IVF Centre and Fertility Clinic in Howrah

Common PCOS signs and symptoms include the following:

• Irregular menstrual periods—Menstrual disorders can include absent periods, periods that occur infrequently or too frequently, heavy periods, or unpredictable periods.
• Infertility—PCOS is one of the most common causes of female infertility.
• Obesity—Up to 80% of women with PCOS are obese.
• Excess hair growth on the face, chest, abdomen, or upper thighs—This condition, called hirsutism, affects more than 70% of women with PCOS.
• Severe acne or acne that occurs after adolescence and does not respond to usual treatments.
• Oily skin
• Patches of thickened, velvety, darkened skin called acanthosis nigricans
• Multiple small fluid-filled sacs in the ovaries

Irregular menstrual periods can lead to infertility as ovulation does not happen and in addition may be associated with other hormonal imbalance as well which may coexist like thyroid disorders, abnormal prolactin levels etc.

• If you are under 35 years of age and have been trying to conceive naturally for more than a year, then it is time to see a fertility specialist. In Indian women, the ovarian reserve usually declines rapidly after the age of 35. As we age, an otherwise healthy woman's egg stores begin to deplete and are completely depleted by the age of 40 to 45, leading to perimenopause & finally menopause.
• If you are over 35 years old and have tried to conceive naturally but have failed for 6 months or more, see a fertility specialist immediately. Even with assisted reproductive technology, women over 35 are less likely to get pregnant, because, at older ages, the quality of the eggs may not be the best. As we age, other complications can also occur, leading to the depletion of the ovarian reserve.

• Blood tests and semen analysis. Blood test to check the levels of female hormones, thyroid hormones, prolactin, progesterone, FSH and male hormones, as well as HIV and hepatitis. Doctors recommend your male partner perform a complete semen analysis to check the number, shape, and motility of sperm.
• Pap smear test to detect / rule out cervical cancer.
• Urine tests to detect Luteinizing hormone.
• AMH test-A blood test this will measure the level of anti-müllerian hormone (AMH) in the blood. This indicates the ovarian reserve in the woman. Low levels indicate low ovarian reserve.
• Transvaginal ultrasonic exam: It’s a pelvic ultrasound to diagnose structure of the uterus, fallopian tubes, ovaries, endometriosis, cysts in uterus, fibroids or any growth in the uterus.
•  Hysterosalpingogram. HSG helps diagnose uterine defects. The uterine verification doctor allows you to see and shoot that area to find the problem. 
•  Laparoscopy. A procedure to remove any growth or block in the uterus for fibroids or endometriosis.

IVF- In-vitro fertilization is a process in which a woman’s eggs are extracted or retrieved using a needle and fertilized or combined with a sperm in an IVF laboratory. Then, the embryo is monitored for 3 -5 days and transferred to the woman’s uterus. IVF success rate is over 65%.

IUI-On the other hand, in intrauterine insemination (IUI) or artificial insemination, the woman’s eggs are not retrieved. Instead, the sperm of the male partner is washed and then transferred into the uterus for fertilization. The sperm will travel the natural way, through the cervix and up to the fallopian tubes. IUI success rate is 10 – 15%.