Before we, talk about infertility or induction regime, let’s look at a case study.
Sunita was a twenty-eight years old homemaker cum office executive. She weighs around 64 kg, and occasionally her menstrual cycles are irregular. Sometimes, there is a delay of a week or so. Her USG report showed bilateral polycystic ovaries. Her husband, Manoj, had an average sperm count with sperm measuring around 60.5 million per cc and normal morphology. She had undergone assisted reproduction twice, but both times, it was unsuccessfully. The medical report clearly showed Sunita cannot produce ovum and thus cannot conceive.
What Is Bilateral Polycystic Ovary?
Bilateral polycystic ovaries, commonly regarded as polycystic ovary syndrome (PCOS), is probably one of the most common endocrine disorders that can have an impact on a woman’s reproductive life. The main symptoms of this condition include irregular menstrual periods, discomfort at the time of ovulation, and various metabolic disorders. However, once on the right treatment and management regimens, with or without an induction of ovulation regimen, most women are able to attain their reproductive goals.
According to Dr Gupta’s, Polycystic Ovary Syndrome, or PCOS, is a condition that affects the hormone levels in a woman’s body. Women suffering from PCOS tend to have a higher-than-normal level of male hormones. This results in irregular periods, making it harder for them to get pregnant.
” We need to start an ovulation induction regime,” informed a Female Sexologist doctor. “Please tell us what it is? ” asked Sunita. ” The main objective of the treatment is to restore ovulation and fertility potential. We can do it either through medicine or injection. The doctor continued, “There are two types of regimes: step-up and step-down. So we shall start with a step-up regime” Sunita nodded.
Symptoms Bilateral Polycystic Ovaries
Bilateral polycystic ovaries is a condition refers to the presence of multiple small cysts on both ovaries. In such cases, the cysts usually result as benign fluid-filled sacs. However, the problem in most arises from hormonal imbalances which escalate the levels of androgens-the male hormones.
Major symptoms of PCOS include:
- Irregular or absence of menstruation
- Inability to become pregnant (Infertility)
- Weight gain or obesity
- Excess hair growth (hirsutism)
- Acne and oily skin
- Thinning hair on the scalp
The understanding of the implications of bilateral polycystic ovaries is highly important, which would accordingly lead to proper management and treatment.
What Is Ovulation Induction?
Ovulation induction is the process of ovulation stimulation with the help of medicines. It is a type of fertility treatment aimed at stimulating the ovaries to produce and release more number of eggs, making it easier for women to conceive. This, in turn, helps increase the chance of pregnancy. This is particularly beneficial for those with PCOS, Women who have infrequent ovulation or who do not ovulate at all benefit the most by undergoing ovulation induction
” There are two types of oral pharmacological agents, one is clomiphene citrate, and the other is called aromatase inhibitor called anastrozole. If these oral medicines fail, then gonadotrophins get added to your treatment. There are two types of gonadotrophins, one which helps follicles to develop, which is known as FSH, and the other is used to facilitate ovulation, and they are called HCG. “
We will give the oral agent, an aromatase inhibitor, on the second day of the cycle and continue till day six, and from the seventh to ninth day, we will introduce FSH. When the follicles reach 18 mm or more after the twelfth day, we will push the HCG to facilitate the rupturing of follicles.
Lifestyle Considerations
Apart from the induction of ovulation and fertility treatments, lifestyle modifications also play a significant role in the treatment of PCOS, that includes:
- Weight Management: A healthy weight can help restore regular ovulation and normalize menstrual cycles.
- Diet and Exercise: A proper diet along with regular physical activity will improve the sensitivity of the body to insulin and regulate hormones.
- Stress Management: Techniques like yoga, meditation, and counseling may reduce the amount of stress a person’s body has to handle, which positively benefit to their hormonal health.
Conclusion
Bilateral polycystic ovaries-although one of the most difficult challenges women have to face when they plan to conceive-become more manageable with proper induction regimes of ovulation. Medical treatment in conjunction with significant lifestyle and constant monitoring can provide hope to many women with PCOS for successful pregnancies.
Sunita took this ovulation induction regime under an experienced sexologist doctor for three cycles. The treatment was successful, and she was able to conceive.
If you’re navigating the complexities of PCOS and bilateral polycystic ovaries, approach a health care professional and discuss your possibilities. At Dr. Gupta’s Clinic, we are dedicated to providing personalized care and support to help you on your journey to motherhood. Your health and well-being are our top priorities. Additionally, you can connect with Dr. Gupta for other issues, such as infertility, low sperm count, couple counseling, and more.
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