Is polycystic ovary syndrome (PCOS) considered a cause of infertility?
Hello, I would like to ask about my situation.
My menstrual cycle was normal from the first year of junior high until the first year of senior high school.
However, starting from the second semester of my first year in senior high, it began to become irregular, gradually decreasing until it eventually stopped.
I have seen many doctors and undergone several ultrasound examinations, but they all said there was nothing wrong and only mentioned that it was due to hormonal imbalance.
Each time, I was prescribed medication to regulate my cycle and received hormonal injections to induce menstruation; without the injections or medication, my period would not come at all.
By the second semester of my second year in senior high, I visited a gynecologist who performed another ultrasound and found multiple follicular cysts.
The doctor recommended taking birth control pills (Diane 35) to help regulate my menstrual cycle for six months.
However, some doctors advised against taking it for more than six months.
The doctor also mentioned that after six months, I should take a break to see if my period returns on its own; if it does not, it indicates that my condition is still not optimal.
I have researched this condition and found that it can be lifelong, which makes me worried about my future ability to conceive.
After taking the medication for six months, will my body be burdened? Is this considered infertility? What is the likelihood of pregnancy in my case? Will my condition improve? Thank you in advance for your help.
Xingxing, 10~19 year old female. Ask Date: 2006/02/28
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, Miss: What we commonly refer to as polycystic ovary syndrome (PCOS) includes irregular menstruation, hirsutism, and obesity.
If you have these three symptoms, it is likely indicative of PCOS.
PCOS can cause irregular menstrual cycles and anovulation, which can certainly affect future fertility.
However, managing it clinically is not difficult.
For example, the birth control pills that the previous doctor prescribed to you are one of the treatment options.
Other treatment methods include ovulation induction medications and ovulation trigger injections, both of which are effective and have shown good results in clinical practice.
Please do not worry.
When you reach the appropriate age for marriage, using the aforementioned methods will yield positive outcomes, so rest assured.
I hope this response meets your satisfaction.
If you have any questions, feel free to reach out again.
Reply Date: 2006/02/28
More Info
Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects women of reproductive age. It is characterized by a combination of symptoms, including irregular menstrual cycles, excess androgen levels, and polycystic ovaries. While PCOS can lead to infertility, it is important to understand that having PCOS does not automatically mean a woman will be infertile.
Infertility is defined as the inability to conceive after one year of regular, unprotected intercourse. Women with PCOS may experience irregular ovulation or anovulation (lack of ovulation), which can make it more challenging to conceive. However, many women with PCOS can and do become pregnant, especially with appropriate medical intervention.
In your case, it sounds like you have been experiencing irregular menstrual cycles and have been diagnosed with polycystic ovaries. The hormonal imbalance associated with PCOS can lead to irregular periods, and the treatment options you mentioned, such as hormonal contraceptives (like Diane 35), are commonly prescribed to help regulate your menstrual cycle. These medications can help manage symptoms and reduce the risk of complications associated with PCOS, such as endometrial hyperplasia due to prolonged unopposed estrogen exposure.
Regarding your concerns about the long-term effects of taking hormonal contraceptives, it is generally considered safe to use them for several months to regulate your cycle. However, it is essential to follow your healthcare provider's recommendations and have regular check-ups to monitor your health. After completing the course of contraceptives, your doctor may suggest a "break" to see if your menstrual cycle normalizes on its own.
As for the likelihood of conceiving with PCOS, studies suggest that with proper management, many women with PCOS can achieve pregnancy. The success rates can vary based on individual factors, including age, weight, and the presence of other health conditions. Weight management through diet and exercise can significantly improve ovulatory function and increase the chances of conception. Additionally, medications such as clomiphene citrate or letrozole may be prescribed to induce ovulation if you are trying to conceive.
It's also worth noting that while PCOS is often a lifelong condition, many women find that their symptoms can improve with lifestyle changes and medical treatment. Regular monitoring and a proactive approach to managing your health can lead to positive outcomes.
In summary, while PCOS can be associated with infertility, it does not equate to being infertile. Many women with PCOS can conceive, especially with the right treatment and lifestyle adjustments. If you have concerns about your fertility or the management of PCOS, it is crucial to have an open dialogue with your healthcare provider, who can tailor a treatment plan to your specific needs and circumstances.
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