Understanding Polycystic Ovaries and Infertility ~ In our practice often treat polycystic ovarian syndrome (PCOS), also known as polycystic ovaries (PCO) or polycystic ovarian syndrome (PCOS) is known. With PCOS, a major cause of infertility in women, regular reproduction processes, such as the menstrual cycle, do not function properly.
In vitro fertilization program, we see many patients every day suffering from polycystic ovarian syndrome. Although degree SOP differently. Was us many patients experience symptoms more of the following:
Absent menstrual periods or irregular
Flare-ups of acne
Dark hair on his chin, upper lip or lower abdomen
Weight problems, including a great difficulty losing weight
These symptoms are two hormones patients with polycystic ovary syndrome in excess, testosterone and insulin. In quantities greater than normal, these hormones can inhibit ovulation and produce as irregular menstrual problems and fertility. High testosterone causes increased hair growth and acne.
The easiest way to treat polycystic ovary syndrome is a pill that erases the ovaries and reducing testosterone levels. Women with PCOS do not ovulate, causing irregular menstruation, then the best way to increase the chances of getting pregnant, a push called Clomid ovaries to give a fertility drug. We have 80-85 percent of women with PCOS can help with ovulation Clomid. Essentially carbohydrates are divided into two categories, good carbohydrates and bad carbohydrates (for more information about this Google on "glycemic index"). The bad carbohydrates make insulin reaches very high levels very quickly. The high insulin levels will cause the ovaries to produce more testosterone, which makes it difficult to ovulation. Metformin can reduce insulin levels. Metformin, ovulation is often, but rarely falls in regular monthly cycles.
As metformin can cause liver damage, even if it is a rare side effect, we are the liver function tests prior to initiation of metformin and check one or two months after the patient began taking the drug. Common side effects include bloating, diarrhea and abdominal cramps. Some studies suggest that metformin reduced rates of abortions and improve pregnancy rates.
Unless our patients with polycystic ovarian syndrome (PCOS) have significant insulin resistance, usually starting with clomid first because it is easier, safer and have fewer side effects than metformin has. If a patient does not reach ovulation with Clomid, then presumably adding metformin.