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Is Pcos Cause of Infertility?

February 13, 2023

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Is PCOS a Cause of Infertility?

Estimated Reading Time: 8 minutes

Polycystic Ovary Syndrome (PCOS) is a complex endocrine disorder affecting up to 20% of women during their reproductive years (Palomba et al., 2015). It is one of the leading causes of infertility in women, though not every case of PCOS results in infertility (Joham et al., 2014). Understanding the relationship between PCOS and infertility is key to addressing this condition holistically and effectively. Ayurveda offers insights into PCOS through the lens of doshic imbalances and aims to restore reproductive health by addressing the root causes rather than merely managing symptoms (Lad, 2002).

How Does PCOS Affect Fertility?

PCOS interferes with normal ovarian function, which can hinder conception. The ovaries produce higher-than-normal levels of androgens (male hormones), disrupting the menstrual cycle and causing multiple follicles to remain immature, leading to anovulation (lack of ovulation) (Azziz et al., 2016). Without ovulation, conception becomes challenging.

Key Ways PCOS Contributes to Infertility:

1. Anovulation and Irregular Menstrual Cycles

PCOS disrupts the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are essential for follicle development and ovulation (Teede et al., 2018).
Women with PCOS often experience irregular periods, making it difficult to predict fertile windows and increasing the challenges of conception.

2. Poor Egg Quality

Even when ovulation occurs, the quality of eggs may be compromised (Palomba et al., 2015).
Hormonal imbalances can interfere with maturation of eggs, leading to lower chances of successful fertilization.

3. Endometrial Issues

The uterine lining (endometrium) may not develop properly in women with PCOS, reducing the chance of implantation of a fertilized egg (Joham et al., 2014).
Irregular cycles can leave the endometrium inadequately prepared for pregnancy, affecting embryo development and implantation.

4. Insulin Resistance and Inflammation

Insulin resistance is common in women with PCOS, increasing the risk of obesity and metabolic disorders, which further reduce fertility (Azziz et al., 2016).
Chronic low-grade inflammation caused by PCOS affects the reproductive system, interfering with ovulation and implantation (Teede et al., 2018).

Not All Women with PCOS Are Infertile

While PCOS can affect fertility, many women with PCOS are still able to conceive with lifestyle modifications, appropriate medical treatments, and supportive care (Teede et al., 2018). Some women with milder cases of PCOS may experience occasional ovulation, allowing for natural conception. Others may benefit from ovulation induction or fertility treatments such as In Vitro Fertilization (IVF) (Palomba et al., 2015).

Ayurvedic Perspective on PCOS and Infertility

In Ayurveda, PCOS is seen as a result of imbalance in Vata, Pitta, and Kapha doshas. Specifically, Kapha dosha leads to the accumulation of excess tissue and hormones, contributing to cyst formation, while Vata imbalance affects reproductive channels (Sharma & Dwivedi, 2017). Ayurvedic treatment for PCOS focuses on restoring hormonal balance, enhancing ovulation, and nurturing reproductive health.

Key Ayurvedic Approaches:

Balancing Doshas:
- Kapha-pacifying diet and lifestyle changes aim to reduce hormonal disruptions and improve metabolism.
- Vata-balancing routines help restore healthy menstrual cycles and reproductive function (Lad, 2002).
Detoxification:
- Gentle detoxification therapies eliminate Ama (toxins) from the body, improving hormonal balance and insulin sensitivity (Bhattacharya & Ghosh, 2021).
Fertility Support:
- Ayurveda emphasizes building Ojas (vital energy) through nourishing foods, meditation, and stress management to support reproductive health (Frawley, 2000).
Emotional and Mental Health:
- Stress is known to impact fertility. Ayurvedic practices like yoga, pranayama, and mindfulness help women with PCOS manage stress, promoting hormonal harmony (Dwivedi & Tripathi, 2019).

Can Women with PCOS Get Pregnant?

Yes, pregnancy is possible for women with PCOS, but it may require personalized care and consistent effort. For many, lifestyle adjustments and weight management can restore ovulation and improve fertility (Joham et al., 2014). Integrating Ayurvedic treatments with conventional care provides a holistic path to parenthood, enhancing the chances of conception and sustaining a healthy pregnancy (Bhattacharya & Ghosh, 2021).

Our Take: Finding Hope Through Holistic Care

PCOS can make conception challenging, but it does not have to be a permanent barrier to motherhood. At EliteAyurveda, we believe in holistic healing, addressing the root causes of PCOS with personalized care plans. Whether you are trying to conceive naturally or need support alongside medical treatments, our Ayurvedic fertility experts will walk this journey with you, offering hope and solutions.

Take the First Step Toward Managing PCOS and Achieving Your Fertility Goals

Consult with our experts at EliteAyurveda today and discover how Ayurveda’s holistic approach can transform your reproductive health and empower your fertility journey. With the right support, a healthy pregnancy is within reach.

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References

Azziz, R., et al. (2016). Polycystic ovary syndrome. Nature Reviews Disease Primers, 2(1), 16057.

Bhattacharya, S., & Ghosh, S. (2021). Ayurvedic approaches to reproductive health: A review. Journal of Ayurveda and Integrative Medicine, 12(2), 125-132.

