Lotus Women Healthcare

PCOS-Infertility

PCOS negatively impacts fertility because women with the condition do not ovulate, or release an egg, each month due to an overproduction of estrogen by the ovaries.

PCOS And Infertility

Today 2 out of 5 couples suffer due to this subfertility/infertility in this modern world. The causes of infertility vary from couple to couple. Most of the causes are related to hormonal imbalance. Tubal block, loss of egg reserve, variation of endometrial thickening, endometrial polyp may be the presenting symptoms of Hormonal imbalance. All these symptoms come under one roof called PCOS. No ovulation, poor follicular growths are the major conditions faced by PCOS women.
All these symptoms come under one roof called PCOS. No ovulation, poor follicular growths are the major conditions faced by PCOS women.
Insulin resistance may present. OBESITY plays a major role. Hypo/Hyperthyroidism is the major health condition affecting overall fertile probability of both male and female.

Pcos /infertility:

PCOS is the primary cause of hyper androgenism and oligo-anovulation at the reproductive age and is often associated with infertility and clinical and metabolic disorders . The prevalence of infertility in women with PCOS varies between 70 and 80%. PCOS can affect a person’s fertility in different ways. Ovulation problems are usually the primary cause of infertility in women with PCOS. Ovulation may not occur due to an increase in testosterone production or because follicles on the ovaries do not mature. Even if ovulation occurs, an imbalance in hormones may prevent the lining of the uterus from developing properly to allow for implantation of the mature egg. Due to unbalanced hormones, ovulation and menstruation can be irregular. Unpredictable menstrual cycles can also make it difficult to get pregnant.

Tubal block/infertility:

Fallopian tubes are female reproductive organs that connect the ovaries and the uterus. Every month during ovulation, which occurs roughly in the middle of a menstrual cycle, the fallopian tubes carry an egg from an ovary to the uterus.
Conception also happens in the fallopian tube. If an egg is fertilized by sperm, it moves through the tube to the uterus for implantation.
If a fallopian tube is blocked, the passage for sperm to get to the eggs, as well as the path back to the uterus for the fertilized egg, is blocked. Common reasons for blocked fallopian tubes include scar tissue, infection, and pelvic adhesions.

Low AMH:

Developing egg sacs (ovarian FOLLICLES)secrete AMH. The more eggs there are remaining in the ovaries, the higher the level of AMH in your bloodstream. So a low level of AMH is thought to be a sign of low ovarian reserve (a low number of developing egg sacs). A low level of AMH is normal for a woman nearing the menopause.
A ‘normal’ AMH level is considered to be 1.0 ng/mL to 3.0 ng/mL. Very low AMH is considered to be an AMH below 1.05 ng/ml and anything below 0.16 ng/ml is said to be an ‘undetectably low’ AMH level.

Uterine polyp:

Uterine polyps are growths attached to the inner wall of the uterus that extend into the uterine cavity. Overgrowth of cells in the lining of the uterus (endometrium) leads to the formation of uterine polyps, also known as endometrial polyps.
Endometrial polyps have been found to be associated with infertility. There is at least one good study that revealed that removal of the polyp increases the chances of conceiving. The study found that when a polyp was treated, the pregnancy rate was 63%. However, if the polyp was not treated, the pregnancy rate was only 28%. Another study found that the most common area in the uterus for an endometrial polyp to be found was on the posterior uterine wall. Interestingly, polyps that were found in the cornual portion of the uterus (the area of the opening of the fallopian tubes into the uterus) were associated with a higher chance of pregnancy when these polyps were removed compared to removing polyps from other locations within the uterus. This suggests that polyps in this location are more likely to be associated with difficulty in conceiving.
It has been speculated that a endometrial polyp may cause irritation of the lining of the uterus interfering with implantation of an embryo. These polyps can interfere with implantation, effectively preventing an embryo from attaching to the uterine wall. It is common for polyps to induce a chronic inflammatory response within the uterus, as the body mounts a reaction to try to destroy the polyp. This may be the mechanism by which polyps interfere with the establishment of a pregnancy.

Bulky uterus:

Uterus, also called as women’s womb, is a pear-shaped muscular organ of the female reproductive system. Uterus plays very important function of nurturing the embryo and carrying a pregnancy to term, and hence its role in conception and delivery is irreplaceable. Problems of uterus account for 3% to 5% cases of infertility.
Normal dimensions of uterus ranges from 8 cm x 5cm x 4cm. Bulky uterus is a condition in which uterus is bigger in size than it is supposed to be. The two most common causes of enlarged or bulky uterus in infertile patients are uterine fibroids and adenomyosis.
Fibroids – Also known as Leiomyomas, are non cancerous tumours of uterine muscles.
Adenomyosis -Is the globular swelling of the uterus which occurs if tissue that normally lines the uterus(endometrium) starts growing inside the muscular wall of the uterus.

Symptoms of a PCOS

Symptoms can occur at any age or time during a person’s reproductive years. Symptoms can also change over time.
Irregular periods
Ovarian cysts
Depression
Increased skin tags
Abnormal hair growth on the face, chest, or back
Acne or a darkening of the skin
Weight gain
Thinning hair on the head
Infertility
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