What is Polycystic Ovary Syndrome? Pregnancy Treatment

“Polycystic Ovary Syndrome”, which is seen especially in overweight women, makes it difficult to have children, but it is not an obstacle. Women who have this problem also have the chance to become mothers with in vitro fertilization treatment.

“Polycystic Ovary Syndrome”, which is seen especially in overweight women, makes it difficult to have children, but it is not an obstacle. Women who have this problem also have the chance to become mothers with in vitro fertilization treatment.

Symptoms of Polycystic Ovary Syndrome

• Hair loss
• Acne
• Hirsutism (Hirsutism)
• Irregular Menstrual Period
• Pelvic Pain
• Infertility
• Excessive Weight Gain
• High Testosterone Level

“Polycystic Ovary Syndrome”, an annoying problem for women, is a hormonal disorder that occurs when too many eggs accumulate in the ovaries that cannot grow. In fact, it is not a disease, but an innate feature. The underlying problem is that women with insulin resistance and therefore overweight are in the risk group for polycystic ovary syndrome. Polycystic ovary syndrome, seen in 30-40 percent of women who want to have children; Lack of healthy ovulation brings along problems such as menstrual irregularity, hair growth complaints and infertility.

In its treatment, different methods are followed depending on the complaints caused by the problem. For example, if the patient complains of hair growth, a suitable treatment is applied; if the patient wants to have children, another treatment comes into play. In this article, we discuss what to do for a healthy ovulation in case of inability to have children due to polycystic ovary syndrome, and especially what method to follow for in vitro fertilization treatment. Anadolu Health Center Gynecology and Obstetrics Specialist, In Vitro Fertilization Center Director Assoc. Dr. Tayfun Kutlu with Gynecology and Obstetrics Specialist Op. Dr. Ebru Öztürk Öksüz explains the chances of motherhood for women with polycystic ovary syndrome through in vitro fertilization treatment…

How is the diagnosis made?

The first step for a definitive diagnosis in polycystic ovary syndrome is to look at the number of eggs in the ovary with ultrasound evaluation (more than 12 eggs are expected for the appearance of polycystic ovary). Some hormone tests are performed and the patient’s insulin resistance is checked. In addition, the patient’s history, menstrual cycle and complaints are listened to, and a body examination is performed to see the degree of hair growth.

First Step: Diet and Exercise

In all complaints caused by polycystic ovary syndrome, the first thing to treat is a diet and exercise plan to lose excess weight. This lifestyle change in the patient not only helps the patient reach the ideal weight, but also reduces hair growth.

Purpose of Drug Treatment: Providing Ovulation

We must say that there is a two-step treatment process before moving on to the in vitro fertilization stage. After the patient reaches his/her ideal weight, the process begins with a drug treatment aimed at ensuring egg production, which is usually planned as 3 cures. Medicines that reduce the patient’s insulin resistance can also be added to the treatment at this stage. If ovulation occurs at the end of the treatment, the patient has the chance to become pregnant even through natural intercourse. However, if ovulation cannot be achieved, the second step of the treatment is started; that is, injection and vaccination treatments…

Needle and Vaccination Treatments

Needle treatment is performed to ensure better quality egg development, thus ensuring that one or more eggs obtained mature and hatch. In the continuation of this treatment, in the insemination part, the sperms taken from the man are concentrated in the laboratory environment for better quality and are combined by leaving them in the closest place to the egg at the time it hatches for the most ideal fertilization. Injection and vaccination treatments can also be applied in 3 cycles. Of course, we must remind that the biggest opponent of the treatment at these stages is the “age” criterion and underline the following: If the patient has some additional risk factors in the history of having children (advanced age, surgery history, tube blockages, etc.), some of the steps we mentioned are skipped and the next step is taken. passable. For example, if the patient is over 35, the chances of success in medication, injection and insemination treatments will be very low, so in vitro fertilization treatment can be started directly. The success rates of in vitro fertilization treatment in these types of patients are higher than other step treatments.

There is a Chance to Try More than One in IVF!

In vitro fertilization treatment is a method that enables the development of a large number of eggs and therefore provides the opportunity for more than one attempt. In this treatment, egg stimulation can be done with relatively low doses of drugs and the resulting eggs are collected. However, if the number of eggs in patients with polycystic ovary syndrome is higher than expected, some risks may arise. One of these; As the number of eggs increases, the chances of the resulting embryos to attach to the uterus decrease. The other is overstimulation of the ovaries. However, there is a way to eliminate these risks…

Instead of freshly transferring the obtained eggs, freezing them at the best stage and storing them until the next menstrual period allows the uterus and the body to rest. In this way, time is gained for hormonal balances to reach normal physiological limits. With this uterine resting technique, the patient’s chance of pregnancy is also increased.

If, despite all this, pregnancy does not occur in the first attempt, new attempts can be made with previously obtained and unused embryos (they can be stored for up to 5-10 years). In this respect, let us state once again that in vitro fertilization treatment is a method that gives women a chance again and again.

Is In Vitro Fertilization Pregnancy Difficult?

The first months are important

The first months of in vitro fertilization pregnancies of patients with polycystic ovary syndrome are extremely important, because their risk of miscarriage is slightly higher than other patient groups, especially due to hormonal irregularities.

Possible risks and correct information

Since insulin resistance lies at the root of polycystic ovary syndrome, pregnancy-related diabetes, hypertension and early pregnancy losses are more common in these patients. In this respect all

It is important to inform the patient about the risks and the treatment process in the most accurate way.

Don’t forget!

After the age of “35”, no time should be wasted as much as possible.