Polycystic Ovarian Disease (PCOD

Polycystic Ovarian Disease (PCOD) is a hormonal imbalance that affects the ovaries, leading to irregular menstrual cycles, hormonal disturbances, and infertility. While the terms PCOD and PCOS (Polycystic Ovarian Syndrome) are often used interchangeably, they refer to slightly different conditions. PCOD involves the formation of multiple cysts in the ovaries, while PCOS is a more complex metabolic syndrome. Both conditions can interfere with a woman’s ability to conceive.
Dr. Sandeep Talwar, a leading infertility specialist, offers expert care for women dealing with PCOD. With years of experience in reproductive medicine, Dr. Talwar provides personalized treatment plans aimed at regulating cycles, managing symptoms, and helping women achieve pregnancy.
What is Polycystic Ovarian Disease (PCOD)?
PCOD is a condition where the ovaries produce an excessive number of immature or partially mature eggs, which develop into cysts. This can result in enlarged ovaries and irregular hormone production, causing issues like:
- Irregular or missed periods
- Excessive hair growth (hirsutism)
- Acne or oily skin
- Weight gain
- Infertility
PCOD affects a large percentage of women in their reproductive years and is a common cause of infertility.
How is PCOD Diagnosed?
Diagnosis of PCOD typically involves:
- Irregular Menstrual Cycles: Women with PCOD often experience irregular or missed periods due to the failure of the ovaries to release an egg (anovulation).
- Ultrasound: An ultrasound may reveal multiple cysts on the ovaries, a hallmark of PCOD.
- Hormonal Testing: Elevated levels of male hormones (androgens), such as testosterone, may be detected in blood tests.
Does PCOD Cause Infertility?
Yes, PCOD is a significant cause of infertility in women, particularly due to anovulation (lack of ovulation). Without the regular release of eggs from the ovaries, conception becomes difficult. However, with appropriate treatment, many women with PCOD can achieve pregnancy.
How is PCOD Treated?
While there is no cure for PCOD, treatments can help manage symptoms and improve fertility. Treatment options include:
- Lifestyle Modifications: A healthy diet, regular exercise, and weight management can help regulate menstrual cycles and improve fertility. Reducing carbohydrate intake and increasing the consumption of leafy greens and fruits can also have a positive impact.
- Medications:
- Ovulation-Inducing Drugs: Medications like clomiphene, letrozole, or tamoxifen may be prescribed to stimulate ovulation and increase the chances of pregnancy.
- Insulin Sensitizers: Drugs like metformin may be recommended to help regulate insulin levels, which can improve menstrual regularity and ovulation.
- Hormonal Therapies: To regulate menstrual cycles and manage symptoms like excessive hair growth, birth control pills or anti-androgen medications may be used.
While there is no cure for PCOD, treatments can help manage symptoms and improve fertility. Treatment options include:
- Lifestyle Modifications: A healthy diet, regular exercise, and weight management can help regulate menstrual cycles and improve fertility. Reducing carbohydrate intake and increasing the consumption of leafy greens and fruits can also have a positive impact.
- Medications:
- Ovulation-Inducing Drugs: Medications like clomiphene, letrozole, or tamoxifen may be prescribed to stimulate ovulation and increase the chances of pregnancy.
- Insulin Sensitizers: Drugs like metformin may be recommended to help regulate insulin levels, which can improve menstrual regularity and ovulation.
- Hormonal Therapies: To regulate menstrual cycles and manage symptoms like excessive hair growth, birth control pills or anti-androgen medications may be used.
How Can Women with PCOD Get Pregnant?
Women with PCOD can often conceive with the help of ovulation-inducing medications. These treatments stimulate the ovaries to produce and release eggs, significantly improving the chances of pregnancy.
Key recommendations for improving fertility include:
- Maintaining a healthy weight through regular exercise and a balanced diet
- Avoiding smoking and alcohol
- Reducing stress and leading a healthy lifestyle
In cases where medication alone is insufficient, assisted reproductive technologies (ART) like Intrauterine Insemination (IUI) or In Vitro Fertilization (IVF) may be recommended, especially if other factors like blocked fallopian tubes or male infertility are also present.
What Medications are Used in PCOD?
- Clomiphene Citrate (Clomid): The first-line treatment for inducing ovulation.Letrozole: An aromatase inhibitor that can stimulate ovulation in PCOD patients.
- Metformin: Often used to improve insulin sensitivity, which can enhance ovulation.
- Injections: In cases where oral medications are insufficient, injectable hormones like FSH (follicle-stimulating hormone) or HMG (human menopausal gonadotropin) may be used.
Several medications can be used to treat PCOD and help women achieve pregnancy:
Do All PCOD Patients Need IVF?
No, the majority of women with PCOD do not require In Vitro Fertilization (IVF). Most patients conceive with simple treatments like ovulation-inducing medications. IVF is only recommended in cases where other fertility issues, such as tubal blockages, severe male infertility, or failure of multiple ovulation induction cycles, are present.
Contact Info
- +91 9810306455
- Ground Floor, Nova Southend Fertility Clinic, 2, Palam Marg, Block C, Vasant Vihar, New Delhi, Delhi 110057
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