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PCOS Fertility Treatment in Singapore
Helping women with PCOS achieve healthy pregnancies
Polycystic Ovary Syndrome (PCOS) is a leading cause of infertility. With early diagnosis and a personalised treatment plan that may include lifestyle changes, medications, and reproductive technologies, many women with PCOS go on to conceive successfully.
This article covers how PCOS affects fertility and how a personalised treatment plan can improve your chances of conception.
What is PCOS and How Does It Affect Fertility?
PCOS is a medical condition which is characterised by hormonal imbalance, elevated androgens and insulin resistance, which disrupts follicle maturation and ovulation. This leads to fewer ovulations, irregular menstrual cycles (often exceeding 35 days), reduced egg quality, and potentially reduced pregnancy rates and higher miscarriage risks.
Recognising and Diagnosing PCOS
PCOS is diagnosed using the modified Rotterdam criteria, which requires the presence of two of three key features after other causes have been excluded. The key features are:
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Ovulatory Dysfunction: Menstrual cycles longer than 35 days apart or having fewer than eight menstrual bleeds a year.
2
Polycystic ovaries on transvaginal ultrasound: Presence of 20 or more follicles in at least one ovary or an ovarian volume greater than 10 cm³.
3
Clinical or Biochemical hyperandrogenism: Presence of excessive acne or facial/body hair growth or elevated male hormones found in laboratory tests.
The diagnostic process will include taking a comprehensive menstrual history, physical assessment for signs of hyperandrogenism, undergoing hormone and metabolic blood tests, and a transvaginal ultrasound.
PCOS Treatment Options in Singapore
Lifestyle Modifications – The Essential First Step
A structured program combining a lower glycaemic balanced diet, regular physical activity (at least 150 minutes/week), stress management, and good sleep can significantly improve insulin sensitivity, regulate menstrual cycles, and optimise fertility. Even a modest 5 to10% weight loss can restore ovulation and boost fertility outcomes.
When to Consult a PCOS or Fertility Specialist in Singapore?
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Trying to conceive for 12 months (if under the age of 35) or 6 months (if over the age of 35) with no success.
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Experiencing irregular or absent cycles.
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Having undergone initial treatment (weight loss, lifestyle shifts, ovulation pills) without result.
Early engagement with a fertility specialist can reduce delays and improve reproductive outcomes.
Choosing the Right Clinic in Singapore
At Daniel Koh Clinic, we offer:
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Tailored, evidence‑based care built around international guidelines (e.g., Rotterdam, ESHRE/ASRM).
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Full-service fertility assessment (medical history, ultrasound, hormones, metabolic tests).
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Structured, transparent treatment plans with clear discussion on costs, success rates, Medisave eligibility, and follow-up.
You can expect the following treatment pathway:
1
Assessment:
Review medical & menstrual history, perform ultrasound and blood tests.
4
Second-Line:
If necessary, proceed to gonadotropins, ovarian drilling, or IUI.
2
Lifestyle First:
Focus on weight management, diet, exercise, sleep, and stress control.
5
Advanced Options:
IVF with safe protocols for management of OHSS risk, or other ART if needed.
3
Medication to Induce Ovulation:
Start with Letrozole ± Metformin ± Myoinositol.
6
Holistic Care:
Include supplements, skin care, psychological support, and metabolic surveillance.
Frequently Asked Questions
Below you will find answers to common questions about PCOS Treatment in Singapore.
Take Charge of Your Fertility Journey
Polycystic ovary syndrome (PCOS) is both common and manageable. With timely diagnosis and a personalised treatment plan, you can rebalance your hormones, restore ovulation, and enhance fertility outcomes.
Choosing the Right Care: Daniel Koh Clinic for Women and Fertility Services in Singapore
At Daniel Koh Clinic, you will benefit from continuity of care under Dr Daniel Koh, a MOH-accredited fertility specialist who is experienced in both reproductive medicine and maternal‑fetal medicine. He offers comprehensive support from your initial fertility consultation through to the delivery of your child.
Book a consultation with Dr Daniel to discuss your fertility options and receive a personalised care plan.