PCOS and infertility

What is PCOS?

Ovarian laziness or polycystic ovary syndrome (PCOS) is one of the most common reproductive disorders. In women with polycystic ovary syndrome, male hormones are lower than normal and female hormones are less secreted. High levels of male hormones disrupt the ovulation cycle and can cause fertility problems. This article discusses polycystic ovary syndrome, PCOS risks, PCOS and infertility, and its treatment methods.


Polycystic ovary syndrome affects 5 to 10% of women in childbearing age and may cause infertility problems.

Common symptoms of polycystic ovary syndrome in women include:

  • Irregularity in the menstrual cycle or menstrual cessation
  • Increased growth of excess facial and body hair
  • Hair loss
  • Overweight
  • Purulent pimples (acne)
  • Problems getting pregnant

How is PCOS diagnosed?

The diagnosis of PCOS syndrome is made by a physician based on a combination of clinical, laboratory, and ultrasound examinations. The specialist will first ask you questions about your menstrual cycle, weight change, and hair growth. Women who have PCOS usually complain of irregular periods or lack of menstruation or long periods between the menstrual cycles. In addition, symptoms such as overweight, hirsutism, and acne may be present.

Then, the specialist will evaluate the cholesterol, sugar, and male hormone levels by examining the results of a blood test. Learn more about fertility tests for women: fertility blood tests for females

Ultrasound examination also examines the condition of the ovaries. In women with polycystic ovary syndrome, the ovaries are large and contain a large number of small cysts.

What are the risks for women with PCOS?

PCOS Symptoms

One of the most important symptoms of PCOS in women is an irregular ovulation cycle. Irregularity or cessation of ovulation impaired hormone secretiontherefor one of the most important risks of PCOS can be named PCOS and infertility

Therefore, estrogen levels are elevated in women with PCOS. High levels of estrogen thicken the lining of the uterus and cause abnormal bleeding. In addition, the thickening of the uterine wall increases the risk of uterine cancer (endometrial cancer). Also, irregular ovulation in women with PCOS can make it difficult to get pregnant.

Therefore, for pregnancy, a doctor’s intervention and medication are needed. Metabolic syndrome is another common risk factor for women with PCOS. Metabolic syndrome impairs the body’s metabolism. This syndrome can cause weight gain in the middle of the body, high cholesterol, high blood pressure, and insulin resistance/diabetes. Each of these symptoms increases the risk of heart disease.

How is infertility treated in women with PCOS?

One way to treat infertility in women with PCOS is by using drugs to stimulate ovulation. In some patients with PCOS, medications that increase the receptors’ sensitivity to insulin can help the body make better use of insulin and improve ovulation. Besides, the use of these drugs reduces the risk of diabetes or metabolic syndrome. Of course, keep in mind that these medications should be taken with the advice and prescription of a specialist.

PCOS and infertility treatment by IVF

In cases of PCOS patients where the medication prescribed by the doctor is not effective, artificial insemination (IVF or ICSI) can help women to get pregnant.

Learn more about IVF treatment in Iran: IVF in Iran

How is PCOS treated in women who have not decided to become pregnant?

If the goal is not pregnancy, taking hormonal medications usually corrects the symptoms of PCOS. Oral contraceptive pills are often prescribed to reduce excess hair growth and acne. Also, Oral contraceptive pills can regulate menstrual periods and prevent pregnancy and some cancers.

The effect of polycystic ovary syndrome on infertility

On the other hand, weight loss can lower testosterone levels in many women with PCOS and reduce their risk of developing diabetes. Drugs that reduce male hormones can be used to treat hirsutism and acne in patients with PCOS. Excess hair can also be removed with electrolysis and laser treatment.

Treatment of polycystic ovary syndrome, like other diseases, should be based on the specific needs, symptoms, and conditions of each patient. Therefore, you should consult a specialist to find the best treatment. To get a free consultation with a doctor can keep in touch with us.

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