PCOS, PCOD, Polycystic Ovarian Syndrome Treatment - Dr. Sudha Tandon Fertility Center

Polycystic ovarian syndrome is a syndrome which affects 10-15% of the women. These women are generally obese, have menstrual irregularities, are infertile, have excessive facial hair and acne. Their ovaries have a typical picture on sonography. It is seen that the women with PCOS have increased levels of Androgens i.e. the male hormone due to an increase in the Luteinizing Hormone(LH). Infertility in an affected woman is very effectively treated with fertility enhancing drugs like Letrozole, Metformin, and hormone injections like Human Menopausal Gonadotropins, Follicle Stimulating Hormone and Recombinant FSH that help in the maturation and release of the egg from the ovary. The fertility enhancing drugs are also called Ovulation inducing drugs. When the woman is on these drugs her follicular response is judged by performing serial ultrasonographies which monitors the maturation and release of the egg from the ovary. Apart from these ovulation inducing drugs, reduction of weight remarkably improves both the ovulatory and consequently the pregnancy rates. Laparoscopic drilling of the polycystic ovaries is an option which benefits an affected woman who does not respond to ovulation inducing drugs. In laparoscopic ovarian drilling, both the ovaries are drilled with an energy source and about 4-6 punctures are made. The ovary is immediately cooled with a sterile Ringer solution. Laparoscopy also has an advantage that the fallopian tubes can be tested at the at the same sitting. Also any associated pathology like a tubal block can be corrected at the same sitting. Laparoscopic ovarian drilling has many advantages. About 30-40% of the women will conceive naturally after this procedure. The follicular response to ovarian stimulation with drugs also improves. The dose of hormonal injections required is less. The abortion rate and the rate of hyperstimulation with hormonal injections is also less. We at Dr Sudha Tandon’s fertility, IVF, Gynec Endoscopy and Maternity center have all world class facilities for laparoscopic and hysteroscopic surgery for all pelvic pathologies and IUI /IVF and ICSI treatment for ART.