In late 2004, our practice made the decision to add a strong emphasis on the metabolic and nutritional aspects of PCOS and insulin resistance as it applied to ovulation and fertility. Since that time we have refined our approach to cover all potential treatment options for this most misunderstood disease. Our pregnancy rates have more than doubled with this approach and patients overall have a much better quality of life.
Polycystic Ovarian Syndrome (PCOS) is probably the single most common cause of infertility we see in Reproductive Medicine. It represents a metabolic disorder related to insulin and glucose metabolism and its effects on ovarian hormone production. We offer a comprehensive evaluation and treatment program for PCOS, both for patients seeking pregnancy or treatment of the symptoms and long term health complications of the disease. In the case of fertility, we offer the entire range of treatments for this cause of ovulation dysfunction. We traditionally have started patients on basic oral ovulation drugs and moved them to more aggressive injectable ovulation drugs and even IVF if they fail to get a pregnancy early on. We offer a comprehensive approach to the treatment of this disease which has dramatically improved the ability of patients to achieve pregnancy with basic oral drugs. Nearly 90% of our patients are pregnant in 3-6 cycles of basic therapy and we rarely take patients to IVF at this time when their only diagnosis is PCOS. We are very excited to share this extremely successful approach with any patients presenting to us for fertility care.
PCOS causes a wide range of metabolic effects that ultimately result in many of the severe health problems plaguing our society today. The high insulin levels produced as a result of this syndrome, cause the slow development of arterial plaques which are responsible for heart attack, stroke, and hypertension. People with PCOS are also at very high risk of Type II Diabetes. These problems are very likely at a young age, 45-55 years. Through our comprehensive treatment approach which includes dietary and lifestyle changes. We are very excited to see most of the metabolic abnormalities completely reversing in these patients and it is our belief that patients can return to a near normal risk for many of these devastating health problems. Again, we are excited to help any patient with PCOS develop a health maintenance program for life that will help them reduce these risks.