PCOS and Pregnancy

Targeted Intervention, Ovulation Induction Helps Women Overcome PCOS

10219554_sAt New York Fertility Services we’re concerned with whole woman health, not just reproduction, especially for our PCOS patients. We also know, however, that PCOS-related infertility can be particularly difficult for women already battling other symptoms.

How PCOS Affects Getting Pregnant: Hormones and Ovulation

The main reason women with PCOS experience infertility: hormone imbalance inherent to the condition. Hormone imbalance, in turn, prevents regular ovulation. Without ovulation, a mature egg has no chance to progress to the fertilization phase of reproduction, and pregnancy is impossible.

Fertility Treatments for Women with PCOS

As with fertility treatment for all of our patients, sometimes finding the best path to pregnancy requires some trial and error. The two most common fertility treatments for women with PCOS are ovulation induction and IVF

Ovulation Induction with PCOS

In order to help women with PCOS get pregnant, the key is to help with ovulation. At New York Fertility Services, we employ two methods to induce ovulation.

Inducing ovulation with oral medication:
There are specific medications that trigger, or induce, ovulation. One of these medications is clomiphene citrate, known as Clomid. Clomid* is an oral medication that is given for 5 days at the beginning of a woman’s menstrual cycle. Using ultrasound, we can tell if the ovaries have responded well and ovulation is successful. In those cases, combining ovulation induction with timed intercourse or intrauterine insemination (IUI) in our fertility clinic can promote pregnancy.

An alternative oral medication called letrozole might be recommended if Clomid is unsuccessful.

Inducing ovulation with injectable medications:
If oral medications don’t successfully trigger ovulation, injectable fertility medications called gonadotropins may be used. Gonadotropins are associated with a higher risk of multiple gestation pregnancy (twins or multiples) as well as overstimulation of the ovaries. For this reason, injectable cycles are very closely monitored by ultrasound to ensure the health of the mother.

In Vitro Fertilization (IVF)

When oral and injectable medications fail to induce ovulation, there is still hope. IVF is a fertility procedure that doesn’t depend on ovulation. After stimulating egg production with fertility medications, a woman’s eggs are retrieved directly from the ovaries. Healthy, mature eggs are selected to combine with sperm in the IVF lab to create embryos. The embryos are then transferred directly into the uterus. IVF is a safe, effective fertility intervention that has helped many PCOS patients become mothers.

Fertility Services for Women with PCOS

Our specialized PCOS clinic, led by PCOS expert Dr. Joel Batzofin, has extensive experience helping women with PCOS improve their fertility and increase their chances of getting pregnant.

Contact our friendly Manhattan-based team to schedule an appointment for a comprehensive evaluation of your fertility needs, including an individualized treatment plan.