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Teritary Care
Tertiary Care· What is PCOS?
o Hormonal imbalance, insulin resistance, and ovarian cysts
o Prevalence and diagnosis
· Why PCOS Affects Fertility
o Anovulation (Lack of ovulation)
o Hormonal barriers (High androgens, LH/FSH imbalance)
o Insulin resistance and its role in conception
Key Tests & Assessments· Hormonal Blood Work
o LH, FSH, testosterone, AMH, insulin, glucose tolerance
· Ultrasound Imaging
o Ovarian morphology (Polycystic appearance)
· Additional Screening
o Thyroid function, prolactin, lipid profile
· Nutrition for PCOS· Exercise & Weight ManagementOvulation InductionInsulin Resistance ManagementIVF for PCOSOvarian Hyperstimulation Syndrome (OHSS)Endometrial Health Pregnancy Rates by treatment is ~20-30% per cycle Timeframes, in about 3-6 months of ovulation induction before IVF Miscarriage Prevention o Progesterone, metformin, and low-dose aspirinPCOS Fertility Nutritionist (personalized meal plans)Acupuncture (evidence for ovulation support)Mental Health Counselling (anxiety, PCOS-related depression
FAQPCOS cannot be fully reversed, but symptoms and fertility can improve with lifestyle changes (diet/exercise), medications (metformin, letrozole), and weight management. Early intervention helps most.
Not always. Many PCOS patients conceive with ovulation induction (Letrozole/Clomid) or lifestyle changes. IVF is recommended if other treatments fail or with additional fertility issues.
Focus on low-glycemic, anti-inflammatory foods: lean proteins, healthy fats, fiber-rich veggies, and whole grains. Limit sugar/processed carbs. Inositol supplements may boost ovulation.
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