Polycystic Ovary Disease (PCOD), the early stage of Polycystic Ovary syndrome (PCOS), is a very common hormonal disorder that leads to infertility in women. This disease is characterized by presence of multiple cysts (small sacs filled with fluid) around the women’s ovaries. Usually these surfaces are in very small sizes of between 2 to 8 mm. In simple words, PCOD occurs due to a hormonal imbalance.
Since the ultrasound examination facility came into existence, physicians observed that about one in five women has polycystic ovaries. In the ultrasound examination of a patient suffering from PCOD, the ovaries appear more dense and large and the cysts look like a “necklace” around the surface of the ovaries.
Once a patient start developing symptoms of polycystic ovaries, they fall under the category of polycystic ovary disease. However only one of three patients experience PCOD symptoms.
PCOD, a heterogeneous disorder of uncertain causes, is a generic disease. This is the most common disorder among the women between age group of 18 and 44 years.
Though the infertility physicians have much knowledge about the polycystic ovary syndrome, but the exact reason of this disorder is yet to be discovered.
Generally, PCOD patient suffers from following symptoms:
Improper or delayed menstrual cycle
Excess body weight, difficult in loosing it
Excessive hair grow on chest, back and face
Oily skin, acne, and dandruff
Patches of thick, darker and, velvety skin
High blood pressure
Type 2 diabetes
Polycystic ovary, also called Stein-Leventhal syndrome, was first described in the year 1935 by Stein and Leventhal. Many women, suffering from PCOD, find it difficult to understand why they are having irregularities or delay in the menses, after many years of normal cycles. Most of the times, the key element to account this change is increased weight.
A patient suffering from Polycystic Ovary may have increased level of insulin that encourages body to lay down excessive amounts of fat tissue leading to obesity. Lack of a universally accepted clinical definition has been a barrier in understanding the polycystic ovary and interpreting the large medical literature surrounding it.
Physicians have stated that not everyone with ovarian cysts have PCOD, nor does everyone with PCOD has polycystic ovaries (PCO).
Despite the myth that the women with PCOD can not conceive, Iswarya Infertility Center has a history of successful PCOD infertility diagnosis that are mostly treated successfully.
Meanwhile the pregnancy success rate depends on various key factors such as the age of patient, type of PCOD medicines used, weather the prescribed medicine is effective at ovulation in women and if there are other infertility factors present in the couple.
The patients, suffering from PCOD syndrome, fails to ovulate or release eggs regularly that further leads to irregular menstrual cycles, therefore the treatment for PCOD is focused at getting a patient to ovulate.
Possible ways to attempt ovulation induction in women with PCOD include:
Clomid, clomiphene, citrate
Metformin and clomid together
In Vitro Fertilization (IVF)
Healthy diet, regular exercise, weight control, and avoiding smoking habits are some crucial parts to cure polycystic ovary syndrome.
Though there is no medically proven treatment available to cure PCOD, some medicines can help control the risks of PCOD such as infertility, miscarriage, and heart disease.
The course of treatment depends on the severeness of the symptoms. Blood samples of the patient are collected to calculate the level of sex hormones. The women may also go through ultrasound scanning to check for ovarian cysts. Weight loss is a great way to reduce the symptoms of PCOD.
Conceive with the help of medication: If a women is having difficulty in conceiving, Clomiphene (Clomid, Serophene) can do wonders to treat polycystic ovary syndrome. These medicines can help to ovulate in an effective way. Clomiphene is a good option in the first part of your menstrual cycle. At Iswarya Infertility Center, we do not limit ourselves with one treatment. For instance, if clomiphene doesn’t work effectively on a patient, adding metformin in prescription can help her induce ovulation more effectively.
Apart from this, our highly experienced infertility physicians may also help you by treating the cyst with Diathermy (a type of heat therapy).
If all the medications fail, In Vitro Fertilization is the best treatment available for patients with polycystic ovaries. A physician, having little experience in superovulating PCOD patients, often mess up their superovulation. A very common difficulty in treating a PCOD patient with IVF technology is that the woman grows excess eggs in response to the HMG injections which may lead the risk of ovarian hyperstimulation. In such conditions, doctors may end up triggering egg collection with HCG when the eggs are immature.
Cure for irregular menstrual: If you are not planning to get pregnant and just want to cure irregular menstrual cycle, we can help you with a combined contraceptive pill. These pills contain both estrogen and progestin that provide a relief to your body from the effects of continuous estrogen. It also lowers the risk of endometrial cancer by correcting menstrual cycle. You may also use other remedies such as a skin patch or vaginal ring. These contain a combination of progestin and estrogen.
When you take these medications, you won’t be able to conceive.
Get rid of excess hair: Some of our patients visit our infertility center just to reduce excessive hair growth on the face and other parts of their body. Such cases are thoroughly studied and appropriate medications are prescribed. Such patients may be recommend to use contraceptive pills or Spironolactone (Aldactone) to decrease androgen production. Spironolactone is a very effective medicine to block the effects of androgens on the skin.
Regular check-ups help catch the PCOD complication in the early stage. Hence, the patient should not avoid their regular check-ups and must visit the doctor frequently.
If you or someone you know is suffering from symptoms of PCOD, our infertility specialists are available to help you just a click away.