A Comprehensive Review of Management of Patients with Infertility Having Polycystic Ovarian Syndrome

Polycystic ovary syndrome (PCOS) is a prevalent hormonal disorder affecting women of reproductive age, often leading to infertility due to irregular ovulation. The condition is influenced by lifestyle, environmental, genetic, and epigenetic factors, and presents with symptoms like irregular periods, excess androgen levels, acne, hair thinning, and weight gain. Management of PCOS involves a combination of lifestyle changes and pharmacological treatments, including metformin, clomiphene, letrozole, and gonadotrophins, with surgical options like ovarian drilling available for resistant cases. Blood tests can help identify hormonal imbalances, although these are not consistent across all patients. PCOS can also impact mental health and social life, contributing to anxiety, depression, and social stigma.