Dolphin bubbles replied: "The sad truth about PCOS is once you have it you will have It for the rest of your life and their is no known cure. Pcos is one main cause of infertility in women because the eggs that are in your ovaries turn to fluid filled sacs instead of viable productive eggs. your cycles are very irregular because in some women there hormone levels are either to high with one and not enough of another or in some cases the hormone that helps stimulate the pituitary gland to release an egg in not there at all. Pcos is also linked to insulin resistance. There are lots of great information in Pcos on web MD .com."
Nicky replied: "I can try to answer your question based on my experiences. How big of a deal PCOS is in your life/fertility varies from person to person. Not everyone has the same issues arising from PCOS. The are no risks w/ becoming pregnant having PCOS to you or the baby that aren't common risks to the general population. You've obviously had the basic hormone panel done and possible an ultrasound to confirm the presence of cysts on your ovaries (if not then this may happen). After that more than likely your GYN will try you on clomid for 6 months. Clomid is a low-level fertility drug. He may also put you on Metformin (insulin pill) because there is evidence that in some PCOS people this can in combination w/ clomid have and effect on your fertility. Some people w/ PCOS do conceive on clomid, I did not. Your GYN will probably then want to perform a hysterosalpingogram to see if you fallopian tubes are blocked and refer you from there to necessary specialist. If your like me then you'll be referred on to a reproductive endocronologist who will start another work up based on information that he has . Test would include blood draws, ultrasound and possibly a hysteroscopy to check your uterus for any issues. From there your treatment would be based on the doctor's assessment of the situation. I'm not sure whether treatment would be just begin with stimulation/insemination, IVF or GIFT or run through them all based on sucsess/failure. I conceived with stimulation and insemination twice both times on the first round of treatment. However, I know that it takes some women longer and the truth is that a few don't conceive. The timing really varies and I'm not sure what criteria effects conception, certainly age and severity of condition. Treatment is not a permanent cure you may have to go through this every time you want to conceive however, there have been women who, after their first pregnancies have such a surge in hormones that I kick starts their own bodies and their hormones regulate out more to some degree. I don't know much about this. PCOS can and most likely will be a reproductively long situation for us. Once we go into menopause this shouldn't be an issue or really everyone else will be joining us on our way to menopause. Health wise (I just recently attended a seminar about after effect of fertility treatment) for PCOS we have to worry about endrometrial cancer (from the non-cycling, building up the endometrial layer) and diabetes (and all related to that hypertension, high blood pressure, etc). GYN giving seminar suggest induction of cycles (provera or birth control) to make sure lining isn't building up and regular ultrasounds after 40 to check for abnormalities. PCOS will have no effect on you delivery (unless you conceive more than one child) and the only effects it could have upon the baby are passing the condition on to our daughters genetically. Treatment for the symptoms of PCOS are dealt with not as a group but individually. You'd see a dematologist for any acne issues. Your GYN about cycles. Birth control (Ortho tri-cyclene) is used by many PCOSers. It helps to regulate your hormones so it can effect acne, cycles and hirutism. Otherwise there are a lot of different options in dealing with these issues individually also. I don't really know much about the ovarian drilling situation and your insurance coverage is based on your policy and where your located (in germany I think you'd have a better chance of full coverage). I highly suggest you check out soulcysters.com , a PCOS community who can answer any questions that you may still have and offer support while your going through this. I would also highly recommend that if you have extremely irregualar cycles and have been that way for many years that you by pass your GYN and go straight to the endocronologist (if your insurance allows you to see specialist w/o referrals) don't waste six months. The Endocronologist could give you these as well and you would have to change doctors and re-do multiple tests. Good luck!!!
Oh! By the way I have a two year old daughter and twin 5 month old sons all conceived w/ PCOS (pretty severe, I haven't ever had regular cycles)."

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