kids it my just move slower for us but it will happen iam proof that it can. good luck to everyone that is trying and by the way my dr found out the reason why i went into labor early i have weak cervix so i will have to get a clarge which is sewed so my cervix want open up early so next time i should be able to carry to full term
I have been suffering with irregular periods from the age of 16 ,now I am 25 and I have gone through an operation at the age of 20 and my doctor have removed a cyst from my ovary and I have gone through a treatment for 6 months they have first treated me to reduce the cysts and then they treated me to get regular periods on the base of tablets after 6 months the same thing happens for me till today I am getting periods only by basing on tablets . Can I get periods regular with out any tablets my doubt is that can i give birth to a child after my marriage and one more thing Is it ovarian cancer? What are the problems with ovarian cancer
I had tried for a baby for a few years and nothing. So then last year my Dr. put me on clomid 50 mg and said to try it i did for 3 months nothing happen also had ablood test before it and showed low egg count. he said.
So then after i waited a month and he then prescribed me 100 mg and i never tried it i put it off. Never took yet. so i want to take them they cost me enough and he said not to and have a fertility sp answer me sounds like a jerk.
Now today i have a check up he said he dont want me to take the clomid when i asked can i ? No more I never even tried the 100 mg yet how can he say this?
I have 3 prescriptions all done and waiting to take. So now just not sure if i should listen and try it next 3 months?
Anyone help me please. I also get my period every 23 to 25 days monthly. He said my age can have soemthing to do with this.
Im 45 next week. Just i do not want to give up. Can i still have a baby and i asked him he said yes but will be harder plus i spot blood at times and he said its my harmones very strange.
I am thinking if i should ger second opinion now. How can a Dr stop me from the 100 mg when i never tried it also have not been on the pills for 3 months now. Well im thinking now wha should i d i want a baby bad.
If not he said now have to see a fertility speciliats and i am not covered. I dont think. SO anyone can help me please let me no what to do ? Now i feel dissapointed and dont want to listen to him just dont want to get sick. I have 3 months more to take and i no he said 5 th day take and count 2 and then every other day have sex should i go for it ? Kelly
i am 32 and i found out that i am PCOS. i have been on clomid for five months now. i went from 50 mg to 100 mg and from 5 days to 8 days . i am also on metformin 500mg two times a day for 30 days. i am nauseated by this all day and until i fall asleep at nights. i am not over weight, i don't have acne or unnecessary facial hair . i can no longer take clomid tablets and i so desperately want a baby
. i do hope and pray desperately that one day i can have a baby. Just one baby...... 
Hello I am 27 years old and was diagnosed with PCOS about 8 years ago, although I believe I have had it since I was a teenager. I have been TTC for 6 years and NOTHING. no MC, NOTHING. I recently found out I am insulin resistant which they say runs hand and hand with PCOS. I was out on Metformin and been nauseated everyday since then. My periods are pretty regular, but after a month of taking the metformin my period was a week late and lasted like 10 days with brown discharge, it was very odd for me. I feel like it will never happen and I will never have a baby
I have tried everything! I was told to lose weight but that has been another struggle, the dr. checked all my hormones and the insulin was the only thing out of wack. So hopefully it worked this month, i cant wait to take a test but I always get my hopes up 
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