Assisted fertility treatments contribute to almost 2-3% of the total live births in the UK each year. A large proportion of the births is due to in vitro fertilisation or IVF. Despite the increasing use of such treatments and improved safety, they are not without complications.
Some of these are ovarian hyperstimulation syndrome, many pregnancies, miscarriage, ectopic pregnancy, etc. The ovarian hyperstimulation syndrome or OHSS tends to occur more in patients with Polycystic ovarian syndrome or PCOS.
Insulin resistance and hormonal imbalance cause PCOS. This imbalance results in the predominant effect of androgens or male hormones. The androgens prevent the proper development of the follicle and ovulation each month. This also affects the response to fertility stimulation drugs that are used in an IVF treatment.
The changes in the body during an IVF treatment in patients with PCOS expose them to a higher risk of ovarian hyperstimulation syndrome or OHSS. OHSS is managed with safety, but sometimes it can be serious.
Do you have PCOS and are experiencing difficulties in trying to conceive? Then you should discuss your options with a fertility specialist. There are certain interventions that you and your fertility specialist can consider. The interventions may help you avoid an IVF treatment. These include weight management, Ovulation Induction and Ovarian Drilling.