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REVIEW ARTICLE: ISSUE IN FOCUS
Year : 2016  |  Volume : 14  |  Issue : 4  |  Page : 87-93

Polycystic ovarian syndrome: Treatment options for infertility


Department of Reproductive Medicine, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
Sumi Thomas
Department of Reproductive Medicine, Christian Medical College, Vellore - 632 004, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-4651.194459

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Polycystic ovarian syndrome (PCOS) is a common cause of infertility and is characterized by clinical features of irregular menstrual cycles, hirsutism, and anovulatory infertility. The diagnosis is made based on the presence of two of three features (oligo/anovulation, hyperandrogenism, and polycystic ovaries on transvaginal ultrasound) according to the Rotterdam diagnostic criteria. Lifestyle modifications to reduce weight and the use of ovulation induction medications form the cornerstone of treatment of anovulatory infertility secondary to PCOS. Clomiphene citrate is the most effective as an agent for ovulation induction. The other therapeutic options include laparoscopic ovarian drilling, ovulation induction with gonadotropins, and in vitro fertilization.


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