PCOS fertility care in South Delhi

PCOS may cause irregular or absent ovulation, making the fertile window difficult to predict. It can also be associated with higher androgen levels and metabolic factors such as insulin resistance. Symptoms and severity vary widely.

Having polycystic-appearing ovaries on a scan does not automatically mean you have PCOS. Diagnosis usually considers cycle or ovulation patterns, signs or tests of androgen excess and ultrasound findings while excluding other possible causes.

A fertility review should look beyond PCOS. Depending on your history, this may include confirmation of ovulation, thyroid or prolactin testing, metabolic screening, ultrasound, semen analysis and assessment of the fallopian tubes.

The aim is to identify which factor is limiting pregnancy and choose the least intensive effective next step. AMH is often higher in PCOS and must be interpreted differently; a high number does not guarantee easy conception or better egg quality.

Care may include cycle and ovulation tracking, nutrition and activity support, management of metabolic health and medicines to induce ovulation when appropriate. Treatment should also consider age, how long you have been trying and other fertility findings.

IUI or IVF may be discussed when simpler treatment is unsuitable or unsuccessful, or when another diagnosis makes it appropriate. The reason for moving between steps should be explicit rather than automatic.

Some people with PCOS can produce a high number of follicles during stimulation and may have a greater risk of ovarian hyperstimulation syndrome. Individual dosing, close monitoring and specific trigger or embryo-freezing strategies can reduce risk when clinically appropriate.

A high egg number is not the only goal. The plan should balance safety, mature eggs, embryo development and your wider health, with clear instructions about symptoms that need urgent review.