Polycystic Ovary Syndrome (PCOS) is a widespread hormonal disorder affecting millions of women of reproductive age. Beyond causing irregular menstrual cycles, PCOS can significantly impact fertility, making it difficult for women to conceive naturally. Dr. Kanchi Khurana, a leading fertility specialist in Chandigarh and Panchkula, provides expert insights into how PCOS affects fertility, the symptoms to watch for, and effective treatment options available today.
What is PCOS?
PCOS occurs when the ovaries produce higher-than-normal levels of male hormones called androgens. This hormonal imbalance can disrupt the menstrual cycle, interfere with ovulation, and lead to a range of symptoms such as:
- Irregular or absent periods
- Enlarged ovaries with multiple small cysts
- Weight gain or difficulty losing weight
- Acne or oily skin
- Excessive hair growth (hirsutism)
These symptoms can vary in severity, and many women may not realize they have PCOS until they face fertility challenges.
How PCOS Impacts Fertility
PCOS primarily affects fertility by disrupting ovulation. Without regular ovulation, eggs may not mature or release properly, making conception difficult. Additional fertility-related concerns include:
- Poor Egg Quality: High androgen levels and hormonal imbalance can impact egg development.
- Insulin Resistance: Many women with PCOS develop insulin resistance, which can lead to weight gain and worsen hormonal imbalance.
- Endometrial Issues: Irregular hormonal cycles can affect the uterine lining, making implantation less likely.
- Increased Miscarriage Risk: Some studies indicate a slightly higher risk of early pregnancy loss in women with PCOS.
Despite these challenges, with early diagnosis, lifestyle changes, and medical interventions, many women with PCOS can achieve successful pregnancies.
Symptoms That May Indicate PCOS
It’s important to recognize the signs of PCOS early:
- Irregular menstrual cycles (fewer than eight periods per year)
- Severe acne or skin issues
- Unexplained weight gain
- Hair thinning or excessive hair growth
- Difficulty conceiving despite regular intercourse
If you experience these symptoms, consulting a fertility specialist like Dr. Kanchi Khurana can help in early detection and management.
Treatment Options for PCOS and Fertility Management
Dr. Kanchi Khurana recommends a comprehensive, personalized approach to managing PCOS and improving fertility outcomes:
1. Lifestyle and Dietary Changes
A balanced diet, regular physical activity, and maintaining a healthy weight can help improve insulin sensitivity, regulate hormones, and support ovulation.
2. Medications
Hormonal treatments such as oral contraceptives can regulate menstrual cycles, while medications like clomiphene citrate or letrozole may induce ovulation in women trying to conceive.
3. Assisted Reproductive Techniques
For women who do not conceive naturally, procedures such as IUI (Intrauterine Insemination) or IVF (In Vitro Fertilization) are highly effective. Dr. Khurana customizes treatment protocols based on each patient’s medical history and ovarian health.
4. Emotional Support
PCOS can be stressful, especially for women struggling with fertility. Dr. Khurana emphasizes the importance of counseling and support to manage stress, improve mental well-being, and enhance treatment outcomes.
When to Consult a Fertility Specialist
Women experiencing irregular cycles or difficulty conceiving for more than 6–12 months should consult a fertility specialist. Dr. Kanchi Khurana provides expert care in Chandigarh and Panchkula, offering advanced diagnostics, personalized treatment plans, and continuous support throughout the fertility journey.
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