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    Fertility Issue

    Fertility Issue due to PCOS

    Polycystic Ovarian Syndrome (PCOS) is a common hormonal imbalance affecting women of childbearing age. This endocrine condition impacts around 10-15% of young women, often leading to difficulties in getting pregnant. In some cases, PCOS symptoms can persist even after menopause. The condition is also linked to other health concerns, including stroke, type 2 diabetes, hypertension, and sleep apnea. If you’re experiencing PCOS-related fertility challenges, visiting a fertility clinic in Mumbai can offer expert guidance and treatment options.

    Dr. Shilpa Bansal Agrawal, Best Doctors for PCOS Treatment in Mumbai at Harleys Cosmetic & Women Clinic shares, ‘Women who have polycystic ovaries, have their ovaries slightly larger than normal and contain multiple follicles that have turned into cysts- fluid-filled sacs, because of no release of a mature egg. However, having polycystic ovaries does not always indicate women suffering from PCOS.

    What are the Signs and Symptoms of PCOS?

    To be diagnosed with PCOS, a woman may have polycystic ovaries and show some of the following signs and symptoms:

    • Irregular periods (changing length of menstrual cycles)- including missed periods, absence of menses, or very heavy periods
    • Hair fall/loss or hair thinning on the scalp
    • Oily skin or acne
    • More facial or body hair growth- usually seen on the face, stomach, chest, or upper thighs- a condition called hirsutism
    • Difficulty losing body weight or rapid weight gain, especially around the waist
    • Pelvic pain or lower stomach ache
    • Infertility (trouble conceiving)
    • Dark, velvety, and thick patches of skin found around the armpits, neck, or genitals- a condition called Acanthosis Nigricans.

    What causes PCOS?

    The definite cause of PCOS is still unknown. People believe it to be because of a combination of things including genetic predisposition and environmental factors- such as diet and lifestyle.

    The symptoms of PCOS are caused by changes in levels of two hormones: androgens and insulin. Women having PCOS have slightly higher than normal levels of androgens- testosterone, also known as a male sex hormone. The high amount of androgens is linked to many of the PCOS symptoms, such as hirsutism. Furthermore, their body may show insulin resistance- no response to insulin hormone, which is required to maintain blood sugar levels. As a result, women experience high blood glucose levels in their body which further leads to their weight gain and fertility issues as well as their increased risk of developing diabetes in the future.

    PCOS and Fertility​

    PCOS and Fertility

    How does PCOS affect the fertility of women?

    Polycystic Ovarian Syndrome negatively impacts the fertility of women belonging to reproductive age, hence not making it difficult for them to get pregnant. PCOS may even cause women to be at high risk of certain complications at the time of their pregnancy. These complications include miscarriage, gestational diabetes, preterm birth (infants born before 37 weeks of pregnancy), hypertension, and preeclampsia (sudden elevated blood pressure in later pregnancy that could damage other organs). The effect of PCOS on female reproduction is all because the condition prevents ovulation- the ovaries do not release an egg every month at the end of the menstrual cycle. This happens because of the overproduction of androgens and estrogen hormones by the ovaries.

    In women affected with PCOS, the egg inside the ovary does not develop and gets released as it does normally. As ovulation does not occur regularly every month, women start to experience abnormal menses. The increased levels of testosterone in women can affect their egg quality, inhibit ovulation, resulting in insulin resistance, and make them more likely to suffer from gestational diabetes. Lastly, women face problems getting pregnant and the immature eggs turn into small multiple cysts inside their ovaries.

    If one is suffering from infertility due to PCOS and looking for an effective treatment, one must consult an expert gynecologist in Mumbai Dr. Shilpa Bansal Agrawal, at her gyne clinic, Harleys Cosmetic & Women Clinic, or at the prestigious hospitals located in Mumbai, like Surya Hospitals: Multispecialty Hospital for Women & Children, Cloudnine Hospital, BSES MG Hospital, and Criticare Asia Multispeciality Hospital.

    What are the Fertility Treatment Options for Women with PCOS?

    PCOS is one of the most common reasons behind female fertility. Up to 80% of women with PCOS experience fertility issues, and it is a common reason that women consult a gynecologist. The good news is that women with PCOS can get pregnant in their life without getting treated and with fertility treatments they can increase their odds of getting pregnant.

    There are various treatments to treat infertility in PCOS patients in Mumbai, including lifestyle and diet modifications and the use of medications and all these are offered by Dr. Shilpa Bansal Agrawal and team.

