Managing PCOS

PCOS Support and Fertility Care.

Polycystic Ovary Syndrome (PCOS) is a common hormonal condition that affects how the ovaries function. It often causes infrequent or irregular ovulation, which can make it harder to conceive naturally. At NG GyneHealth, we understand how confusing and frustrating a PCOS diagnosis can feel, especially when you're hoping to fall pregnant.

While symptoms vary from person to person, PCOS is often linked to irregular periods, excess hair growth, acne, and weight changes. It’s believed to affect up to 20% of women and may be related to higher levels of insulin or testosterone. Diagnosis typically involves a review of symptoms, hormone testing, and an ultrasound to check for the presence of multiple follicles in the ovaries (Polycystic ovaries).

If you’re managing this condition and trying to conceive, care at NG GyneHealth is guided by specialist Dr Naguesh Gaunekar, who has a particular interest in PCOS. His approach focuses on identifying hormonal patterns and using precise ovulation tracking to support natural conception, where possible. For many women, this can offer a pathway forward without immediately turning to IVF.

Our aim is to provide clarity, reassurance, and personalised care. If you’ve recently been diagnosed or are seeking fertility support after a long period of uncertainty, we’re here to help you explore your options with confidence.

Our Approach to Managing PCOS.

Once PCOS has been diagnosed, our focus turns to understanding your hormonal patterns and guiding ovulation in the safest and most effective way possible. We tailor treatment plans to suit your individual cycle and response, using well-established options that support ovulation naturally.

For many women, pregnancy may be possible through low-intervention strategies, without needing to move straight to IVF.

Clomiphene (Clomid or Serophene):

Clomiphene is often the first treatment offered to help stimulate ovulation. Taken as a tablet early in your cycle, it encourages the release of a mature egg. It's a widely used and well-tolerated option, especially for women with PCOS who are not ovulating regularly.

Follicle Stimulating Hormone (FSH):

If Clomiphene isn’t effective, FSH injections may be recommended. These injections offer a more direct way to stimulate the ovaries and are administered using a pen-like device. Because there is a higher risk of multiple pregnancies or overstimulation, we closely monitor your progress with ultrasound scans and blood tests. You’ll be supported through every step of the decision-making process, with clear explanations of potential benefits and risks.

When Insemination (IUI) May Be Considered:

In some cases, intrauterine insemination (IUI) may be considered to improve the timing of fertilisation. This can be helpful when ovulation is being successfully supported but conception hasn't occurred, or when sperm motility is a contributing factor. IUI involves placing prepared sperm directly into the uterus during your most fertile window and is a straightforward, minimally invasive procedure.

Learn More About PCOS and Fertility Support

If you're looking for more information, our free PCOS Fertility Guide is available to download. It includes clear explanations and practical insights to help you feel more informed and in control of your next steps.

If you're ready to speak with a specialist, we’re here to support you.

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