Knowledge Sharing

2023.08.18

PCOS: How to get pregnant?

Can women who have been diagnosed with Polycystic Ovary Syndrome (PCOS) get pregnant? This question often lingers in the minds of those affected by this condition.

It is true that PCOS can make conceiving more challenging to get pregnant. However, with advancements in technology, there are still opportunities to achieve pregnancy through medications and assisted reproductive techniques such as in vitro fertilization (IVF).

In this article, we will delve into the correlation between PCOS and pregnancy, addressing common concerns and providing valuable insights for those seeking to start a family.

What is PCOS?

Polycystic Ovary Syndrome (PCOS) is a hormonal disorder that affects women in their reproductive age. It is characterized by hormonal imbalances and enlarged ovaries containing small cysts. Common symptoms of PCOS include irregular menstrual cycles, excessive hair growth, acne, and weight gain.

Common symptoms of PCOS

  • Menstrual irregularities: Less than 8 times in a year, or intervals between periods exceeding 35 days.
  • Symptoms of excess testosterone: Increased acne, excessive body hair (especially on the upper lip, chin, abdomen, upper arms, or underarms).
  • Abnormal ovarian structure: Imaging examinations reveal enlargement of the ovaries or the presence of more than 10-12 follicles in the ovaries.
  • Hormonal abnormalities: Increased hair growth, acne, hair loss, irregular periods.

PCOS can also cause insulin resistance, where cells and insulin do not respond properly, leading to excess glucose. This not only results in metabolic disorders and obesity but also affects ovulation.

How does PCOS affect fertility?

PCOS can significantly impact fertility due to irregular or absent ovulation, which is essential for conceiving.

The hormonal imbalances associated with PCOS disrupt the normal functioning of the ovaries, leading to difficulties in releasing mature eggs. This makes it challenging for women with PCOS to conceive naturally. The chances of successful pregnancy may be lower compared to women without PCOS.

 

PCOS: how to get pregnant?

Despite the challenges posed by PCOS, there are several strategies that can improve the chances of getting pregnant:

  • Lifestyle modifications:
    Adopting a healthy lifestyle, including regular exercise, a balanced diet, and weight management, can help regulate hormones and enhance fertility. Engaging in stress-reducing activities and avoiding tobacco and excessive alcohol consumption are also beneficial.
  • Medications:
    Fertility medications, such as clomiphene citrate, can stimulate ovulation and increase the likelihood of pregnancy in women with PCOS. Other medications, like metformin, may be prescribed to address insulin resistance, which is often associated with PCOS.
  • Assisted reproductive technologies:
    In vitro fertilization (IVF) and other assisted reproductive techniques can be highly effective for women with PCOS who are struggling to conceive. These procedures involve stimulating the ovaries, retrieving mature eggs, fertilizing them in the laboratory, and transferring the resulting embryos into the uterus.

 

Is it possible to get pregnant with PCOS after 30?

Age is a factor that can affect fertility in women, regardless of whether they have PCOS or not. However, getting pregnant with PCOS after the age of 30 is still possible. It may require additional medical interventions or longer periods of trying.

Seeking guidance from healthcare professionals specializing in fertility treatments can greatly enhance the chances of a successful pregnancy.

 

What are the pregnancy symptoms with PCOS?

Pregnancy symptoms for women with PCOS are generally similar to those experienced by women without the condition. These symptoms may include missed periods, breast tenderness, fatigue, frequent urination, and nausea.

However, due to the hormonal imbalances associated with PCOS, some women may find it more challenging to identify these symptoms accurately. It is important to consult with a healthcare provider for proper diagnosis and guidance.

Risk and complication of pcos during pregnancy

Complication Desciption
Miscarriage Women with PCOS are three times more likely to miscarry in the early pregnancy.
Gestational diabetes Pregnant women with PCOS are at a higher risk of developing gestational diabetes. This type of diabetes can result in larger babies, low blood sugar, and respiratory difficulties. Both the mother and the child are also at a higher risk of developing type 2 diabetes later in life.
Preeclampsia Preeclampsia is a sudden increase in blood pressure after the 20th week of pregnancy and can lead to complications in the mother’s liver, brian, and kidneys. If left untreated, it can progress to eclampsia, which can be life-threatening. The primary treatment is delivering the baby, potentially through a C-section, which carries additional risks.
Pregnancy-induced high blood pressure This condition is characterized by an increase in blood pressure after 20 weeks of pregnancy and can potentially develop into preeclampsia. It can also impact the delivery of the baby.
Preterm birth Infants delivered before 37 weeks of pregnancy are considered preterm and are at risk of various health issues both immediately after birth and later in life.
Cesarean delivery (C-section) Pregnant women with PCOS are more likely to undergo C-sections due to the associated complications.

PCOS patients successfully became pregnant at Lee Women's Hospital

Lee Women's Hospital has been at the forefront of providing specialized care for women with PCOS seeking to conceive. With cutting-edge technologies and a team of experienced healthcare professionals, the hospital has helped numerous PCOS patients fulfill their dreams of becoming parents. Our expertise in fertility treatments, including IVF, combined with a holistic approach to patient care has garnered international recognition, attracting patients from around the world.

 

Successful cases with PCOS:

 

While PCOS can present challenges when it comes to fertility and pregnancy, it is important to remember that there are various options available for women with this condition. By making lifestyle changes, exploring fertility medications, or considering assisted reproductive technologies, women with PCOS can increase their chances of getting pregnant.

With the right medical guidance and support, many women with PCOS have overcome these challenges and embraced the joys of parenthood.

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Email: ivftaiwan@gmail.com

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