PCOS and Fertility: Understanding the Link and Available Treatments

Polycystic Ovary Syndrome (PCOS) is one of the most common hormonal disorders in women of reproductive age, affecting between 5–15% of women globally. In Nigeria and across Africa, the condition is underdiagnosed and often misunderstood. It is characterised by irregular menstrual cycles, elevated androgens (male hormones), and polycystic ovaries—factors that can significantly impact fertility.

Understanding Polycystic Ovary Syndrome and How It Affects Fertility

What Is PCOS?

It is a complex endocrine disorder involving:

• Irregular or absent ovulation
• Elevated androgen levels, leading to acne, excess hair growth, and weight gain
• Polycystic ovaries, observed on ultrasound as multiple small follicles

Together, these signs make it harder for women with PCOS to conceive naturally.

How PCOS Impacts Fertility

1. Anovulation (no egg release) — The primary fertility barrier.
2. Hormonal imbalance — Excess testosterone and insulin resistance can disrupt ovulation.
3. Uterine lining defects — Poorly thickened endometrium can affect embryo implantation.
4. Inflammation & oxidative stress — Interferes with egg quality and overall reproductive health.

Key Symptoms That Indicate PCOS

• Irregular (or missing) menstrual periods
• Heavy bleeding when periods do arrive
• Acne and oily skin
• Unwanted hair growth on the face or chest
• Thinning scalp hair
• Weight gain or difficulty losing weight
• Dark skin patches under your arms, in your neck folds, or in the groin
• Skin tags around the neck or armpits

If You Notice These Symptoms:

Consult a trusted provider, like your doctor or the pharmacists at HubPharm Africa for accurate diagnosis and lab investigation.

Diagnosing PCOS

A diagnosis usually involves:

1. Medical history and symptom review, focusing on cycle regularity and androgen signs
2. Pelvic ultrasound to evaluate ovarian structure
3. Blood tests measuring hormone levels (e.g., LH, FSH, testosterone) and metabolic markers (e.g., glucose, insulin)

Early diagnosis is key to managing PCOS and preserving fertility potential.

Treatment Approaches to Improve PCOS & Fertility

1. Lifestyle and Nutritional Interventions

• Healthy diet: Focus on low-glycemic-index carbs, lean proteins, healthy fats (olive oil, avocados), and fiber-rich fruits and vegetables
• Weight loss: Shedding just 5–10% of body weight can normalize cycles and improve ovulation
• Regular exercise: A mix of cardio and strength training helps improve insulin sensitivity

🛒 Recommended: PCOS-friendly vitamins and minerals, available via HubPharm Africa’s supplement store—look for inositol, chromium, and omega-3 blends.

2. Medical Treatments

• Metformin — Improves blood sugar control and supports ovulation
• Clomiphene citrate (Clomid) — Induces ovulation in women who don’t release eggs regularly
• Letrozole (Femara) — Recommended as a first-line treatment for PCOS-related infertility
• Gonadotropins (FSH injections) — Advanced treatment under specialist supervision

All medications are available with prescriptions via HubPharm Africa, with options for delivery across Nigeria.

3. Minimally Invasive Procedures

• Laparoscopic ovarian drilling — Rarely used but can help persistent ovulation issues
• Intrauterine insemination (IUI) — With or without ovulation induction
• In Vitro Fertilization (IVF) — For couples who don’t conceive with less invasive methods

HubPharm partners with trusted African fertility clinics to support advanced fertility options.

Managing PCOS Beyond Fertility

Women with PCOS are at higher risk for:

• Type 2 diabetes
• Metabolic syndrome
• Cardiovascular disease
• Endometrial cancer

Regular health checks and lifestyle changes are essential—available through HubPharm Africa’s Health Screening Services.

Conclusion

PCOS can feel overwhelming—but it doesn’t have to stand in your way. With early diagnosis, a personalized care plan, and supportive health access, many women with PCOS go on to have healthy pregnancies.

✅ Take control now: Visit HubPharm Africa to explore diagnosis, treatment, supplements, and holistic support for PCOS management and reproductive health.