PCOS and endometriosis are two of the most common conditions affecting women’s fertility. With the right diagnosis and a gentle, stepwise plan, many women with these conditions go on to conceive.
PCOS (polycystic ovary syndrome) affects hormones and often stops regular ovulation. Endometriosis is when tissue similar to the womb lining grows outside the uterus, causing pain and sometimes affecting the ovaries and tubes. Each needs its own approach.
If any of these sound familiar and you’re trying to conceive, a consultation can help.
A common sign that you may not be ovulating regularly (PCOS).
Unexplained weight gain, acne or extra hair growth (PCOS).
Pain that stops daily life is a common sign of endometriosis.
Deep pain can be linked to endometriosis.
Cysts seen on a scan, including endometriomas.
No pregnancy after a year of trying, or six months if over 35.
We move up one step at a time, only when needed. Your doctor will explain each option.
Your history, an ultrasound scan and hormone tests (including AMH) help confirm the condition.
For PCOS, healthy weight and diet can restore ovulation. For endometriosis, medicines can ease pain.
Tablets or injections help you ovulate, with scans to time intercourse or IUI.
For endometriosis, keyhole surgery (laparoscopy) may be advised to diagnose or treat it.
If simpler steps don’t work, or tubes or egg reserve are affected, IUI or IVF may be recommended.
Every woman’s condition is different. These are the main things your doctor looks at.
Chances are better when treatment starts earlier.
How well you respond to ovulation medicines (PCOS).
How widespread endometriosis is, and whether tubes or ovaries are affected.
Your AMH level and egg count on scan.
A healthy weight can greatly improve PCOS outcomes.
Both partners’ health matters.
Our honest approach: PCOS and endometriosis can’t always be cured, but they can be managed. Dr. Rekha will explain your options clearly and help you choose the right pace for you.
Costs depend on which step of treatment you need. You’ll get a written estimate before starting.
Treatment costs are quoted separately, based on your plan.
Dr. Rekha has a special interest in PCOS and endometriosis, and plans each step around your symptoms and goals.
Your first consultation is a conversation. You’ll leave with clear answers and a plan, not pressure.