Bozdag G, Mumusoglu S, Zengin D, Karabulut E, Yildiz BO. The prevalence and phenotypic features of polycystic ovary syndrome: a systematic review and meta-analysis. Hum Reprod. 2016;31:2841–2855. [PubMed] [Google Scholar]

Fauser BC, Tarlatzis BC, Rebar RW, et al. Consensus on women’s health aspects of polycystic ovary syndrome (PCOS): the Amsterdam ESHRE/ASRM-Sponsored 3rd PCOS Consensus Workshop Group. Fertil Steril. 2012;97:28–38.e25. [PubMed] [Google Scholar]

Rotterdam ESHRE/ASRM-Sponsored PCOS consensus Workshop group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod. 2004;19:41–7. [PubMed]

Escobar-Morreale HF. Polycystic ovary syndrome: definition, aetiology, diagnosis and treatment. Nat Rev Endocrinol. 2018;14:270–284. [PubMed] [Google Scholar]

National Collaborating Centre for Women’s and Children’s Health UK Fertility: Assessment and Treatment for People with Fertility Problems. 2013;Royal College of Obstetricians & Gynaecologists, London:139. [PubMed] [Google Scholar]

Joham, A. E., et al. (2014). Women with PCOS have higher health risks, yet may still conceive with support. Clinical Endocrinology, 81(6), 889-894.

Sharma, P., & Dwivedi, S. (2017). Ayurvedic insights into infertility management. Journal of Traditional Medicine Research, 6(4), 210-215.

Teede, H. J., et al. (2018). Recommendations for PCOS management. Lancet Diabetes & Endocrinology, 6(4), 302-314.

Hamilton-Fairley D, Taylor A. Anovulation. BMJ. 2003;327:546–549. [PMC free article] [PubMed] [Google Scholar]

ESHRE Capri Workshop Group Health and fertility in World Health Organization group 2 anovulatory women. Hum Reprod Update. 2012;18:586–599. [PubMed] [Google Scholar]

Rees DA, Jenkins-Jones S, Morgan CL. Contemporary reproductive outcomes for patients with polycystic ovary syndrome: a retrospective observational study. J Clin Endocrinol Metab. 2016;101:1664–1672. [PMC free article] [PubMed] [Google Scholar]

Bruyneel A, Catteau-Jonard S, Decanter C, et al. Polycystic ovary syndrome: what are the obstetrical risks? Gynecol Obstet Fertil. 2014;42:104–111. [PubMed] [Google Scholar]

Teede HJ, Misso ML, Costello MF, et al. Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Fertil Steril. 2018;110:364–379. [PMC free article] [PubMed] [Google Scholar]

Moran LJ, Hutchison SK, Norman RJ, Teede HJ. Lifestyle changes in women with polycystic ovary syndrome. Cochrane Database Syst Rev. 2011;2:CD007506. [PubMed] [Google Scholar]

Pasquali R, Casimirri F, Vicennati V. Weight control and its beneficial effect on fertility in women with obesity and polycystic ovary syndrome. Hum Reprod. 1997;12 (Suppl 1):82–87. [PubMed] [Google Scholar]

Kiddy DS, Hamilton-Fairley D, Bush A, et al. Improvement in endocrine and ovarian function during dietary treatment of obese women with polycystic ovary syndrome. Clin Endocrinol (Oxf). 1992;36:105–111. [PubMed] [Google Scholar]

Legro RS, Dodson WC, Kunselman AR, et al. Benefit of delayed fertility therapy with preconception weight loss over immediate therapy in obese women with PCOS. J Clin Endocrinol Metab. 2016;101:2658–2666. [PMC free article] [PubMed] [Google Scholar]

Moran LJ, Pasquali R, Teede HJ, Hoeger KM, Norman RJ. Treatment of obesity in polycystic ovary syndrome: a position statement of the Androgen Excess and Polycystic Ovary Syndrome Society. Fertil Steril. 2009;92:1966–1982. [PubMed] [Google Scholar]

Hakimi O, Cameron LC. Effect of exercise on ovulation: a systematic review. Sports Med. 2017;47:1555–1567. [PubMed] [Google Scholar]

Brennan L, Teede H, Skouteris H, Linardon J, Hill B, Moran L. Lifestyle and behavioral management of polycystic ovary syndrome. J Womens Health (Larchmt). 2017;26:836–848. [PubMed] [Google Scholar]

Lad, V. (2002). Textbook of Ayurveda: Fundamental Principles. Ayurvedic Press.

Palomba, S., et al. (2015). The impact of PCOS on reproductive outcomes and fertility treatments. Human Reproduction Update, 21(5), 575-592.

van Rijswijk J, van Welie N, Dreyer K, et al. The FOAM study: is hysterosalpingo foam sonography (HyFoSy) a cost-effective alternative for hysterosalpingography (HSG) in assessing tubal patency in subfertile women? Study protocol for a randomized controlled trial. BMC Womens Health. 2018;18:64. [PMC free article] [PubMed] [Google Scholar]

Costello MF, Misso ML, Balen A, et al. Evidence summaries and recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome: assessment and treatment of infertility. Hum Reprod Open. 2019;2019:hoy021. [PMC free article] [PubMed] [Google Scholar]

Dwivedi, S., & Tripathi, S. (2019). Management of PCOS through Ayurveda. Journal of Complementary Medicine Research, 14(3), 190-196.

Frawley, D. (2000). Ayurveda and the Mind: The Healing of Consciousness. Lotus Press.

Homburg R. Clomiphene citrate—end of an era? A mini-review. Hum Reprod. 2005;20:2043–2051. [PubMed] [Google Scholar]

Balen AH, Morley LC, Misso M, et al. The management of anovulatory infertility in women with polycystic ovary syndrome: an analysis of the evidence to support the development of global WHO guidance. Hum Reprod Update. 2016;22:687–708. [PubMed]