BEST IVF Centre In Indore

Dr. Heena Agrawal explains how PCOS causes difficulty in conceiving and how to overcome it?

Best Infertility Specialist in Indore

HOW PCOS CAUSES DIFFICULTY IN CONCEIVING? With nearly one-third of all infertility diagnoses in women, polycystic ovary syndrome, or PCOS, is the most common ovulatory disorder in women of reproductive

With nearly one-third of all infertility diagnoses in women, polycystic ovary syndrome, or PCOS, is the most common ovulatory disorder in women of reproductive age. “While myths persist that women with PCOS cannot get pregnant, the reality is that it is highly treatable, and nearly every woman with PCOS should be able to get pregnant,” explains Dr. HEENA AGRAWAL, medical director, Dr.Heena’s Fertility Center Indore Madhya Pradesh. “In fact, many women will experience increases infertility through lifestyle changes and modest weight loss. Others will find success with basic infertility treatments and medications.

And for those that need additional help conceiving, in vitro fertilization (IVF) is a highly effective form of treatment for women with PCOS.”


PCOS affects approximately 5 to 10 percent of the population and is most prevalent in Hispanics and African Americans. Recent studies also suggest that there is a rising rate of women of Asian descent. Some of the most recognizable symptoms of PCOS include absent or irregular menstrual cycles, acne, and excessive body hair growth. While many people may consider obesity as a main symptom of the disease, approximately one-third of women with PCOS have normal weight or are underweight.


Although the specific cause of PCOS is still unknown, the condition results in hormonal imbalances that curtail or prevent ovulation— the body’s process of producing and releasing eggs from the ovary. It is common for women with PCOS to have an inappropriate production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH). As a result, they experience limited follicular development (follicles are small sac-like structures within the ovaries, and each follicle contains an egg). With limited follicular development, egg development will not occur. Also as a result, women with PCOS have an increase in testosterone and other typically male hormones (androgens). Clinically, the limited egg development may result in irregular ovulation or a complete lack of ovulation (anovulation), which can persist for months or even years. This ovulatory dysfunction is what actually causes infertility in these women. Also, when anovulation is prolonged, the endometrial tissue in the uterus can get very thick, resulting in heavy and/or irregular periods. The increase in androgens is also responsible for excess hair growth and acne. It is also common for women with PCOS to have an insensitivity to insulin. This many times can predispose them to have increased weight gain and obesity that places the patient at higher risk for diabetes and cardiovascular disease.


There are no specific tests for PCOS, and the condition is essentially clinically diagnosed. Your medical team will determine if there are any physical signs of excess androgens present, as well as evidence of ovulation problems by evaluating the length and regularity of your menstrual cycles. Some testing may also reveal common features of the condition. For example, all Shady Grove Fertility patients undergo basic fertility testing including among others blood testing and ultrasound. The ultrasound can determine if the ovaries are enlarged and contain immature resting follicles, a prominent sign of PCOS. Blood testing can reveal or confirm elevated levels of androgen (male hormones). When making a diagnosis of PCOS, it is also important to rule out other causes of ovulatory disorders, including thyroid dysfunction. Once your physician has a complete picture and can make the diagnosis, he or she will work with you to create an individualized treatment plan.


“For overweight women with PCOS, weight loss is often the first step to increasing your chances of pregnancy,” Dr. Heena Agrawal states. “The benefits of weight reduction include improved ovulatory function, improved chances of conception, a safer pregnancy for both the mother and baby and—if needed—better response to fertility medications. Studies have shown that by losing just 5 percent of body weight, a woman can actually restore her menstrual cycle and ovulate on her own. Weight loss has also been shown to reduce other symptoms such as hair growth, acne, and balding.”


For women with PCOS who are actively trying to conceive, it is advised to consult with your OB/GYN or a fertility specialist, since many women with PCOS are not ovulating. Your physician can prescribe medication to help stimulate ovulation. Oral fertility medications like clomiphene citrate (Clomid), which have been available for many decades, continue to be widely used to stimulate the development of an ovarian follicle containing an egg. Clomiphene citrate acts by blocking the action of estrogen in the brain (the hypothalamus and pituitary). As a result, there is an increased production of follicle-stimulating hormone (FSH), causing the development of one or more follicles. If ovulation is still irregular, additional medications can be prescribed. Metformin for example helps to make the body more sensitive to insulin, which can result in more regular ovulation.


Depending on the initial testing, a fertility specialist may recommend a patient to start ovulation induction medications (cited above) with timed intercourse or intrauterine insemination (IUI) that can be scheduled around the time of ovulation. For these treatments, it is important that the Fallopian tubes are open and the sperm counts are normal. The typical success rate with IUI is about 15 to 25 percent per cycle; a woman’s individual success rate with IUI is largely impacted by her age. If ovulation induction with timed intercourse or IUI fails to achieve a pregnancy after a few attempts of this therapy, or if the patient also has other infertility factors such as blocked Fallopian tubes, her physician may recommend in vitro fertilization (IVF).


Infertility is very common in women with PCOS. However, it is important to highlight that women with PCOS have a very good chance at conception. Patience and dedication may be necessary to allow an adequate amount of time for lifestyle modifications to enhance fertility naturally. When appropriate, being proactive about the initiation of medical therapy in these patients frequently results in a successful pregnancy. With the proper treatment, PCOS can be managed for the long term and patients can live relatively symptom-free.


If you are looking to select the Best infertility hospital, first you should know about what to look for in an infertility doctor? How to evaluate IVF success rates? And get in touch with Best Infertility Specialist in Indore.

Dr.Heena Agrawal is renowned infertility and IVF specialist in Indore. With her interest, focus, and vision to alleviate the suffering of infertile couples, she decided to excel in this specialty.

She took extensive training in infertility and completed her fellowship in reproductive endocrinology under best in the field, where she was trained in the complete ambit of reproductive medicine such as polycystic ovaries, endometriosis, obesity, recurrent IVF failures, and unexplained infertility cases as well as a wide range of fertility treatments. She had loved to support you throughout your journey to parenthood.

If you have any questions regarding our services, please feel free to connect with us.

SCHEDULE AN APPOINTMENT To learn more about PCOS or to schedule an appointment with Dr.Heena Agrawal, please contact our Patient Center at 7574858084,9691149589 We’re here to serve you the best.