{"id":215,"date":"2023-04-11T12:27:06","date_gmt":"2023-04-11T06:57:06","guid":{"rendered":"https:\/\/www.drguptas.com\/blog\/?p=215"},"modified":"2025-08-21T12:36:24","modified_gmt":"2025-08-21T07:06:24","slug":"bilateral-polycystic-ovaries-and-ovulation-induction-regime","status":"publish","type":"post","link":"https:\/\/www.drguptas.com\/blog\/bilateral-polycystic-ovaries-and-ovulation-induction-regime\/","title":{"rendered":"Bilateral Polycystic Ovaries And Ovulation Induction Regime"},"content":{"rendered":"\n<p>Before we talk about infertility or induction regime, let\u2019s look at a case study.<\/p>\n\n\n\n<p>Sunita was a twenty-eight-year-old homemaker cum office executive. She weighs around 64 kg, and occasionally her\u00a0menstrual 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\u00a0average sperm count\u00a0with 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 a vum and thus cannot conceive.<\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_79_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.drguptas.com\/blog\/bilateral-polycystic-ovaries-and-ovulation-induction-regime\/#What_Is_Bilateral_Polycystic_Ovary\" >What Is Bilateral Polycystic Ovary?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.drguptas.com\/blog\/bilateral-polycystic-ovaries-and-ovulation-induction-regime\/#Symptoms_Bilateral_Polycystic_Ovaries\" >Symptoms Bilateral Polycystic Ovaries<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.drguptas.com\/blog\/bilateral-polycystic-ovaries-and-ovulation-induction-regime\/#What_Is_Ovulation_Induction\" >What Is Ovulation Induction?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.drguptas.com\/blog\/bilateral-polycystic-ovaries-and-ovulation-induction-regime\/#Lifestyle_Considerations\" >Lifestyle Considerations<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.drguptas.com\/blog\/bilateral-polycystic-ovaries-and-ovulation-induction-regime\/#Conclusion\" >Conclusion<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_Is_Bilateral_Polycystic_Ovary\"><\/span>What Is Bilateral Polycystic Ovary?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Bilateral polycystic ovaries, commonly regarded as polycystic ovary syndrome (PCOS), are probably one of the most common endocrine disorders that can have an impact on a woman&#8217;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 can attain their reproductive goals.<\/p>\n\n\n\n<p>According to&nbsp;<a href=\"https:\/\/www.drguptas.com\/\">Dr Gupta\u2019s<\/a>, Polycystic Ovary Syndrome, or PCOS, is a condition that affects the hormone levels in a woman\u2019s 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.<\/p>\n\n\n\n<p>\u201d We need to start an ovulation induction regime,\u201d informed a\u00a0<a href=\"https:\/\/www.drguptas.com\/female-sexual-problems.php\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/www.drguptas.com\/female-sexual-problems.php\" rel=\"noreferrer noopener\">Female Sexologist doctor<\/a><strong>.<\/strong>\u00a0\u201cPlease tell us what it is? \u201d asked Sunita. \u201d 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, \u201cThere are two types of regimes: step-up and step-down. So we shall start with a step-up regime\u201d Sunita nodded.\u00a0<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.drguptas.com\/blog\/wp-content\/uploads\/2023\/04\/PCOS-1-1-1024x683.jpg\" alt=\"Polycystic Ovary Syndrome (PCOS)\" class=\"wp-image-2635\" style=\"width:562px;height:auto\" title=\"\" srcset=\"https:\/\/www.drguptas.com\/blog\/wp-content\/uploads\/2023\/04\/PCOS-1-1-980x654.jpg 980w, https:\/\/www.drguptas.com\/blog\/wp-content\/uploads\/2023\/04\/PCOS-1-1-480x320.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw\" \/><\/figure>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Symptoms_Bilateral_Polycystic_Ovaries\"><\/span>Symptoms Bilateral Polycystic Ovaries<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Bilateral polycystic ovaries is a condition that refers to the presence of multiple small cysts on both ovaries. In such cases, the cysts usually result in benign fluid-filled sacs. However, the problem in most cases arises from hormonal imbalances, which escalate the levels of the male hormones.<\/p>\n\n\n\n<p>Major symptoms of PCOS include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Irregular or absence of menstruation<\/li>\n\n\n\n<li>Inability to become pregnant (Infertility)<\/li>\n\n\n\n<li>Weight gain or obesity<\/li>\n\n\n\n<li>Excess hair growth (hirsutism)<\/li>\n\n\n\n<li>Acne and oily skin<\/li>\n\n\n\n<li>Thinning hair on the scalp<\/li>\n<\/ul>\n\n\n\n<p>The understanding of the implications of bilateral polycystic ovaries is highly important, which would accordingly lead to proper management and treatment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_Is_Ovulation_Induction\"><\/span>What Is Ovulation Induction?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/www.drguptas.com\/blog\/wp-content\/uploads\/2023\/04\/Ovulation-induction-1-1024x682.jpg\" alt=\"Ovulation Induction For PCOS\" class=\"wp-image-2636\" style=\"width:506px;height:auto\" title=\"\" srcset=\"https:\/\/www.drguptas.com\/blog\/wp-content\/uploads\/2023\/04\/Ovulation-induction-1-1024x682.jpg 1024w, https:\/\/www.drguptas.com\/blog\/wp-content\/uploads\/2023\/04\/Ovulation-induction-1-980x653.jpg 980w, https:\/\/www.drguptas.com\/blog\/wp-content\/uploads\/2023\/04\/Ovulation-induction-1-480x320.