Dr Ahmed Ismail

Consultant Gynaecologist & Fertility Expert

 

Polycystic Ovarian Syndrome(PCOS)

Usually the main cause of Anovulatory Infertility, it accounts for almost 90% of all cases of anovulation, and almost 20% of women are affected with PCOS.
PCOScommonly diagnosed in infertility clinics following careful history, examination, Pelvic ultrasound and hormonal investigations.

Gynaecology

Gynaecological disorders associated with PCOS are, Irregular periods with Long Intervals, overweight, facial Acne, abnormal hair growth, vaginal dryness and superficial dysparuenia (Painful Intercourse) and above all Infertility.
Pelvic ultrasound using proper ultrasound machine with appropriately trained gynaecologist will show enlarged ovaries (volume >10ml) or 12 follicles or more between 2-9mm).
In these women a combination of excess weight and PCOS has serious effect on the risk of infertility, miscarriages, endometrial hyperplasia and carcinoma; there is also risk of cardiovascular problems, Diabetes & Hypertension.

 

 

 

Additional tests may be necessary such as Plasma Testosterone, Sex Hormone Binding Globulin, and other tests should the History and ultrasound was indicative.
The above Investigations, Pelvic Ultrasound, and Laboratory investigations in addition to a careful medical, Gynaecological, and Menstrual history usually are Diagnostic for the reason of Anovulation and whether we will be able to achieve Ovulation and Pregnancy or if the patient wish not to have a child we will be able to treat some of her symptoms such as irregular period, obesity, abnormal hair growth and acne.

Conclusion:
Anovulation, reasons should be established before any attempt of prescribing any medications in particular when we are treating subfertility.

No doctor can diagnose PCOS while patient is on contraceptive pills.

To diagnose PCOS we will have to have:

  • Management of Anovulation with aim to Fertility Treatment:

  • 1. Patient able to Ovulate
    2. Patient unable to ovulate. For Diagnosis of patient ability to Ovulate the anatomy is normal, and the pituitary hormones are in a level to be corrected with treatment to produce its desirable effect on the ovarian follicles and turn patient will be able to ovulate.

    Gynaecology

    The main Hormonal Profile we conduct at Queensway Clinic is the following:

     

    • - Follicle  Stimulating  Hormone.
    • - Luteinizing  Hormone.
    • - Oestradiol.
    • - Prolactin.
    • - AMH Antimullarian Hormone                                                                          
    1. Symptoms of PCOS
    2. Ultrasound findings
    3. Hormonal findings

     

Polycystic Ovarian Syndrome symptoms...read more...

Polycystic Ovarian Syndrome under treatment

PCOS PCOS PCOS

Polycystic Ovarian Syndrome Procedure Images:

Polycystic Ovarian Syndrome
Polycystic Ovarian Syndrome
Polycystic Ovarian Syndrome
Polycystic Ovarian Syndrome
Polycystic Ovarian Syndrome
Polycystic Ovarian Syndrome
Polycystic Ovarian Syndrome
Polycystic Ovarian Syndrome

 

 

 

 

 

Polycystic Ovarian Syndrome Procedure Videos:

    
 
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