April 2021
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PCOS Fertility Issues

Irregular menstrual periods are often related to fertility problems and are also another symptom of PCOS.

Fertility gives life. Therefore when one has fertility issues this could mean that she is infertile and cannot get pregnant or is having problems getting pregnant. Women who get pregnant but have repeated miscarriages (spontaneous abortion or an end to pregnancy at a stage when the fetus is not yet ready to survive) are also said to be infertile.

Women with PCOS tend to be infertile due to not ovulating. Failure to ovulate results in no mature egg being released through the fallopian tube to the uterus. Fertilization is the union of sperm and an egg cell to produce an embryo. If there is no mature egg no fertilization can occur.

The cause is still unknown though many doctors believe that PCOS is caused by a hormonal imbalance. This is most likely above normal male sex hormones and insulin. It could also be genetic meaning it may be passed down.

Women with PCOS tend to have above average testosterone male hormone levels. Normally women have low amounts of testosterone and a higher amount of estrogen the female hormone. But this increase in testosterone levels significantly interferes with egg cell production. The eggs that should normally develop become cysts and are not released during ovulation. This prevents conception because fertilization can’t occur due to there being no egg cell to be fertilized by the sperm. Fertilization not occurring means no products of conception.

PCOS fertility problems affect the majority of women with Polycystic Ovary Syndrome. PCOS is the most common reason for infertility among the female population. It also affects 5 percent of the entire female population.

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