Reason for Infertility


Polycystic Ovary Syndrome is the most common endocrine disorder in women of reproductive age. This hormone disorder prevents ovulation in women. There are various treatment options for PCOS offered at University Reproductive Associates to help regulate your periods and enhance fertility.

Symptoms of PCOS

  1. Many follicles in your ovaries

This condition means that your ovaries are full of follicles. A follicle is a fluid-filled sac that contains an immature egg.

  1. A lack of ovulation

Ironically, women with polycystic ovarian syndrome have more eggs than normal. When there are excess eggs in the ovary, there is a resulting crowding effect. The brain does not seem to signal any of the follicles to grow and ovulate. Therefore there are a lot of follicles and eggs sitting on the sidelines without ever ovulating.

  1. Infertility

These women are often infertile because they do not release an egg every month, resulting in not having regular periods.

  1. Irregular or missing periods

Women with polycystic ovarian syndrome have a very erratic cycle.

The syndrome can include other symptoms such as obesity, high cholesterol, high glucose, acne, and excessive hair growth.

How do you diagnose PCOS?

When you visit your doctor and describe symptoms such as experiencing an irregular menstrual cycle, being overweight, and having high blood sugar, your doctor will perform tests to confirm that you have PCOS.

Your care provider can do an ultrasound to check for the presence of follicles. Generally, more than 25 follicles are considered one criterion for PCOS. Typically, women have 12 to 14 follicles. Therefore, 25 or more is certainly a lot.

With all the follicles, the affected women tend to make ANH. Through a blood sample, your doctor can measure hormone levels.

Your doctor will measure follicle-stimulating hormone (FSH) and Luteinizing hormone (LH). Normally FSH is higher than LH, but in PCOS, it is reversed, and LH is higher than FSH.

Your doctor will also perform additional confirmatory tests such as measuring blood sugar, insulin levels, and male hormone levels to understand if you have other metabolic disorders that might affect your general health.

How do you treat PCOS?

You can treat metabolic syndrome through beneficial weight loss; a metformin drug can improve your insulin and glucose metabolism. While there is no cure for PCOS, there are ways to decrease or eliminate symptoms. For example:

  • In-vitro fertilization

For fertility issues, your doctor may recommend drugs that stimulate ovulation. In-vitro fertilization is perfect for women who are not responding to treatment as expected.

  • Lifestyle changes

To manage PCOS, you should exercise regularly and eat healthily. If you are obese, losing even 5 % of your bodyweight will help your insulin resistance get better.

  • Build muscle

Getting better muscle tone improves your insulin resistance. Bearing more muscle means your metabolism and fitness will increase. Invest in a strength training and cardio program.

  • Birth control pills

Using a combination pill with estrogen and progesterone increases the level of female hormones in your body compared to the male hormones, giving you regular periods and reducing acne.

If you have any questions about polycystic ovarian syndrome, visit University Reproductive Associates to learn more.