Polycystic ovary syndrome, or PCOS, is a hormonal condition that tampers with more than just your fertility, but you might first receive a diagnosis when you’re trying to get pregnant. This is because it’s a common — and treatable — cause of infertility in women. Show According to the Centers for Disease Control (CDC), up to 12 percent of women in the United States have difficulty getting pregnant because of untreated PCOS. In reality, this number might be bigger because almost 50 percent of women with this syndrome don’t know they have it or are not diagnosed correctly. Having PCOS doesn’t mean you can’t get pregnant. It just might be a bit trickier and you may need extra help. There is plenty that you can do at home and with medical treatment to keep PCOS symptoms at bay and raise your chances for a healthy pregnancy. Getting pregnant with PCOS involves some of the same steps that women without PCOS should take for a healthy pregnancy.
Being overweight has been linked to PCOS, but many women who have this condition are not overweight at all. Still, if you are carrying extra weight, you may improve your fertility and reduce other PCOS symptoms by losing just 5 percent of your weight. Exercise daily by going for a walk and getting in your steps. Use a standing desk rather than sitting down while you’re working. Lift light weights while watching TV as building more muscle helps bring down PCOS symptoms and improves your health. Any woman who is trying to get pregnant needs to have the right levels of nutrients. Switch out sugary foods, simple carbs, and unhealthy fats for healthier choices, including:
Certain vitamins and minerals are important for a healthy pregnancy and a growing baby. Ask your doctor about the best supplements for you. Supplements that may help fertility include:
Your doctor will test your blood sugar levels if you’re having trouble getting pregnant. PCOS sometimes leads to high blood sugar levels or type 2 diabetes. This may cause fertility problems. This happens because PCOS may change how your body uses insulin. This important hormone moves sugar (glucose) out of the blood and into the muscles and cells where it is burned for energy. PCOS makes your body less sensitive to insulin — making it harder for it to do its job. Balancing your blood sugar levels may help you get pregnant. Eat a healthy diet with more fiber, protein, and healthy fats. Getting plenty of daily exercise and strength training can also help your body use insulin better. In some cases, your doctor might recommend medications to help balance your blood sugar levels. A common type 2 diabetes drug called metformin (or Glucophage) makes your body use insulin better to help lower high blood sugar. This can also help you get pregnant with PCOS. You might need to take metformin in low doses and only temporarily, depending on your blood sugar levels. For best results, eat a healthy diet and exercise regularly along with taking any prescribed medications to help you get pregnant. If you have high blood sugar levels or type 2 diabetes, it’s important to check your blood sugar levels with a home monitor every day. Your doctor will check your blood sugar levels with tests, including:
If you have PCOS your body might make more of both the male hormone testosterone and the female hormone estrogen. Too much (or too little) of these hormones can make it tricky to get pregnant. Your doctor might recommend prescription medications to help balance your hormones. Medications to help you get pregnant with PCOS include:
You may need in vitro fertilization (IVF) treatment to help you get pregnant with PCOS. Your fertility doctor will give you a checkup that may include more blood tests, ultrasounds scans, and a physical exam. IVF is a process that can take months or even years whether you have PCOS or not. However, medical research shows that women with PCOS have a high success rate of getting pregnant with IVF treatment. Some clinical studies found that women with PCOS who took birth control pills before the IVF treatment had better results. You may also need other mediations to help balance hormones and get your body ready for the IVF treatment. For all women, the first step in IVF treatment is to eat a balanced diet and get plenty of exercise to reach a healthy weight. Women with PCOS who are a healthy weight are twice as likely to get pregnant with IVF than women with PCOS who are obese. Before exploring IVF, your doctor might suggest a less-costly alternative called intrauterine insemination (IUI). This process increases the chance of pregnancy because it directly injects a high concentration of sperm closer to the egg. If you are trying to get pregnant with PCOS, you may only need treatment with medications. A medical study found that almost 80 percent of women with PCOS treated with the drug clomiphene citrate successfully ovulated. Out of these, half of the women got pregnant naturally within six period cycles. If medications don’t help you get pregnant, your doctor may recommend IVF treatments. Most women with PCOS have a 20 to 40 percent chance of getting pregnant with IVF treatment. Women who are 35 years old and older or who are overweight have a lower chance of getting pregnant. You can get pregnant with PCOS. You will likely need to have moderate weight, balance your blood sugar levels, and treat other PCOS symptoms with healthy lifestyle changes and medications. In some cases, fertility medications alone will help you get pregnant. If that doesn’t work, you may need IVF treatment. But regardless of what treatment you explore, don’t lose hope. Success rates are optimistic. In time you may be smiling, positive pregnancy test in hand. Can you get pregnant with PCOS and birth control?Having PCOS doesn't mean you can't get pregnant. In fact, PCOS is one of the most treatable causes of infertility in women. Initially, hormonal birth control pills may be recommended to help regulate ovulation and control some of your symptoms. However, you can't get pregnant when taking birth control pills.
What happens when you have PCOS and go on birth control?Most women who experience PCOS and then start to take the pill do not experience side effects from the birth control, but some experience mood changes, nausea, headaches, and weight gain/loss.
What are the chances of getting pregnant if I have PCOS?Chances of getting pregnant with PCOS
If medications don't help you get pregnant, your doctor may recommend IVF treatments. Most women with PCOS have a 20 to 40 percent chance of getting pregnant with IVF treatment. Women who are 35 years old and older or who are overweight have a lower chance of getting pregnant.
Do you ovulate on birth control with PCOS?For those who do not want to become pregnant, treating PCOS often involves taking hormonal birth control to manage the symptoms of PCOS, like painful periods, acne, and excess body hair. The pill, the patch, and the ring work by preventing ovulation which reduces the number of cysts on the ovary.
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