Infertility

Polycystic ovary syndrome

02/05/1998 11:49AM

Question:

I have been trying to get pregnant for 2 years with no luck. After many tests, including basal temps, dye tests and my husband's sperm test, the only diagnosis my regular OB could provide is that I am "anovulatory." She has prescribed clomid in the past but it doesn't work. Recently I became aware of a disorder called polycystic ovary syndrome. After reading some of the research I am 99% sure I have this disorder. I present many of the symptoms, including hirsutism, suprapubic hair growth, morbid obesity and a decreased libido. Do you have any idea where I might find treatment or specialists that are local? Do any of your physicians have experience in this field?

Answer:

PCOS isn't uncommon, in fact, it is one of the most common reasons for infertility. The primary problem with PCOS is an inability to ovulate. This can lead to a grouping of findings: irregular menses, infertility, inappropriate hair growth, acne.... The treatment of infertility is to stimulate the ovary to ovulate using Clomid or human gonadotrophins (like Pergonal). Treatment involving Pergonal requires close follow-up with a Reproductive Endocrinologist and Infertility specialist who has completed specialty training in addition to the four year training in ob/gyn. Because this can be expensive, you should be assured that your physician is qualified in the advanced treatments of infertility. Your local medical society should be able to direct you to board certified REI specialists.

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Response by:

Thomas A deHoop, MD
Associate Professor
Department of Obstetrics & Gynecology
College of Medicine
University of Cincinnati