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Polycystic Ovary Syndrome

Polycystic Ovary Syndrome Clinic
that increases pregnancy rate
through induced ovulation

For inquires:
031-782-8300(KOR) / +82-10-8866-2268(ENG)
Introduction
Polycystic Ovarian Syndrome Polycystic ovarian syndrome (PCOS) is a hormonal disorder in which a woman's body produces abnormally high levels of androgens and prevents the ovaries from producing enough progesterone, which is necessary for a normal menstrual cycle.
This results in undeveloped egg follicles, which turn into small cysts in the ovaries that prevent ovulation. PCOS affects approximately 4-10% of women in her prime conception years and is a leading cause of infertility.
Symptoms
  • Anovulation or rare ovulation (irregular, infrequent or no menstruation)
  • Excess androgen (elevated levels of androgen)
  • Hyperandrogenism
  • Signs of PCOS through ultrasound exam
Chronic anovulation may cause symptoms such as amenorrhea or irregular menstruation, irregular uterine bleeding, infertility, excess body and facial har (hirsutism), and acne, and is often accompanied by obesity. Small polycystic follicles are observed during an ultrasound exam, and in the long term, metabolic diseases may develop, such as diabetes and hypercholesterolemia. Inducing ovulation is a top priority when ovulation disorders are suspected to be the cause of infertility.
PCOS Treatment
Weight loss
In overweight women, the symptoms and overall risk of developing long-term health problems from PCOS can be greatly improved by losing excess weight. Body mass index (BMI) over 27Kg/m2 can cause the insulin in your body to fluctuate, so it is recommended to lose weight. In a study done on obese patients, weight loss of an average of 10.2Kg/m2 lead to a significant improvement of 90% of them being about to induce ovulation and 30% of them successfully becoming pregnant. However, excessive exercise or weight loss may disrupt the endocrine function which is linked to the hypothalamus-pituitary-ovary, and can cause anovulation leading to infertility.
Medications
Clomiphene for stimulating ovulation and Metformin for improving insulin resistance and lowering insulin levels my be used to induce ovulation. However, because these medications may cause complications such as ovarian hyperstimulation syndrome, it is important to discuss what would be best for you with your physician.
Surgery
Previously, there were reports that normal menstruation was recovered in 91% of patients through ovarian wedge resection surgery. However, due to side effects such as post-operative adhesions, nowadays it is rare to perform surgery only for PCOS so instead a laparoscopic ovarian wedge resection procedure is currently under research.