Hallow Dear,
Contraceptive pills will regularise your menses in
Polycystic Ovarian Syndrome (PCOS); however, they will not help you conceive. In fact, contraceptive pills, as the name suggests will prevent pregnancy. If you are keen on conceiving, you should manage the PCOS comprehensively.
PCOS is a complex disorder of multi-systemic dysfunction; the main being reproductory system,
carbohydrate metabolism and sex hormones. It is therefore characterized by delayed heavy menses with non-release of the eggs, high insulin levels and high male hormone levels. For attaining the fertility, all these three aspects have to be managed.
The main symptoms of PCOS are menstrual irregularities,
infertility, obesity, hair on unwanted areas like face, chest, abdomen, legs, etc.. One of the main causes responsible for PCOS is obesity, particularly fat deposition around the waist.
Clomiphene citrate or HMG/hCG combination are used to achieve the ovulation. However, high insulin levels and high male hormone levels may hamper the success of these medicines. Therefore, Tab. Metformin is added to this treatment which can lower the insulin levels. Myo Inositol is supposed to control insulin levels more effectively; moreover it can control male hormone levels also. Hence, some claim more success to this medicine.
Reduction in weight is equally important in management of PCOS. Daily caloric intake upto 1000 to 1500 calories through high protein and low carbohydrate and low fat diet can effectively bring down the weight. Along with, daily exercise is very important. Please calculate your
Body Mass Index (BMI). You should maintain it between 18 and 24.9.
PCOS needs addressing all the aspects comprehensively.
I would advise you to consult an Infertility Specialist for the management of your Infertility.
I hope this helps you.
Dr. Nishikant Shrotri