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw\" \/><\/figure>\n\n\n\n<p>Ovulation induction is the process of ovulation stimulation with the help of medicines. It is a type of\u00a0<a href=\"https:\/\/www.drguptas.com\/infertility.php\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/www.drguptas.com\/infertility.php\" rel=\"noreferrer noopener\">fertility treatment<\/a>\u00a0aimed 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\u00a0<a href=\"https:\/\/en.wikipedia.org\/wiki\/Ovulation\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">ovulation<\/a>\u00a0induction<\/p>\n\n\n\n<p>\u201d 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. \u201c<\/p>\n\n\n\n<p>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 the follicles.<\/p>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Lifestyle_Considerations\"><\/span>Lifestyle Considerations<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Apart from the induction of ovulation and fertility treatments, lifestyle modifications also play a significant role in the treatment of PCOS, which includes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Weight Management:<\/strong> A healthy weight can help restore regular ovulation and normalise menstrual cycles.<\/li>\n\n\n\n<li><strong>Diet and Exercise:<\/strong> A proper diet, along with regular physical activity, will improve the sensitivity of the body to insulin and regulate hormones.<\/li>\n\n\n\n<li><strong>Stress Management:<\/strong> Techniques like yoga, meditation, and counselling may reduce the amount of stress a person&#8217;s body has to handle, which positively benefits their hormonal health.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Conclusion\"><\/span>Conclusion<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>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 changes and constant monitoring can provide hope to many women with PCOS for successful pregnancies.<\/p>\n\n\n\n<p>Sunita took this ovulation induction regimen under an\u00a0<a href=\"https:\/\/www.drguptas.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">experienced\u00a0sexologist doctor<\/a>\u00a0for three cycles. The treatment was successful, and she was able to conceive.<\/p>\n\n\n\n<p>If you\u2019re navigating the complexities of PCOS and bilateral polycystic ovaries, approach a health care professional and discuss your possibilities. At Dr. Gupta\u2019s Clinic, we are dedicated to providing personalised 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, <a href=\"https:\/\/www.drguptas.com\/low-sperm-count.php\">low sperm count<\/a>, <a href=\"https:\/\/www.drguptas.com\/couple-counselling.php\">couple counseling<\/a>, and more.<\/p>\n\n\n\n<p>For more information, please visit the website.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Website:\u00a0<a href=\"https:\/\/www.drguptas.com\/\">https:\/\/www.drguptas.com\/<\/a><a href=\"https:\/\/www.drguptas.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><\/p>\n\n\n\n<p>You can also contact us through mail on:&nbsp;<a href=\"mailto:drguptasclinic@gmail.com\">drguptasclinic@gmail.com<\/a><\/p>\n\n\n\n<p>Or can also call us on:&nbsp;<a href=\"tel:9831834215\">+91 9831834215<\/a><\/p>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>Before we talk about infertility or induction regime, let\u2019s look at a case study. Sunita was a twenty-eight-year-old homemaker cum office executive. She weighs around 64 kg, and occasionally her\u00a0menstrual 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\u00a0average [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":216,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"<!-- wp:divi\/placeholder \/-->","_et_gb_content_width":"1080","_joinchat":[],"footnotes":""},"categories":[1],"tags":[5],"class_list":["post-215","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sexologist","tag-health"],"_links":{"self":[{"href":"https:\/\/www.drguptas.com\/blog\/wp-json\/wp\/v2\/posts\/215","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drguptas.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.drguptas.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.drguptas.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drguptas.com\/blog\/wp-json\/wp\/v2\/comments?post=215"}],"version-history":[{"count":16,"href":"https:\/\/www.drguptas.com\/blog\/wp-json\/wp\/v2\/posts\/215\/revisions"}],"predecessor-version":[{"id":2781,"href":"https:\/\/www.drguptas.com\/blog\/wp-json\/wp\/v2\/posts\/215\/revisions\/2781"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.drguptas.com\/blog\/wp-json\/wp\/v2\/media\/216"}],"wp:attachment":[{"href":"https:\/\/www.drguptas.com\/blog\/wp-json\/wp\/v2\/media?parent=215"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drguptas.com\/blog\/wp-json\/wp\/v2\/categories?post=215"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drguptas.com\/blog\/wp-json\/wp\/v2\/tags?post=215"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}