Anovulatory infertility due to PCOS — DRCOG MCQ
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Correct answer: E — Refer for fertility assessment with weight loss and ovulation induction
The best answer is “Refer for fertility assessment with weight loss and ovulation induction”. This history warrants fertility assessment for anovulatory infertility. In people with PCOS and BMI of 30 or more, weight loss can restore ovulation and improve response and pregnancy outcomes, while fertility services can discuss appropriate ovulation induction and monitoring. IVF is not the automatic first step, and combined contraception prevents conception.
Reference: NICE CG156: Fertility problems assessment and treatment: https://www.nice.org.uk/guidance/cg156/chapter/Recommendations