Polycystic Ovarian Syndrome
Polycystic Ovarian Syndrome can cause infertility. There are special considerations for you if you have this condition. Hi. I’m Doctor Schillings. If you have PCOS, or polycystic ovarian syndrome, it is very likely that you have problems with ovulation. There are several medications we can use to help you ovulate. One is an oral medication called Clomid, another is an injectable medication, which is FSH, which is a hormone that your body’s makes to help you ovulate. We give this to you in higher doses.
One of the reasons it’s difficult—if you have polycystic ovaries—to treat you, is that one dose of medication may be too little and not cause you to ovulate, but slightly more may make you ovulate more than one egg and put you at risk for having twins or even more.
Therefore, we need to monitor you closely with ultrasounds and blood work. If you have PCOS, insulin resistance may be another problem. It could be a problem because you are overweight, or it could be a problem from the disease itself. We may be able to treat you with Metformin to make your body more sensitive to insulin and help the ovulation induction medications work better. In addition to that, if you were able to lose weight, this may also help the medications work better and also enable you to have a healthier pregnancy.
Overweight patients have more high blood pressure and diabetes during their pregnancy. It is also very important, while you were going through this process, to make sure that you eat well so that weight-loss can be obtained. Of all the conditions that you could have that cause infertility, PCOS is one of the most treatable conditions. We can easily work with you to achieve a pregnancy.
WENDY SCHILLIGNS, MD, FACOG
Dr. Schillings is a board certified reproductive endocrinologist, obstetrician and gynecologist. She leads all aspects of patient care at RMAPA. In addition, she formerly led the medical team at RE & I Specialist with the Lehigh Valley Physician Group. Dr. Schillings is chief of the Division of Reproductive Endocrinology and Infertility at Lehigh Valley Hospital Health Network and Clinical Associate Professor of Obstetrics and Gynecology at Penn State College of Medicine.