The most common cause of treatable infertility is the poly-cystic ovary syndrome (PCOS).
This syndrome is common in young women and is the cause of an ovulatory infertility in seventy percent of cases.
Over fifty percent of patients who present with recurrent miscarriage have PCOS .
What is poly-cystic ovarian disease (PCOD) or poly-cystic ovarian syndrome (PCOS)?
PCOD is a complex condition occurring in females presenting with irregular periods, anovulatory cycles, inappropriate weight gain and disturbance in hormone levels.
Polycystic ovarian syndrome is a very common endocrine disorder.
Among women who present with infrequent period eighty percent have PCOD.
Ninety two percent of women with regular menstrual cycles who present with hirsutism( unwanted male hair growth) have PCOD.
PCO women with unexplained infertility typically have midfollicular luteinizing hormone (LH) and the male sex hormone in excess in comparison with those with normal ovaries.
Surge in (LH) triggers ovulation in females with normal menstural and ovarian cycle.
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Studies have shown that leutinizing hormone levels tends to get high in females with PCOD as compared to those with females with normal ovaries, and also they undergo anovulatory cycles.
Leutinizing hormone levels are also high in females with unexplained infertility, however within the normal range.
Elevated values of midfollicular (phase in which follicles in the ovary mature) leutinizing hormone (>10 IU/l on 8th day of regular menstrual cycle) have been associated with a significant impairment of fertility in women with regular spontaneous menstrual cycles.
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Anti Mullerian Hormone (AMH)
This hormone reflects the functioning of ovaries during a woman’s lifetime and gives an estimate of her remaining egg supply.
Lot majority of women with AMH >10 ng/mL have PCOS.
Increased levels of AMH levels correlate with PCOS severity.
AMH levels are also raised in reproductive technology assisted pregnancies resulting from increased ovarian stimulation.
Elevated levels of serum AMH concentrations are indicators of poor response to various treatments of PCOS like weight loss, ovulation induction and laparoscopic ovarian drilling.
Improvement in various clinical symptoms following treatment is often associated with serum AMH decline, which further supports an important role for AMH in the pathophysiology of this syndrome
Fact remains that not all women who have PCOS have difficulty with fertility. You can get pregnant even if you are not ovulating every month.
Medical therapies often can help increase your chances of ovulation and pregnancy even if you have trouble in getting pregnant if you have cysts in your ovaries.
Alternate system of medicine like homeopathy plays an important role in treatment of PCOD, which may be for long term without causing any side effects.
Dr Mrudula, Life Force Homeopathy
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