    1. Lifestyle Changes
      Regular exercise and weight loss can help improve fertility in some PCOS-affected women. Especially, if PCOS patients are overweight (having a BMI of over 30), doctors recommend they start with a weight loss program including having a calorie-deficit, healthy, balanced diet and keeping the body physically active before trying out medications. With weight loss, obese PCOS patients can improve their menstrual cycle and ovulation.
    2. Medications
      Here are some medications usually recommended to PCOS patients to treat their infertility:
      • A pill that help eggs inside the ovaries to get mature and be released from the ovaries
      • A pill that helps slow down estrogen production and increase the levels of Follicle Stimulating Hormone (FSH) in the ovaries, which is necessary for ovulation.
      • Shots of certain fertility drugs containing naturally occurring gonadotropins- these have FSH, LH (Luteinising hormone), or a combination of both, and have an important role in ovulation.
      • A pill used to treat gestational diabetes- this drug can help lower the production and absorption of sugars and help with insulin resistance
    3. Laparoscopic Ovarian Drilling (LOD)
      When PCOS patients do not respond to both lifestyle modifications and medications, they may get help from a minimally invasive surgical procedure called a laparoscopic ovarian drilling/ ovarian diathermy. Sometimes, this surgery is called a “wiffle ball” surgery or modified wedge resection.

      Laparoscopic Ovarian Drilling in Mumbai performed by Dr. Shilpa Bansal Agrawal is done to break through the thick, outer surface of the ovaries and reduce the production of androgens/testosterone by the ovaries. This is performed by making a small incision near the navel and inserting a thin, light, and a camera-fitted tube called a laparoscope to visualise the inside of the ovaries. The surgeon makes other tiny surgical cuts in the lower belly to make several small holes in the ovaries through which the surgeon inserts surgical tools/instruments to lower the number of androgens produced and released by the ovaries.

    4. In-vitro fertilisation (IVF)
      When lifestyle and diet changes as well as fertility drugs or surgery are not able to help women with PCOS get pregnant, the last resort to get pregnant could be the use of assisted reproductive technologies like IVF.

      During in-vitro fertilization, the doctor collects/retrieves mature eggs from the ovaries and fertilizes them with sperm taken from a male partner or donor in a laboratory. Upon fertilization, the embryo(s)- the fertilized egg(s) are transferred to the uterus- the mother’s womb. Once complete, the IVF cycle takes about three weeks. Multiple eggs are required for the success of IVF as some eggs may not be able to develop normally after fertilization or they won’t fertilize. To get enough eggs, at the start of the IVF cycle, the doctor carries out ovulation induction wherein they use synthetic hormones to stimulate the ovaries for multiple egg production.

    Dr. Shilpa B. Agrawal
    Are you experiencing infertility due to PCOS issues and want to conceive your own child? Consult now the Best infertility and PCOS doctor in Mumbai Dr. Shilpa Bansal Agrawal, at her gyne clinic, Harleys Cosmetic & Women Clinic, or at the prestigious hospitals located in Mumbai, like Surya Hospitals: Multispecialty Hospital for Women & Children, Cloudnine Hospital, BSES MG Hospital, and Criticare Asia Multispeciality Hospital. At the clinic and hospitals all these advanced treatments are available. To know more, pay a visit today!

    Best Fertility Doctor in Mumbai – Expert, Personalised Fertility Care

    Finding the best fertility doctor in Mumbai isn’t just about success rates or advanced technology — it’s about feeling heard, supported, and understood throughout your fertility journey. At Harleys Cosmetic & Women Clinic, our fertility care is centered around you. Whether you’re just starting out or have been trying for years, our goal is to provide clarity, comfort, and confidence every step of the way.

    Why Choosing the Right Fertility Doctor Matters

    The journey to parenthood is deeply personal. A skilled and compassionate fertility specialist can make all the difference, not just in outcomes, but in how you experience the entire process.

    Working with the best fertility doctor in Mumbai ensures that:

    At Harleys Cosmetic & Women Clinic, we believe fertility care should be honest, respectful, and fully informed.

    What to Expect During Your Fertility Consultation

    Seeing a fertility doctor doesn’t mean you’re committing to IVF right away. In fact, the process usually begins with simple evaluations and conversations.

    When you meet with Dr. Shilpa, one of the most trusted names in fertility care in Mumbai, here’s what typically happens:

    A thorough review of your medical and reproductive history

    Basic tests to assess hormone levels, ovulation, and sperm health

    A pelvic ultrasound to check ovarian reserve and uterine health

    A transparent plan of what next steps could look like

    Discussion of lifestyle factors like stress, sleep, and diet

    You leave the appointment with real answers, not just more questions.

