Hablamos Español

5077 Dallas Hwy, Set #101, Powder Springs GA 30127

PCOS and Fertility: How to Get Ready for Pregnancy with PCOS

PCOS is a hormone problem that makes women have irregular or long periods and make too many androgens, which are male hormones. It can make your periods come and go, make you gain weight, thin your hair and lose hair on your head, grow more hair in other places on your body, and give you oily skin or acne.

With PCOS, there is a mismatch of hormones that control reproduction. This, along with several small cysts filled with fluid, can make it hard for eggs to grow and be released from the ovaries at normal monthly times (ovulation). This drop or lack of ovulation causes most reproductive problems.

Before you try any drugs, your doctor may suggest that you lose weight and make other changes to your way of life to see if you can get pregnant naturally. Changes in living can help women with PCOS start ovulating again and have a better chance of getting pregnant.

Your doctor may also give you one of the treatments that follow to help you conceive:

Clomiphene: 

The American University of Obstetricians and Gynecologists, or ACOG, recommends this as the most usual treatment for impotence in women with PCOS. Clomiphene makes eggs develop and release them in a roundabout way.

Metformin: 

It has not been accepted by the Food and Drug Administration (FDA) to treat polycystic ovary syndrome (PCOS). Still, it is an oral medication that can help regulate blood sugar levels, as individuals with PCOS are frequently insulin-resistant, meaning their bodies do not use sugar correctly. When there is excessive insulin, the body makes more androgen, which can cause problems with menstruation.

Letrozole: 

This drug stops the body from making estrogen and makes the body make more FSH, which is needed for pregnancy.

Gonadotropins: 

These hormones control The reproductive system and are given as shots to make ovulation happen.

Surgery: 

Surgery can treat PCOS, but this is usually the last choice and doesn’t help in the long run. The ovaries’ cortex, or outside shell, gets thicker in PCOS. This can stop the ovulation process. One option is ovarian drilling, in which the surface of the ovary is drilled with tiny holes. The therapy can help you get your eggs to mature, but it usually only works for about eight months.

Do genes cause PCOS?

Since no one knows what causes PCOS, it’s hard to say if it’s passed down from parent to child. But since PCOS tends to run in families, some genetic reason or change is thought to play a role in its growth.

PCOS and Having a Baby

The same stuff that make it hard to get pregnant can also make it hard to stay pregnant. These include changes in hormone levels, being overweight, and having trouble controlling blood sugar.

Risks

  • Pregnancy loss
  • Gestational diabetes (diabetes found in pregnancy)
  • High blood pressure is called hypertension.
  • Preeclampsia is a condition that causes problems like high blood pressure, protein in the pee, strong headaches, and swelling.
  • The blood clots.
  • Early birth
  • Heavier kids (macrosomia)
  • The need for special care for babies right after birth

Getting prepared to have a baby if you have PCOS

Treatment

Most of the time, if you have PCOS and become pregnant, you will be closely watched for problems like gestational high blood pressure, diabetes, and the chance of giving birth early. Your doctor or nurse may suggest changing your habits, like eating better.

Research shows that insulin and metformin, which are used to control blood sugar, may also help control PCOS and keep you and your baby from having problems in the future.

Your doctor may also suggest the following to help you handle PCOS during your pregnancy:

  • Position on just the right amount of weight
  • Maintenance your blood sugar at a healthy level
  • Folic acid is an example of a vitamin.
  • About Signs and Symptoms

During pregnancy, you will be checked for several problems, and your doctor will tell you which ones need emergency care. You or a part of your family may want to keep track out for these symptoms if you have PCOS and issues with your blood pressure or blood sugar:

  • Sweating Confusion
  • Dizziness
  • Getting lost in thought
  • Sudden headaches

These could be signs of seriously low blood sugar (hypoglycemia) or high blood pressure that must be treated immediately.

PCOS and Postpartum

Effects on Getting Well

PCOS can cause problems for the mother and baby that last for a long time. During the time after giving birth, women with PCOS are more likely to have heart and mental health problems. These include preeclampsia after giving birth, congestive heart failure (when the heart doesn’t pump well enough and blood builds up in the lungs), and sadness.

There are also risks to kids’ long-term growth. These include trouble with the endocrine system, which controls the growth of the brain and nervous system, and the circulatory system, which is made up of the heart and blood vessels. Children whose moms have PCOS may also battle hypertension, excessive cholesterol, and weight gain.

Breastfeeding

How much PCOS affects nursing is a topic of some discussion. Most people agree that hormone changes caused by PCOS can affect milk supply and make it harder to breastfeed. But one study shows that a higher body mass index, not PCOS, makes it hard for some women to breastfeed, not PCOS.

If you have PCOS and are having worry nursing, you can talk to your doctor about nutritional help or vitamins that might help.

It would be supreme if you also told your doctor about any medicines you took before or while pregnant. Medications that help you manage PCOS prior to or during pregnancy may be transferred to your infant through breast milk. Metformin, for example, is usually considered safe for nursing moms, but there are some cases, such as moms whose babies have bad kidney function.

Summary

PCOS can stop ovulation and make it harder to get pregnant, but your doctor can help you make the right transform to your lifestyle. Once pregnant, you must work with your physician to keep your situation under control and avoid problems. This should be done even after the baby is born because people with PCOS have a higher chance of heart and mental health problems after giving birth.