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What is the best pregnancy option for a couple diagnosed with teratozoospermia and PCOS?

By Estefanía Rodríguez Ferradas M.D., M.Sc., Ph.D. (gynecologist).
Last Update: 06/25/2020

Teratozoospermia is diagnosed when we see less than 4% of normal sperm in a semen study. Polycystic ovary syndrome (PCOS) is an entity related to excess production of androgen-derived hormones such as testosterone. These women frequently suffer from infertility as a result of a problem in ovulation, either by not ovulating (ovulation) or by a dysfunction (disovulation).

Initially, vitamin therapy is recommended for women with PCOS, including folic acid and inositol. In addition, at present, in the male we do not have any treatment that has proven to be a guarantee for the improvement of sperm morphology, but it is advisable to take a supplement of turmeric with piperine.

Generally, in severe teratozoospermia, it is advisable to perform in vitro fertilization procedures such as sperm microinjection in to the oocyte (ICSI). In mild teratozoospermia, the couple may perform a simpler method such as artificial insemination, always informing them of the results of each of the techniques and the pregnancy possibilities.

Regarding PCOS, the main and most recognized problem is the alteration of the ovulatory cycle. By means of ovarian stimulation we are able to control the ovulatory cycle and provoke ovulation in order to carry out the insemination when we know that the egg may be available, so from the first moment the indication could be to carry out inseminations.

 Estefanía  Rodríguez Ferradas
Estefanía Rodríguez Ferradas
M.D., M.Sc., Ph.D.
Gynecologist
Dr. Estefanía Rodríguez Ferradas has a degree in medicine from the University of Navarra and a PhD from the University of the Basque Country. She is also an expert in Reproduction and Medical Genetics.
Licence number: 202007777
Gynecologist. Dr. Estefanía Rodríguez Ferradas has a degree in medicine from the University of Navarra and a PhD from the University of the Basque Country. She is also an expert in Reproduction and Medical Genetics. Licence number: 202007777.