Ep 281: PCOS unfiltered: We Answer Your Questions

Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this episode of Fertility Docs Uncensored, the doctors tackle your most pressing questions about polycystic ovary syndrome (PCOS). Many PCOS patients have high AMH levels, and often that means more eggs at retrieval. However, sometimes a high egg count doesn’t always translate into more embryos or more to transfer, and the Docs explain why quantity doesn’t always equal quality. They also dive into IUI cycles for PCOS patients, including the advantages of combining IUI with ovulation induction. The team recommends limiting ovulation induction + IUI attempts to no more than three or four before considering other options. For those with a history of miscarriage, they emphasize the importance of a thorough recurrent pregnancy loss workup, regardless of PCOS status. Should you move to IVF sooner? The docs explore that too—especially for those wanting multiple children, facing recurrent miscarriage, or when male factor issues are in play. The episode wraps with a discussion of medications like metformin and inositols, and when to consider laparoscopy—typically reserved for symptoms like painful periods or signs of endometriosis. 

This podcast was sponsored by ReceptivaDx.