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Doctor insights on: Fertility Pcos

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Dr. Dennis Higginbotham
1,246 doctors shared insights

Polycystic Ovarian Syndrome (Definition)

Pcos is a metabolic disorder affecting 8-10% of women that may cause irregular periods, acne or increased hair growth, infertility or subfertility, and increases the risk of diabetes. To diagnose pcos, we need 2 out of 3 of: 1. Irregular or no periods 2. Acne, hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound showing large ovaries ...Read more


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I have been diagnosed with PCOS and the GP said I have multiple immature follicles but no cysts I know this will affect my fertility as my periods are irregular but I want to know if I still have a chance of ovulating even with immature folicles ?

I have been diagnosed with PCOS and the GP said I have multiple immature follicles but no cysts I know this will affect my fertility as my periods are irregular but I want to know if I still have a chance of ovulating even with immature folicles ?

Definitely: PCOS is a fairly common problem these days.However, there are a lot of mimickers which are treated completely diff.First confirm dx with ObGyn and/or endocrinologist who can ideally work together and really increase your chances.The underlying issues need to be addressed. The prog for preg with docs who are experienced treating this are actually pretty good.Most import is right docs working togeth ...Read more

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Are there any natural remedies to boost fertility (pcos)?

Are there any natural remedies to boost fertility (pcos)?

A strict diet!: A strict low carb diet which causes weight loss will decrease hyperinsulinemia associated with metabolic sydrome. If you don't lose weight, you are not cutting carbs enough. You doc can follow your hgba1c to see if your average sugar levels are dropping, as they should. ...Read more

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Starting inositol for fertility related issues pcos; do I need to take folic acid as well?

Starting inositol for fertility related issues pcos; do I need to take folic acid as well?

Inositol: Inositol does not contain Folic Acid and is not a substitute for it. When you are trying to conceive it is always a good idea to supplement with 1-4mg of folic acid. This helps reduce certain birth defects. ...Read more

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How safe is progesterone tablets for pcos fertility treatment?

How safe is progesterone tablets for pcos fertility treatment?

Safe; sometimes used: Progesterone or artificial versions (progestins) can be safely used to induce a period for women with pcos who have very few periods (less than 4 a year) or no periods. It does not improve your chances of conceiving because it induces bleeding, not ovulation (egg release). Progesterone can also be given for low Progesterone levels in the 2nd half of a cycle, or to support an early pregnancy. ...Read more

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How does fertility treatment for lo-cah differ from fertility treatment for pcos? I'm young, normal-weight, ovulate rarely, and am otherwise healthy.

How does fertility treatment for lo-cah differ from fertility treatment for pcos?  I'm young, normal-weight, ovulate rarely, and am otherwise healthy.

Yes: Even though the 2 disorders have the same symptoms, their causes are different. Most docs will treat cah with steroids (to suppress the adrenal output) and pcos with with some combo of Clomid (clomiphene) and/or metformin (to treat Insulin resistance and induce ovulation). ...Read more

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How to boost my fertility while having pcos but my cysts in my ovaries burst and back to regular periods and a septate uterus?

How to boost my fertility while having pcos but my cysts in my ovaries burst and back to regular periods and a septate uterus?

Fertility evaluation: You will need to see a fertility specialist to determine if ovulation is occurring or not. Often with PCOS ovulation does not occur but if you are having regular periods now then it may be. There are varying degrees of septated uterus. Most do not decrease fertility but each case will have to be evaluated individually ...Read more

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Is it true that women with pcos retain fertility longer? And if so; why?

Fertility PCOS: I am not aware of any such data nor can make a physiological reason why this should be the case. ...Read more

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Will smoking marijuana increase a women's chance of fertility if she has pcos?

Will smoking marijuana increase a women's chance of fertility if she has pcos?

Nope: Nice try, though.... Any smoking will not increase your fertility or improve pcos symptoms. You may not care as much ; have an increased appetite, neither which is beneficial to achieve pregnancy. Talk to your doc about using metformin to improve any glucose intolerance, improve ovulation, and if all fails, ovulation induction with Clomid (clomiphene) is helpful further down the road. Good luck! ...Read more

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Is fertility a possibility with pcos that causes amenorrhea? If so, is pregnancy more complicated? Higher risk?

Is fertility a possibility with pcos that causes amenorrhea? If so, is pregnancy more complicated? Higher risk?

As long as you have : Menstrual periods ,you have the potential to conceive.If periods are less frequent,then ovulation is less frequent ,thus likelihood of pregnancy less likely. ...Read more

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I am almost 18 I have been diagnosed with pcos and adenomyosis. What are my chances of normal fertility?

I am almost 18 I have been diagnosed with pcos and adenomyosis. What are my chances of normal fertility?

Hard to say: Pcos is a very common cause of infertility but not all women with pcos have trouble getting pregnant. Adenomyosis is even trickier since how strongly it effects fertility is unclear. You may have trouble getting pregnant in the future, but you should not presume that this is inevitable. ...Read more

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Do a woman with pcos ovulate in her lifetime naturally or she needs fertility meds ? Do they never ovulate ?

Do a woman with pcos ovulate in her lifetime naturally or she needs fertility meds ? Do they never ovulate ?

Quite variable: Some women with pcos may ovulate most every month and others only occasionally. If she is having very infrequent periods and/or is having trouble conceiving she may need to see her physician about ovulation inducing medications. ...Read more

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Desperately want to have kids one day and i know pcos can affect fertility. Can the cysts be anything to be concerned about?

Desperately want to have kids one day and i know pcos can affect fertility. Can the cysts be anything to be concerned about?

Not the cysts : Pcos is a hormonal imbalance in which you have an ovulation problem and you produce too much male hormone. The cystic in the name comes from the fact that there are lots of follicles which don't develop properly and look like little cysts. The cysts are not the problem. The hormone imbalance can affect your fertility and cause other problems. ...Read more

Dr. Khurram Rehman
1,640 doctors shared insights

Fertility (Definition)

Fertility refers to the ability of a woman to conceive a child, or to the ability of a man to ...Read more