PCOS and Infertility: Treatment in Sangareddy
Expert Reproductive Medicine & Infertility (IVF / IUI) care at KBR Life Care Hospitals, Sangareddy
PCOS and Infertility: Treatment in Sangareddy
Polycystic ovary syndrome (PCOS) is the most common hormonal disorder in women of reproductive age, affecting up to 20 percent of women in India. It is also the single most treatable cause of female infertility. Women with PCOS have irregular or absent ovulation, which means eggs are not released regularly and natural conception is difficult.
The good news is that the majority of women with PCOS who want to conceive can do so with treatment. For many, simple ovulation induction with oral tablets is sufficient. For others, particularly those with insulin resistance or obesity, optimising weight and metabolic health first significantly improves the response to fertility treatment and reduces pregnancy complications.
At KBR Life Care Hospitals, Sangareddy, PCOS-related infertility is managed with a step-up approach: starting with the simplest, safest interventions and escalating only if needed. We also address the long-term health implications of PCOS (insulin resistance, diabetes risk, cardiovascular risk) as part of holistic care.
Types & Causes
Anovulation in PCOS
The primary reason PCOS causes infertility; irregular LH and FSH signals prevent regular egg release
Insulin Resistance
Present in up to 70 percent of women with PCOS; raises androgen levels and worsens ovulatory dysfunction
Obesity-Related PCOS
Excess body fat amplifies insulin resistance and androgen excess, making ovulation less frequent
Lean PCOS
PCOS in women of normal body weight; insulin resistance may still be present and contribute to ovulatory dysfunction
PCOS with Elevated Androgens
High testosterone and DHEAS further suppress normal follicle development and ovulation
Symptoms to Watch For
Irregular periods: cycles longer than 35 days or fewer than 8 periods per year
Absent periods for 3 or more consecutive months
Difficulty conceiving due to irregular or absent ovulation
Excess facial or body hair (hirsutism), acne, or oily skin from elevated androgens
Multiple small follicles visible on ovarian ultrasound (polycystic ovarian morphology)
Weight gain, particularly around the abdomen, and difficulty losing weight
When to See a Doctor
- After 6 to 12 months of trying to conceive with irregular or absent periods
- Any woman with diagnosed PCOS who is planning a pregnancy
- Irregular cycles and signs of androgen excess (hirsutism, acne) even before trying to conceive
- Women with PCOS and a strong family history of type 2 diabetes, for metabolic assessment before pregnancy
- Previous PCOS-related pregnancy complications (gestational diabetes, miscarriage) in a prior pregnancy
How We Diagnose
- Hormone blood tests: LH, FSH, testosterone, DHEAS, prolactin, thyroid function, and fasting insulin and glucose
- Pelvic ultrasound showing polycystic ovarian morphology: 20 or more follicles per ovary or increased ovarian volume
- Day 21 progesterone to confirm whether ovulation is occurring
- AMH level, which is typically elevated in PCOS and helps guide treatment dosing
Our Treatment Approach
- Lifestyle modification: 5 to 10 percent weight loss in overweight women with PCOS significantly restores ovulation and improves pregnancy rates
- Metformin for insulin-resistant PCOS to improve hormonal balance and ovulatory frequency
- First-line ovulation induction with letrozole (preferred over clomiphene for PCOS due to better outcomes)
- Gonadotrophin injections for women who do not respond to oral ovulation induction, with careful monitoring to avoid hyperstimulation
- Laparoscopic ovarian drilling as a surgical alternative for clomiphene-resistant PCOS
- IVF with careful stimulation protocols in women who do not conceive with ovulation induction and IUI
Why Choose KBR Life Care Hospitals?
Frequently Asked Questions
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