Polycystic Ovarian Syndrome (PCOS) is a common endocrine and metabolic disorder in women of childbearing age. You can think of it as a "little misunderstanding" in the body, resulting in the ovaries. There are many immature small follicles piled up in the "egg factory", but it is difficult for mature eggs to be discharged normally. Manifestations include menstrual disorders, hirsutism (such as increased body hair around the lips, breasts, abdomen, etc.), repeated acne, greasy skin or hair loss. Due to ovulation disorders, it becomes more difficult for such patients to conceive naturally, and IVF technology can effectively help them overcome ovulation disorders and improve their chances of conception.
,,,,.However, this is both an advantage and a disadvantage. When the number of follicles developing after ovulation promotion is too high, estrogen in women rises more, making it easy to develop an iatrogenic disease called ovarian hyperstimulation syndrome (OHSS).
,PCOS(,)(,),,.Therefore, it is crucial to carry out systematic pretreatment and close monitoring throughout the process before and during treatment of IVF.
1. The key conditioning before treatment: lay a good foundation
Adequate pretreatment is a key step in laying the foundation for the success of IVF and aims to adjust the body's state and create a more favorable conception environment.
Proper pre-treatment is a crucial step in ensuring the success of in vitro fertilization procedures. It involves adjusting the body’s condition to create a more favorable environment for conception.
·Weight management Obesity is a common problem in patients with polycystic ovary and one of the factors affecting the success rate of IVF.
· Weight managementFrequently Asked Questions,.It is recommended to achieve this through reasonable diet (such as reducing intake to about 2/3 of the original intake, increasing low GI (glycemic index) and high-protein foods) and regular exercise (ensuring a certain intensity of exercise every day, including aerobic exercise or anaerobic exercise). It should be noted that patients with lean polycystic diseases may also have unqualified body fat rates, especially those with high abdominal fat content, and also need to exercise to reduce fat.
· Adjusting lifestyle habitsQuitting smoking and drinking, avoiding staying up late, maintaining sufficient sleep, and having a regular schedule can help improve the body's immunity and fertility.
Patients with PCOS often have endocrine disorders such as hyperandrogenism and insulin resistance.
PCOS,.Need medication conditioning under the guidance of a doctor
·Commonlyused drugs to improve insulin resistance, such as metformin, are used to improve insulin resistance and optimize the treatment environment for IVF babies.
· Reduce androgen levelsShort-acting oral contraceptives such as Diane-35, Marvelon, and Yasmin can be used to reduce the production of androgens and improve conditions caused by high androgen levels.
·Adjust your menstrual cycleProgestogens are commonly used to regulate the menstrual cycle.
· Nutritional supplementationProper supplementation with multivitamins and Coenzyme Q10 can provide sufficient nutrients to the eggs, thereby improving their quality.
Ovulation promotion is an important stage in the process of IVF for patients with polycystic ovary, and it is also a high-risk link that requires special attention.
Ovulation induction is a crucial stage in the process of in vitro fertilization for patients with polycystic ovary syndrome. It also represents a high-risk area that requires special attention.
▶ Individualized ovulation induction plans(,,)(),,,(OHSS).For patients with PCOS, endocrine regulation is usually needed first, and then careful use of ovulation inducing drugs to promote follicular development and maturation.
▶ Closely monitor follicle development,,B,,,,(OHSS).
Oocyte retrieval, embryo culture and transfer are the core steps of IVF, and patients with polycystic ovary also have their own matters to pay attention to at this stage.
Oocyte retrieval, embryo culture, and transplantation are the core steps in in vitro fertilization procedures. Patients with polycystic ovary syndrome also need to pay attention to certain aspects during these stages.
▶ Egg retrieval procedurePCOS,.Under ultrasound guidance, doctors will use appropriate egg retrieval techniques to obtain high-quality eggs as much as possible.
Avoid strenuous exercise After transplantation, strenuous exercise and overwork should be avoided to avoid adverse effects on embryo implantation.
▶ Avoid strenuous exercise.,.Moderate light exercise such as walking can be performed.
Patients with polycystic ovary syndrome have diverse situations, and individual differences need to be comprehensively considered and continuous psychological support provided.
Patients with polycystic ovary syndrome have diverse conditions, and it is necessary to take into account individual differences when providing treatment. Continuous psychological support is also essential.
▶ Pay attention to comorbidities and complicationsPCOS(,),.In addition, patients with polycystic ovary syndrome need to be closely monitored during pregnancy to prevent complications such as gestational diabetes and hypertension.
▶ Age factor,PCOS.For older patients, even through IVF technology, egg quality and embryo implantation ability will be affected.
▶ Psychological state regulation,,.You can relieve tension by listening to music, breathing deeply, etc.
,,,.Although the process may be more challenging than others, through scientific conditioning, rigorous treatment and active cooperation, patients with polycystic ovary can also have a good pregnancy. Choosing a formal medical institution and an experienced expert team and working closely with them is an important guarantee for success.