Our expert says:
It is not only the problem of ovulation function but also the problem of poor egg quality which often accompanies the metabolic syndrome – PCOS. In some cases ovulation may have returned to normal but unfortunately the egg quality is still sub-optimal and would lead to implantation failure or even miscarriage. In addition, patients with PCOS may have a strange condition of empty follicle syndrome(EFS) or lutenized unruptured follicle syndrome (LUFS). In your situation I would suggest that an aggressive approach to your fertility problem be considered i.e. controlled ovulation induction by means of injectables together with close monitoring and possibly in vitro fertilisation as well.
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