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What is the Connection Between PCOS and Fertility?

By Erin J. Hill
Updated: May 17, 2024
Views: 1,789
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Polycystic ovarian syndrome (PCOS) is heavily tied with fertility because it is the leading cause of infertility in most industrialized nations. This is especially true of young women, as they are affected as often as or more often than in women over 35. PCOS can affect fertility due to hormonal imbalances which can make becoming pregnant or sustaining a pregnancy less likely to occur.

PCOS and fertility go hand in hand for many women who struggle to become pregnant due to hormonal issues caused by the disorder. Women with PCOS often produce too much estrogen, resulting in an unusually thick uterine lining. Elevated estrogen levels over a long period of time can also lead to an increased chance of developing ovarian, uterine, or cervical cancers. Testosterone is also increased in these women, and this can lead to excessive body hair, acne, weight gain, deepening of the voice, and decreased ovulation.

There are treatments available for PCOS and fertility issues. Women with this condition are encouraged to seek treatment, since infertility is not the only serious consequence of the condition. Women with PCOS are at a greater than average risk for some cancers, obesity, and diabetes. All of these conditions arepreventable and treatable with early detection and treatment.

The link between PCOS and fertility also involves the effects the condition has on the ovaries. Although hormonal treatments can be provided to stimulate ovulation, polycystic ovarian syndrome can cause painful cysts to form on the ovaries, making proper function less likely. These sometimes rupture, causing severe pain. Sometimes, once treatment has begun, cysts begin to disappear and proper function may resume.

Women with PCOS and fertility worries may also be more likely to have additional problems which may affect their ability to become pregnant. They are more frequently overweight, which may further impact ovulation and overall health. Problems during pregnancy, should one occur, may also be more likely. PCOS sufferers may have high insulin levels, making them more prone to develop gestational diabetes during pregnancy. Additional weight can also contribute to preeclampsia, or pregnancy-induced high blood pressure.

Symptoms of PCOS include lack of menstrual period, abdominal pain, unexplained weight gain, fatigue, and excess hair on the arms, legs, underarms, and face. These can also be symptoms of certain other medical conditions, so a doctor should be consulted for a firm diagnosis and treatment. There is no cure for PCOS, but it can be effectively treated.

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