Polycystic Ovarian Syndrome: Infertility Treatments in Ottawa

Polycystic ovarian syndrome treatments in Ottawa, ON Canada are available to help target the multi-faceted condition. PCOS is a unique reproductive imbalance in that there are multiple presentations of the condition itself in affected Women. 

Common symptoms that appear with polycystic ovarian syndrome may include some of the ones listed below, and it is not required to have all of the symptoms to diagnose PCOS. An important fact to know is that the diagnosis of PCOS in Canada can take up to 7 years from when you first present to your healthcare provider as many of the symptoms can be assumed to just be "irregular periods" and treated with a birth control pill.

Symptoms of Polycystic Ovarian Syndrome

1. Hirsutism: increased hair growth, more than what would be considered normal based on genetics and ethnic background (genetically Women have varying concentrations of 5-Alpha Reductase, the enzyme responsible for converting testosterone to DHT and increases hair growth). Hair can appear on the upper lip, jaw-line, neck, breasts, on the back, abdomen, and thighs.

2. Irregular cycles or lack of ovulation: cycles are consistently irregular. They may vary in length from 28 days (or shorter) up to more than a few months. Some Women will have regular periods, but will be unable to ovulate. The menstrual flow is a result of something called estrogen breakthrough or estrogen withdrawal bleeding, but is not related to ovulation and the inability of the egg to fertilize or implant. 

3. Decreased insulin sensitivity: this translates to the body's ability to easily gain weight, but make it very difficult to lose weight. The decreased insulin sensitivity also contributes to the hormonal imbalance seen with PCOS.

4. Short luteal phases: the luteal phase becomes shorter (12 days of less) and/or there is a lot of spotting in this second phase of the cycle.

5. Increased risk for miscarriage: a combination of factors, particularly, decreased progesterone production, increased circulating testosterone, and poor egg quality seem to potentially increase the risk of miscarriages in patients.

6. Many more: this can also include increased acne, anxiety, depression, mood disorders, increased prolactin in the blood, and reduced blood flow to the uterus and ovaries along with increased levels of inflammation in the body.

Treatments for Polycystic Ovarian Syndrome (PCOS)

1. Fertility Acupuncture: specialized protocols can be applied, as done in clinical trials, to help improve likelihood of spontaneous ovulation per cycle, improve progesterone production, improve blood flow to the uterus and ovaries, help support healthy implantation and pregnancy.

2. Botanical Remedies: the use of botanical treatments can be specific to PCOS by using herbs that specifically reduce the production of testosterone from the ovaries, improve progesterone production, improve ovulation rates, reduce stress, reduce anxiety, reduce feelings of depression, and support a healthy pregnancy. It is important to speak to a trained professional in fertility alternative health to help select what is safe or not safe for you.

3. IV Nutrient Therapy: this can help provide treatments which increase antioxidant function in the body and support optimal egg health.

4. Nutritional Supplements: specifically to improve insulin sensitivity that helps to normalize ovulation rates, reduce testosterone production, and supplements to help improve energy (ATP) production in the follicles (eggs) and increase their health and quality.

5. Progesterone Bioidentical Hormone Replacement Therapy: progesterone in the form of a cream or suppository is of significant advantage to help reduce the risk of miscarriages, especially during the first trimester.

6. Diet & Lifestyle Counselling: specific and tested recommendations which help to support a healthy weight, especially weight loss, to help improve the hormone profile, increase egg quality, and reduce hormonal imbalances associated with PCOS.

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