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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.

Back to Infertility and Fertility Medications


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 Sad . i do hope and pray desperately that one day i can have a baby. Just one baby...... Sad

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 Sad 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 Sad

I was diagnosed with pcos in my early 20s, I am now 28 and trying to get pregnant. I too had anovulation and ammenhoria. I got to researching trying to find out what I could do to help my chances of conceiving. And the best thing I found was losing weight. Last August I weighed 278 pounds didnt ovulate and was absolutely miserable. I decided the only thing I can control about PCOS is me weight. So I started seeing a weight loss doctor. I lost about 30 lbs doing the 1200 calorie diet but I knew it wouldnt be enough. My sister in december convinced me to go on the south beach diet and it has changed my life. I have been on it since the end of december and now I weight 225. I lose weight every week and hopefully by august i will be at my goal weight of 150. I am losing inches and pounds. I have went from a size 26 pants to a size 20. Another 10 lbs and I will be in a size 18. I exercise 4-6 days a week. I eat only whole wheat or whole grain bread and noodles. South beach changed my life and it so easy to follow, stage 1 you r on for the first 2 weeks,. stage 2 u r on until u get to your goal weight, stage 3 u r on the rest of your life. U have to make it a lifestyle. And I am ovulating normally now. I have every hope of conceiving soon. The gynecologist told me I have done the one thing that she couldnt do to help me conceive. But I will say everything I read about these ovulation tests say that it is difficult to pinpoint a womans ovulation on the tests when she is ovulating with pcos. But good luck to you all. U can only help your chances of conceiving if u lose weight!

i was diagnosed with polycystic ovarie in 2009 was given meds like provera,metformin makes me really sick and dnt give me appetite.i stopped dem ann i really wamt 2 conceive wat shud i do.

I have had irregular cycles since i was 15 years old and jus recently I was diagnosed with PCOS...I have been ttc for years and was never successful. In Dec 2011 I started goin to a new Gyn and he straight off told me I had PCOS. He immediately started me on Metformin 1000mg/day. At first it didnt cope with my stomach and i stopped takin it for about a week then i realized how badly i wanted a baby and sometimes you have to make sacrifices, so without hesitation i started back on the Metformin. I since then have not had anymore problems with my stomach and diarrhea. So in January I did not have a cycle so I called the gyn and asked if i could get some provera to start my cycle. He gave me a 10 day supply which i took and about 3 or 4 days later i was having my cycle. Im currently still on my cycle and I am curious as to do you think its possible that i could ovulate when my cycle go off. I am planning on purchasing an ovulation kit i am due to ovulate on the 25th of this month. I am excited just thinking about it bc i read so many success stories and pray one day i can tell mine. I am currently 33 no kids and never been pregnant. Well i would just like to say to anyone ttc dont lose faith and continue to pray bc GOD has the final say......

who th fuk delted my post i put on heere???? seriously!!! >:(

i am 31 years old. was diagnosed with PCOS last year. this wasafter trying to get pregnant for abt a year. now i have tried clomid 50mg and 100mg for the second month it has not worked. i am lossing hope kinda. the drugs are so many, how do i know when it will finally work. but am encouraged by the several testimonies i have read here that its a reality people who have not ovulated or that see their periods 2 times a year. i have to induce my periods with provera. am on metformin now 1500mg a day for 3 weeks, clomid 100mg for 5days. will this work. the ultimate question for me is after all this will i get pregnant?

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By TTC veteran and mother of two, Elizabeth Andrews.