Does PCOS increase the risk of ovarian hyperstimulation?

Yes. Because of the tendency for women with PCOS to produce many small follicles, the trick to avoiding hyperstimulation is getting a few follicles to mature without an army of smaller ones. Caution should be used with medications, starting at the lowest doses, and follicle production should be monitored by ultrasound and estradiol levels.

It is possible that the use of metformin with gonadotropin-induced ovulation may reduce the risk of hyperstimulation. Should women with PCOS who are trying to conceive take baby aspirin? This is something that should be discussed with one's doctor, but there is some research indicating that pregnancy continuation rates in PCOS may be improved with low-dose (81 mg/d) aspirin therapy.

The aspirin is used to help prevent blood clotting in the uterine lining and help increase blood flow. What is in vitro maturation (IVM) and is it beneficial for women with PCOS? In vitro maturation is a process in which immature eggs are harvested from a woman early in ... more.

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