I have PCOS and I make a lot of eggs when I undergo stimulation, but I am still not pregnant. I know women who only make one egg and they have gotten pregnant. Why is this not working for me?
Dr Browne says:
The answer is quite simple...when you are trying to conceive it is never about egg quantity but it is always about egg quality! Both polycystic ovarian syndrome (PCOS) and diminished ovarian reserve (DOR) are two conditions that can affect a woman's ability to conceive and carry to term. PCOS generally affects younger women and it is characterized by having too many eggs, while DOR typically affects older women and is associated with very few eggs. However, both conditions share a common enemy...too much ovarian TESTOSTERONE! This extra testosterone production can make it harder for women with PCOS and DOR to conceive, because too much testosterone can adversely affect egg quality and development. When trying to conceive, you always want to find ways to expose your eggs to more estrogen than testosterone. The moment that you are able to alter this hormonal milieu (through different hormonal suppression and stimulation protocols), you can often times be successful.
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