PCOS as discussed hampers fertility in the reproductive age group and for people who are trying for pregnancy they come initially for trying them for 1 year then we start them on treatment. Initially it causes problem by not forming the egg. Once the egg from sometimes it doesn’t rupture. If the egg doesn’t rupture then we cannot have a pregnancy serial ultrasounds where we start the on follicular monitoring, we give tablets flowed by insulin sensitizers like metformin, and some folic acid tablets those who don’t respond to tablets need to go in for hormonal injections, HMG, FSH and with this we further along with this we have to go for IVF some people. Also try with laparoscopic ovarian drilling, which can be done a s a treatment modality for PCOS. Ovarian Drilling is a surgical method and it has to be adopted in the end, after they don’t respond to tablets or infections because many at times they loose a lot of eggs during Polycystic Ovary Drilling. If the drilling is done in a wrong way then they may end up in ovarian failure. So I advice them to is advise them to try with tablets and injections not responding to that then go for surgical method.
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