Hallow Dear,
In
Polycystic Ovarian syndrome, the main disorders are infertility due to failure to release eggs (ovulation) as a result of dysfunction in reproductory hormones, raised
insulin levels and raised
androgens.
Metformin helps bring down the levels of Insulin. It acts as a good adjuvant to the medicines used for induction of ovulation. The success of only Metformin for the treatment of
anovulatory infertility is questionable. According to some scientists, Myo
inositol brings down the levels of Insulin as well as androgens and hence is more effective in the treatment of infertility due to
PCOS.
For induction of ovulation,
Clomiphene citrate may be tried for 6 cycles (along with Metformin or Myo inositol). If it fails, HMG/
hCG combination may be tried.
PCOS is characterised by obesity. Please calculate your BMI. You should maintain your BMI between 18 and 23.9 by reducing weight by apt diet and exercises.
Soy
isoflavones are supposed to improve general health as well as the quality of the eggs, increasing the possibility of successful
pregnancy. They are quite safe in your treatment.
I hope this will help you to seek for a comprehensive management of PCOS. Please report to your Infertility consultant.
Dr. Nishikant Shrotri