    Fertility Treatment Options Tailored to You

    Not everyone needs IVF. That’s a myth. Some couples conceive naturally after minor changes or minimal support. At our fertility clinic in Andheri, we believe in doing what’s right for your specific situation.

    Here are a few of the evidence-based treatments we may recommend:

    Everything is explained clearly, and you’re involved in every decision.

    Safety and Ethics Are Our Top Priority

    Fertility treatments should never feel risky or rushed. At Harleys Cosmetic & Women Clinic, safety isn’t an afterthought — it’s built into everything we do.

    Here’s how we ensure your care is safe, respectful, and medically sound:

    All procedures follow internationally accepted clinical protocols

    Transparent communication around risks, side effects, and success chances

    Strict infection control and hygiene standards in every part of the clinic

    Use of only well-researched fertility medications and equipment

    No over-treatment — just evidence-based care you can trust

    You’ll never be pressured into any treatment, and every decision is made with your full consent.

    Myths About Fertility Doctors — Let’s Clear Them Up

    Choosing a fertility specialist can feel intimidating, especially with so much misinformation floating around. Let’s tackle a few myths head-on:

    By choosing the best fertility doctor in Mumbai, you’re choosing facts, not fear.

    User Experience Tips: Making the Journey Easier

    We know the process can feel overwhelming. But with a few simple steps, you can feel more in control:

    Track your cycle regularly before your visit. Apps can help, or keep a journal.

    Write down symptoms you’ve been experiencing, even if they seem unrelated.

    Bring your partner, if possible, so both of you understand the next steps together.

    Be open about your goals — whether you want a baby now or in a few years.

    Ask questions freely. No question is too small or silly when it comes to your health.

    The more informed you are, the smoother the process becomes.

    How We Compare: Local Advantage You Can Rely On

    When comparing options, it’s not just about who’s “best” on paper. You want a doctor who understands your context your work-life routine, your cultural background, even local food and lifestyle habits that can impact fertility.

    Here’s how Dr. Shilpa and our fertility clinic in Mumbai stand out:

    You don’t have to travel abroad or to far-off metro cities quality fertility care is right here in Mumbai.

    Understanding the Value: Beyond Just Cost

    We get it fertility treatments can feel like a big investment. But it’s important to look beyond the price tag.

    Choosing the best fertility doctor in Mumbai means:

    In the long run, working with the right expert can save you time, money, and a lot of emotional exhaustion.

    Why So Many Couples Trust Dr. Shilpa

    With years of experience, advanced training, and a reputation for honest care, Dr. Shilpa is regarded by many as one of the best fertility doctors in MumbaiShe’s known for:

    Taking time with each patient no rushed consults

    Simplifying medical explanations without talking down to anyone

    Being approachable and empathetic, no matter the case

    A strong track record in helping couples conceive safely and successfully

    You’re not just another number here. You’re a person, with dreams and emotions and that’s how you’ll be treated.

    FAQs

    Q1. How do I know if I need to see a fertility doctor?

    If you’ve been trying to conceive for 12 months (or 6 months if you’re over 35), it’s a good time to see a fertility specialist. Irregular cycles, painful periods, or a history of miscarriages are also signs to consult early.

    Most fertility tests and treatments are safe and minimally invasive. IVF and procedures like IUI involve minor discomfort but are generally well-tolerated.

    There are a range of options available depending on your needs — not all treatments are expensive. Our clinic provides transparent pricing and phased plans to make it manageable.

    It depends on your diagnosis and treatment path. Some couples conceive within a few months of starting, while others may take longer. Your doctor will set realistic expectations upfront.

    Yes, we offer specialized services such as PCOS treatment and Cosmetic Gynecology at Harleys Cosmetic & Women Clinic. These services are designed to address specific concerns of women’s health, enhancing both physical well-being and self-confidence.

    Our team of experts ensures that all treatments are customized to your individual needs, providing a holistic approach to women’s health.

    Ready to Take the Next Step?

    You don’t have to figure everything out today. But if you’ve been trying to conceive for 6-12 months without success or if you have a known reproductive issue it’s time to talk to someone who can help

    Our team at Harleys Cosmetic & Women Clinic is here to support you with clarity, care, and world-class expertise

    Book your consultation with Dr. Shilpa today and start your fertility journey with confidence.

    Ready to speak with a trusted expert?

    Book a consultation at Harleys Cosmetic & Women Clinic and get guidance that’s personal, professional, and pressure-free.

    Address

    Harleys Cosmetic and Womens Clinic
    101-102, Jyoti Tower, DN Nagar,
    Next to Nav Chaitanya, off Link Road,
    Andheri West, Mumbai - 400053. Locate us

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