PCOS and IVF: Considerations for Couples Seeking Fertility Help

Polycystic Ovary Syndrome (PCOS) / Artificial Insemination

Hello Doctor, I would like to ask about my recent diagnosis of polycystic ovary syndrome (PCOS) and my age of 37.
Is it suitable for me to undergo assisted reproductive technology (ART)? My spouse and I are currently working overseas, and I would like to know how long my wife would need to stay in Taiwan for the procedure.
Can my husband return to work overseas immediately after sperm collection, or would he need to stay for the weekend? You are an authority in this area, and I would like your advice on how to best handle this process.
Additionally, since we are in Australia, how does the assisted reproductive technology in Taiwan compare to that in Australia? Thank you for your guidance.

Also, I had a premarital health check two years ago, and I was not diagnosed with polycystic ovary syndrome at that time.
Could it be possible that my recent diet and weight gain of about 20 kilograms (over the past year) have contributed to this condition? If I lose weight, will my condition return to normal? Thank you again.

Sylvia, 30~39 year old female. Ask Date: 2017/06/06

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if the fallopian tube examination is normal, then artificial insemination can be performed.
Generally, the woman should visit the obstetrics and gynecology department on the second or third day of her menstrual period, while the man only needs to come in on the day of sperm collection.
I'm not sure about the procedures in Australia, but it should be similar.
An increase in weight of about 20 kilograms may indicate polycystic ovary syndrome (PCOS).
Improving diet by reducing sugar intake and increasing exercise usually helps.
Wishing you good health.

Reply Date: 2017/06/06

More Info

Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder that can significantly impact fertility. For couples seeking fertility assistance, especially those dealing with PCOS and advanced maternal age, there are several important considerations to keep in mind.

Firstly, PCOS can affect ovulation, leading to irregular menstrual cycles and difficulties in conceiving naturally. However, many women with PCOS can still achieve pregnancy, either naturally or through assisted reproductive technologies (ART) such as in vitro fertilization (IVF). Given your age of 37, it is crucial to act promptly, as fertility tends to decline with age.
When considering IVF, it is essential to consult with a fertility specialist who can evaluate your specific situation, including your hormonal levels, ovarian reserve, and overall health. The specialist may recommend lifestyle modifications, such as weight loss, which can improve insulin sensitivity and restore normal ovulatory function in women with PCOS. Studies have shown that even a modest weight loss of 5-10% can enhance fertility outcomes.

Regarding your question about the duration of stay in Taiwan for IVF treatment, the process typically involves several steps, including ovarian stimulation, egg retrieval, fertilization, and embryo transfer. The ovarian stimulation phase usually lasts about 10-14 days, during which you will need to be in Taiwan for monitoring and adjustments to your medication. After egg retrieval, you may need to stay for a few days to ensure your body is responding well, especially if embryo transfer is planned shortly after.
As for your husband, he may be able to return to work shortly after providing a semen sample, typically within a day or two. However, it is advisable for him to remain available for any potential follow-up appointments or additional procedures that may be necessary.

Comparing IVF practices between Taiwan and Australia, both countries have advanced reproductive technologies and experienced specialists. However, there may be differences in protocols, costs, and regulations. In Australia, the healthcare system may provide more comprehensive support for fertility treatments, including potential subsidies for IVF cycles, while Taiwan may offer more personalized care with shorter wait times for procedures. It is essential to research and consider these factors when deciding where to pursue treatment.

Lastly, regarding the possibility that your recent weight gain and dietary changes may have contributed to the onset of PCOS symptoms, it is indeed plausible. Lifestyle factors, including diet and exercise, can significantly influence hormonal balance and ovarian function. If you can achieve a healthier weight through diet and exercise, it may help regulate your menstrual cycle and improve your chances of conception, whether naturally or through IVF.

In summary, while PCOS can pose challenges to fertility, many women successfully conceive with appropriate medical intervention and lifestyle changes. It is crucial to work closely with a fertility specialist to develop a tailored plan that considers your unique circumstances, including age, health status, and lifestyle factors. With the right support and treatment, achieving a successful pregnancy is certainly within reach.

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