17-07-2025
Managing PCOS can improve fertility chances
Polycystic ovary syndrome (PCOS) is a common cause of infertility, but with the right help, many women can still have children.
Dr Jackson Ndhlovu, a reproductive health specialist at Netcare Hospital in Polokwane, says around 15–20% of South African women may face infertility, but PCOS is often manageable.
Read more: Six signs you might have PCOS and don't even know it!
PCOS is a hormonal condition that affects ovulation. It can cause irregular or missed periods, high levels of male hormones, and multiple small cysts on the ovaries. These changes make it harder to track the fertile window and fall pregnant.
Common signs include irregular periods, weight gain, acne, and excess body hair. However, some women with PCOS may still have regular periods and a normal weight.
Dr Ndhlovu advises that lifestyle changes can make a big difference. 'Losing 5–10% of body weight helps many women ovulate regularly. Exercise and healthy eating are key,' he says.
He also warns that PCOS can affect mental health. 'Anxiety, low self-esteem and depression are common. Counselling is often helpful.'
PCOS may also increase the risk of diabetes, high blood pressure, and other health issues.
Women under 35 should seek help after trying for a year. Women over 35 should consult their doctor sooner.
If lifestyle changes aren't enough, medication, hormone therapy, or IVF may be used, all under medical supervision.
Dr Ndhlovu urges women to speak openly with their doctor. 'The right support and a clear treatment plan can make all the difference.'
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