How PCOS and Endometriosis Affect Fertility
Both PCOS and endometriosis affect the reproductive system but in very different ways. Understanding how they interfere with conception is the first step toward effective treatment. Polycystic Ovary Syndrome (PCOS) is a hormonal disorder where the ovaries produce excess androgens (male hormones). This disrupts ovulation and leads to:- Irregular or absent menstrual cycles.
- Multiple immature follicles in the ovaries ("polycystic" appearance).
- Insulin resistance and weight gain.
- Poor egg quality in some cases.
- Chronic pelvic pain.
- Inflammation and scarring.
- Distorted pelvic anatomy.
- Blocked or damaged fallopian tubes.
Is IVF the Right Choice for PCOS or Endometriosis?
IVF isn’t always the first step in fertility treatment but often becomes the most effective option when other methods like ovulation induction or IUI fail especially for women with PCOS or endometriosis. PCOS often causes irregular ovulation, making natural conception difficult. IVF allows doctors to retrieve eggs directly through controlled stimulation, bypassing this issue. It also minimizes the risk of Ovarian Hyperstimulation Syndrome (OHSS) by using low-dose protocols and close monitoring. Since fertilization happens in a lab, the chances of a healthy embryo forming are significantly higher. Endometriosis can lead to inflammation, scarring, or blocked fallopian tubes. IVF bypasses these anatomical issues by handling fertilization outside the body. Embryo transfer can also be timed to avoid active inflammation, improving implantation success. IVF offers higher pregnancy rates, especially in moderate to severe cases. Whether due to hormonal imbalance or physical complications, IVF provides precise control over every stage of conception greatly increasing the chances of pregnancy in women with PCOS or endometriosis.Specialized IVF Protocols for PCOS and Endometriosis
One-size-fits-all protocols don’t work when hormonal imbalances or anatomical complications are involved. That’s why fertility specialists in Jalandhar use customized IVF strategies.IVF Protocols for PCOS
- Mild Stimulation or Antagonist Protocols: These minimize the risk of OHSS while still retrieving multiple good-quality eggs.
- Metformin Pre-Treatment: Often given to manage insulin resistance and improve ovarian response.
- Trigger Adjustments: Instead of hCG (which increases OHSS risk), GnRH agonists are used to trigger egg maturation safely.
- Freeze-All Strategy: In some cases, all embryos are frozen for transfer in a later cycle, reducing OHSS risk and optimizing uterine receptivity.
IVF Protocols for Endometriosis
- Pre-IVF Suppression: Hormonal treatments like GnRH agonists may be used 1–3 months before IVF to reduce active endometrial lesions.
- Laparoscopic Surgery: For patients with ovarian endometriomas or pelvic adhesions, surgery may be recommended before IVF.
- Embryo Freezing for Better Timing: Embryo transfer is scheduled when the uterine lining is most receptive, often after a medicated or natural cycle.
- Minimal Stimulation in Severe Cases: This helps reduce inflammation and hormonal disruption during egg retrieval.
Success Rates of IVF with PCOS vs. Endometriosis
It’s natural to think, “Will IVF work for me if I have PCOS or endometriosis?”For PCOS Patients:
Success rates are relatively high, especially in women under 35. Since the egg reserve in PCOS is often good, many women respond well to stimulation. Average IVF success rate for PCOS (under 35): 50–70% per cycle (varies based on protocol, clinic, and other health factors)For Endometriosis Patients:
The success rate depends on the stage of the condition. Mild to moderate endometriosis usually has comparable success rates to other infertility causes. Severe endometriosis, however, may slightly reduce the chances due to egg damage or implantation issues.Average IVF success rate for endometriosis:
- Stage I/II: 40–60%
- Stage III/IV: 25–40%
Combined Conditions (PCOS + Endometriosis):
In some cases, women are diagnosed with both conditions. IVF remains the best option, but the protocols are highly individualized. Important note: Success rates are not guarantees. They depend on age, AMH levels, BMI, lifestyle, and the clinic’s expertise.Importance of Early Diagnosis and Fertility Consultation
Many women delay fertility treatment, hoping lifestyle changes or home remedies will work. But when it comes to reproductive health, time plays a critical role. Egg quality declines with age, especially after 35, reducing the chances of natural conception. In conditions like endometriosis, the damage can worsen over time, affecting the ovaries and fallopian tubes. PCOS, if unmanaged, can lead to complications like obesity or insulin resistance both of which interfere with fertility. You should consider seeing a fertility specialist if:- You’ve been trying to conceive for over 6–12 months.
- Your periods are irregular or unusually painful.
- You’ve been diagnosed with PCOS or endometriosis.
- You’re over 30 and considering egg freezing or IVF.
IVF Cost for PCOS and Endometriosis in Jalandhar
A common concern among couples is: How much does IVF cost when dealing with PCOS or endometriosis? The average cost of IVF in Jalandhar and one IVF cycle ranges between ₹90,000 to ₹1.5 Lakhs, excluding medications or advanced procedures. However, additional expenses may apply depending on individual needs. These can include:- Hormonal suppression before IVF (₹10,000–₹20,000).
- Laparoscopic surgery for endometriosis.
- Embryo freezing and storage.
- ICSI or donor eggs in complex cases.
Book Your Consultation at Vardaan IVF Jalandhar
If you're struggling with PCOS or endometriosis and dreaming of motherhood, don’t wait. At Vardaan IVF Clinic, one of the top IVF centers in Jalandhar, we offer compassionate, personalized care to guide you every step of the way. Women from Ludhiana, Amritsar, and Hoshiarpur trust us for advanced fertility solutions and real results. Take the first step toward hope book your free consultation today. Our team is just a call or WhatsApp message away at +91 98144 01991.Looking for the Best IVF Center in Punjab?
At Vardaan Medical Center, with branches in Jalandhar and Amritsar, we specialize in advanced fertility treatments tailored to your needs. Our expert team offers IVF, ICSI, IUI, egg freezing, and more. We are committed to providing compassionate care and achieving the highest success rates.👉 Book your consultation with Vardaan Medical Center, Jalandhar
👉 Book your consultation with Vardaan Medical Center, Amritsar