PCOS And IVF: Keep These Points In Mind Before Planning The Treatment
Keep these considerations in mind.

Navigating IVF with PCOS can be both challenging and rewarding. With proper medical guidance, lifestyle adjustments, and emotional support, women with PCOS can increase their chances of successful IVF treatment.

Written by saumya pandey |Updated : September 23, 2023 7:01 AM IST

The discussion around Polycystic Ovary Syndrome(PCOS) has become so common due to the increased number of women affected by it. PCOS is a common condition that affects women of reproductive age. It is a type of hormonal imbalance that occurs when ovaries create excess hormones. Ovaries produce an excess amount of androgens due to which reproductive hormones become imbalanced leading to irregular menstrual cycles, missed periods, and unpredictable ovulation. Women dealing with PCOS might experience a complicated pregnancy but the advanced technology has various options to combat such problems. IVF is one such alternative but there are dilemmas associated with IVF too. In Vitro Fertilization is a common option but it is important to keep certain things in mind before planning to take the treatment. In this article, we will delve into the IVF treatment for people dealing with PCOS. Keep these in your mind while going for the treatment.

Consult A Reproductive Endocrinologist

Before going for the treatment, make sure that you visit a PCOS specialist who can help you in getting a review about the treatment. They have an idea of your unique situation so they can tailor the treatment plan to your needs, and provide guidance on managing PCOS-related symptoms during IVF.

Manage Insulin Levels

Women with PCOS often face the problem of insulin resistance that impacts their egg quality and response to fertility medications. Managing insulin levels through lifestyle changes, medications, or both may enhance IVF success rates.

Controlled Ovarian Stimulation

PCOS often involves irregular ovulation or anovulation (lack of ovulation). IVF may require controlled ovarian stimulation (COS) with fertility medications to regulate and stimulate egg production. Monitoring your response to these medications is essential.

Address Potential Egg Quality

PCOS may affect egg quality. During IVF, your eggs will be retrieved and fertilized in the laboratory. Discuss with your healthcare team how they plan to address potential egg quality issues and any advanced techniques like Intracytoplasmic Sperm Injection (ICSI) if necessary.

Reduce Hyperstimulation Risk

Women with PCOS can be more prone to ovarian hyperstimulation syndrome (OHSS), a condition where the ovaries become swollen and painful. IVF protocols will need careful adjustment to minimize this risk while optimizing the chances of success.

Make Lifestyle Changes

Adopting a healthy lifestyle can improve fertility outcomes. Focus on maintaining a balanced diet, regular exercise, and stress management. Weight management, if necessary, can also positively impact IVF success.

Be Careful About Medication Sensitivity

PCOS patients may require different medication dosages and protocols during IVF. Ensure that your healthcare team is aware of your PCOS diagnosis to personalize your treatment plan effectively.

Multiple Pregnancy Risk

PCOS patients are at a higher risk of multiple pregnancies, which can carry higher health risks for both mother and baby. Discuss the number of embryos to transfer with your healthcare team, aiming for a safe pregnancy while minimizing complications.

Metformin Use To Manage Insulin Resistance

Metformin is sometimes recommended to PCOS patients to treat insulin resistance. As metformin can affect ovarian responsiveness, talk to your healthcare professional about whether you should continue taking it or stop it during IVF.

Emotional Support

The IVF process can be emotionally taxing, especially for women with PCOS who may have experienced long-term fertility issues. To manage the emotional ups and downs, seek emotional assistance from friends, family, or support groups.

Dietary Supplements

Dietary supplements can help some PCOS patients, like inositol, which may improve ovulation and egg quality. Consult your healthcare provider before adding any supplements to your regimen.

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