There are numerous choices available to aid couples in general and women
with PCOS in particular in having children. There are two categories of treatment
options: Assisted Reproductive Technologies (ART) (IVF/ICSI) and “All other
possibilities”. The woman’s age and the man’s sperm quality determine where to start.
Additionally, the evaluation of the best option is influenced by previous fertility
treatments and their outcomes. Only in cases when the sperm quality is normal, the
woman is under 36-37 years old, and the issue is anovulation, should one or more of
“All other possibilities” be considered. When compared to age 30, the monthly fertility
rate (ability to conceive) has already decreased to 1/3 by the time a woman is 37. Thus,
even if all other parameters are normal, age is the most crucial factor affecting a
woman’s capacity to conceive. At 36-37 years old, there is limited time for ovulation
induction, and ART will double the likelihood of conception compared to becoming
pregnant at home, even when all other factors are normal. Female fecundity, the
capacity to have a child, will also be significantly influenced by genetic factors,
smoking, and weight. The last two factors can be changed in spite of being difficult.
Smoking and obesity will both reduce fecundity by at least 30%. When finances are a
concern, “All other possibilities” are typically more affordable and more effective than
no treatment at all.
Keywords: Fertility treatment, Ovulation induction, Fecundity.
