Polycystic Ovarian Syndrome (PCOS) & Subfertility

A person lying down in white clothing with hands resting on their stomach.

PCOS is also known as PMOS (Polyendocrine Metabolic Ovarian Syndrome). It is a complex metabolic disorder that can cause subfertility due to infrequent ovulation, as well as other issues.

The diagnosis of PMOS is based on a combination of criteria called the Rotterdam Criteria. It is not possible to diagnose PMOS based on a single test, such as an ultrasound alone.

Your fertility options for PMOS are tailored to your priorities:

  • Lifestyle Optimisation: Focusing on evidence-based diet and exercise to improve metabolic function. This has often been initiated by your GP.

  • Ovulation Induction: Utilising oral medications to allow regular ovulation to resume.

  • Advanced Options: If initial steps are unsuccessful, injectable medications can be used to induce ovulation, or as part of an IVF cycle.

  • Symptom Control: For those prioritising cycle regularity or skin health rather than immediate fertility, therapies such as the combined oral contraceptive pill or other oral medications target the PMOS pathway

  • Holistic Support: A collaborative care model involving your GP and mental health professionals to manage the emotional toll of PMOS.

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