Polycystic Ovaries Easily Cause Infertility

About 1 in 5 women have signs of polycystic ovary - a factor that causes late-delivery of the female. People who have a short menstrual cycle of 25 days, longer than 35 days or not always have the risk of this disease.
Polycystic ovaries have a thick crust and no ovule scars. Think of the follicles as inflatable balls. If these balls were blown in a closed, thick wall, we could not blow them big, the ball could not crack and burst, if they did, they would not be connected to the outside

. Similarly, due to the thick ovary's shell, the follicles cannot grow much every month, nor can they break the thick ovary to release the ovule.
Women who have a short menstrual cycle for 25 days or a cycle longer than 35 days, an irregular cycle always have the risk of not releasing an egg. About three-quarters of the cases of ovule discharge are not associated with "polycystic ovary syndrome"
The first manifestation of this syndrome is irregular menstruation, usually long, low number of irregular periods.



Puberty lasts 2-3 years, after this period the period will be regular. After a few years and still not having regular periods, you may have this syndrome. Without treatment, 17% of cases could still become naturally pregnant. The remainder will proceed as follows: The follicles do not grow, break, under the thick crust of the ovaries. When an ultrasound, especially a transvaginal ultrasound, many follicles are less than 10 mm in size, distributed like a neck strap located just above the ovary.
In the follicles there is a gradual amount of hormone build up, which significantly changes a woman's hormones. Concentration of male hormones in the body increases, causing the hair to grow in male-like positions such as mustache, bushy eyebrows, hairy legs, and plenty of belly hair In the body, both male and female hormonal levels are high, although there are some signs of hirsutism, but female sexual needs and activities remain normal.




Typically, the examination and treatment of polycystic ovaries varies among women who want and do not want to be pregnant, but share the same principle of ovulation.
Women who do not want to be pregnant, or are not married, have not had sex will be treated with stimulants to release the ovule in the hope of making the follicles grow larger, crack and break.
The likelihood of success depends on the thickness of the ovary shell and the individual's response to the drug. When taking fertility drugs, women can become pregnant, but do not use birth control pills because of its nature of inhibiting ovulation. So, if you do not want to have children, choose another method of contraception.
For women who want to get pregnant, there will be 3 treatments in turn. First, they will be stimulated to test the ovaries by stimulating ovulation. During medication, the doctor will monitor the development of the follicle with a vaginal probe.



In some areas where this type of ultrasound is not available, it can be monitored by transducer through the abdomen.
This method is not very accurate because the follicles are usually small and ovule at size of 20-25 mm. Some other places use urine test strips to release ovum. This method is convenient but the accuracy is not high. In each specific case, the doctor will order to monitor one of the 3 ways above.
The next management is ovarian surgery. The thick surface of the ovary may cause the follicles to not break and release. Partial or partial ablation of the ovary surface area with laparoscopy is the solution to this syndrome.




In addition to poking a few points on the surface of the ovary to break up a thick wall, doctors often poke a few unfinished previously developed follicles to alter the hormones, increasing the effect of ovulatory stimulants. This movement also gives the oocytes the opportunity to grow and to slip into the spaces just made to enlarge and rupture.
With this treatment, 50-60% of cases of infertility alone (due to polycystic ovary syndrome without incorporating other comorbidities) were pregnant. The Hanoi Obstetrics and Gynecology Hospital, instead of poking a few points, applied parallel lines on the surface of the ovaries to create more space, thereby increasing the pregnancy rate to 67%.
If past 6 cycles is unsuccessful, ovulation stimulation methods such as step one should be applied. Do not stimulate the ovaries for more than 6 cycles.
If this fails, the patient should apply the latest medical advances, in vitro fertilization. Why shouldn't ovarian stimulation last longer? There are many explanations, but only considering the time aspect has seen so.




If stimulation of 6 cycles of seizure takes a minimum of 6 months, usually will last 10-12 months, if combining steps 1 and 2, the treatment will take about 18-24 months, but not any patient I also have time to visit medical facilities like that. If it takes longer, the success rate is not high; on the other hand older patients will have difficulty with in vitro fertilization techniques.
People with polycystic ovaries are also prone to miscarriage. So, if you are already pregnant, you should support the placenta hormone. Placenta and h.

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