What Is The Impact of PCOS on Fertility and Ways to Overcome It

Introduction 

Polycystic Ovary Syndrome (PCOS) is a prevalent condition affecting Indian women of reproductive age. One study in the Indian Journal of Medical Research states that the prevalence ranges from 3.7% to 22.5%, depending on the region.  

PCOS impacts the ovaries because of a hormonal imbalance, leading to irregular periods and often making it difficult to conceive naturally. It is not about irregular cycles; it is also linked to problems regarding hormone secretion, ovulation, and other concerns that can impact long-term well-being. Understanding PCOS, its hidden signs, and adopting effective PCOS management strategies can help women improve fertility outcomes and overall health. 

What Are The Hidden Symptoms of PCOS? 

Many women do not realise they have PCOS until they face issues with their menstrual cycle or fertility. Some subtle or hidden symptoms include: 

• Irregular or absent periods for extended durations 
• Unexplained weight gain or difficulty losing weight 
• Excess facial or body hair (hirsutism) 
• Severe acne or oily skin 
• Thinning hair on the scalp 
• Dark patches of skin are usually noticed on the neck or underarms (linked to insulin resistance) 

Since PCOS symptoms vary from person to person, early diagnosis and management play an important role in preventing complications. 

PCOS in Teenagers: What Mothers Should Watch Out For? 

PCOS often starts in adolescence, but its early signs may be mistaken for common teenage concerns. Mothers should pay attention if their daughters show: 

• Periods that remain irregular for more than two years after menstruation begins 
• Excessive weight gain during puberty 
• Severe acne that does not improve with regular treatment 
• Noticeable facial hair growth or hair thinning 

If you have any issues with weight management, a balanced diet, and medical advice can help control symptoms and prevent long-term complications. 

Common Fertility Challenges Women with PCOS Face 

PCOS directly affects a woman’s ability to conceive. The main challenges include: 

1. Irregular ovulation: Due to a hormonal imbalance, eggs may not be released regularly, making it harder to conceive. 
2. Poor egg quality: PCOS can sometimes affect the maturity and quality of eggs. 
3. Insulin resistance: There can be an increased risk of miscarriage and make it more difficult for embryos to implant. 
4. Hormonal imbalance: If you have high levels of androgens (male hormones) or any other hormonal imbalance can interfere with normal reproductive processes. 

These challenges do not mean pregnancy is impossible; most women with PCOS conceive with the right support and treatment. 

What Are The Other Health Concerns Related to PCOS? 

Beyond fertility, PCOS is linked with several health risks: 

• Type 2 diabetes is due to long-term insulin resistance 
• High blood pressure and cholesterol issues 
• Sleep apnea 
• Risk of endometriosis due to the weight gain 
• Cancer due to prolonged absence of periods 
• Mental health conditions  

Managing PCOS is not just about improving your fertility; it’s about maintaining long-term health and improving your quality of life. 

How To Manage PCOS for Better Fertility? 

Effective PCOS management often begins with lifestyle changes. Some important steps include: 

• Healthy diet: You should include more fibre and lean proteins in your diet. Avoiding excess refined carbs and saturated fats helps control insulin levels. 
• Weight management: If you are overweight, lowering your body weight by 5–10% reduction can improve ovulation and fertility outcomes. 
• Exercise: You should start with small steps, like walking 10,000 steps and regular physical activity. It should reduce insulin resistance and improve hormonal balance. 
• Sleep and stress management: Good sleep and relaxation techniques can help regulate hormones. 

These fertility tips can bring changes that improve fertility and reduce the risk of developing other PCOS-related health problems. 

When Lifestyle Isn’t Enough – Medical & Fertility Treatments 

For many women, lifestyle changes alone may not resolve fertility challenges. In such cases, medical and fertility treatments are available: 

• Medications to induce ovulation (under medical supervision).
• Hormonal therapy to regulate cycles.
• Assisted reproductive technologies (ART) such as IUI or In Vitro Fertilisation (IVF).

Capa IVM at Oasis Fertility: A promising fertility treatment for women with PCOS. Capacitation In Vitro Maturation (IVM) allows immature eggs to be collected and matured in the lab. This reduces the need for high doses of fertility drugs and lowers the risk of ovarian hyperstimulation syndrome (OHSS), which is a general concern in women with PCOS undergoing IVF. 

When to Consult A Fertility Specialist? 

You should consult a fertility specialist if: 

• You have been trying to conceive for more than a year (or 6 months if you are over 35). 
• Your periods are irregular or absent. 
• You have been diagnosed with PCOS and are facing difficulties with ovulation. 
• You have other risk factors like diabetes, obesity, or thyroid problems. 

Early consultation ensures timely treatment and a better chance of pregnancy. 

Long-Term Outlook: Living Healthy With PCOS 

PCOS is a lifelong condition that is easily managed by making healthy lifestyle choices. With the right management, you can lead healthy and fulfilling lives. Regular check-ups, a balanced lifestyle, and proper treatment can also help: 

• Improve fertility chances 
• Prevent long-term complications of infertility and other body systems 
• Support emotional well-being 
• Ensure you live a better quality of life 

PCOS doesn’t define a woman’s future; proactive care makes all the difference. 

Conclusion 

PCOS can be challenging, but with the right PCOS management strategies, ranging from lifestyle changes to advanced fertility treatments, women can overcome fertility barriers. Early detection, healthy living, and timely consultation with specialists are key to achieving positive outcomes. 

Oasis Fertility offers advanced treatments to support women with PCOS on their fertility journey. To learn more, reach out at their number 1800 3001 1000 and take your first step to heal your body. 

FAQs

1. Can women with PCOS get pregnant naturally?

Yes, many women with PCOS conceive naturally, especially with lifestyle changes like proper diet, exercise, and weight control. Some may require medical support for ovulation.

2. What lifestyle changes help in managing PCOS-related fertility issues?

Maintaining a healthy weight, regular exercise, a balanced diet, stress management, and good sleep are the most effective steps in managing PCOS and improving fertility.

3. How does IVF help women with PCOS conceive?

IVF helps by directly retrieving eggs, fertilising them in the lab, and placing embryos in the uterus. For women with PCOS, IVF combined with techniques like Capa IVM reduces risks and improves pregnancy chances.