Treatment FAQ

what is the treatment for pcos when you're trying to get pregnant

by Dedrick Quigley Published 3 years ago Updated 3 years ago
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A medicine called clomifene is usually the first treatment recommended for women with PCOS who are trying to get pregnant. Clomifene encourages the monthly release of an egg from the ovaries (ovulation). If clomifene is unsuccessful in encouraging ovulation, another medicine called metformin may be recommended.

What is PCOS and how does it affect my fertility?

Apr 20, 2020 · Clomid is the most commonly used fertility drug overall, and also the most commonly used treatment for women with PCOS. Many women with PCOS will conceive with Clomid. Unfortunately, it’s not successful for everyone.

How much does PCOS affect fertility?

Jul 28, 2020 · 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, …

How does PCOS affect weight and fertility?

Apr 23, 2020 · Trying to get pregnant with PCOS after the age of 35 can be even more difficult and is likely to require medical intervention. Your doctor may be able to prescribe medications, …

Is PCOS affecting your fertility?

Birth control is the most common PCOS treatment for women who don't want to get pregnant. Hormonal birth control -- pills, a skin patch, vaginal ring, shots, or a hormonal IUD (intrauterine …

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How do you treat PCOS if you want to get pregnant?

Medications to help you get pregnant with PCOS include:
  1. metformin to balance insulin levels.
  2. clomiphene citrate (or Clomid) to help balance estrogen levels.
  3. birth control pills to balance estrogen and testosterone levels (before beginning fertility treatment)
Jul 28, 2020

What is the best fertility drug to get pregnant with PCOS?

Clomid. Clomid is the most commonly used fertility drug overall, and also the most commonly used treatment for women with PCOS. Many women with PCOS will conceive with Clomid.Apr 20, 2020

Can you conceive a baby if you have PCOS?

Polycystic ovarian syndrome, or PCOS, is a common hormonal condition in women. Women with PCOS can struggle to become pregnant and are at higher risk of developing complications during pregnancy. However, by managing the symptoms, many women with PCOS can become pregnant and have a healthy baby.

What is a normal first step of fertility treatment of a woman with PCOS?

Oral ovulation induction agents, such as clomiphene citrate (CC) and letrozole, and an insulin sensitiser, such as metformin, are the first-line pharmacological treatment for anovulatory infertility and no other infertility factors in women with PCOS.Dec 27, 2019

Which is better Clomid or letrozole?

Most studies conclude that even if clomid is as effective at helping someone achieve pregnancy, letrozole is usually the better choice due to fewer side effects and risks. Letrozole can often be used for those who tried Clomid unsuccessfully and are considered “Clomid resistant.”Mar 25, 2021

Does PCOS increase chance of twins?

Nine (9%) multiple pregnancies occurred in the PCOS group: seven sets of twins and two sets of triplets. In the control group, there were eight multiple pregnancies: seven sets of twins and one set of triplets. The odds ratio for multiple pregnancy in women with PCOS was 9.0 (95% CI 3.5–23).

Does Clomid work for PCOS?

Research has shown that Clomid can significantly improve the chances of clinical pregnancy for women with PCOS. In fact, studies have shown that when treated with Clomid women with PCOS experience cumulative pregnancy rates close to that of women without PCOS.Sep 21, 2021

Can PCOS affect baby gender?

Conclusion: The PCOS phenotypes influenced the sex ratio in the offspring, suggesting that environmental factors could play a role in determination of the offspring gender.

Can you get pregnant with PCOs?

Many fertility doctors and OBGYN’s will tell you that a PCOS diagnosis means you’ll only ever be able to get pregnant with the help of fertility treatments. This couldn’t be further from the truth.

What percentage of women with PCOs have ovulation?

Estimates put this at around 87% of the PCOS population, which means re-starting ovulation is key to most women with PCOS that want to have children.

How to make your metabolism better during pregnancy?

While genetics play a role, at an individual level, what you eat makes the biggest difference to your metabolism. Throw in a little regular exercise and stress management on top to further reduce inflammation, and you’ll be setting yourself up nicely for a healthy, happy pregnancy. 4.

Does PCOs diet help with liver disease?

From a general health perspective, the right PCOS diet helps you achieve and maintain a healthy body weight, improves both your cardiovascular and metabolic health, and lowers the risk of liver disease , and endometrial cancer which are generally elevated in women with PCOS ( Glintborg et al. 2017 45 ).

Can you get fertility treatment in your 30s?

If there’s a male factor fertility issue or another complication beyond PCOS, medical intervention may be well warranted. Fertility treatments may also be a good option if you’re in your late 30’s and are concerned about the time that may be needed to heal your PCOS through diet and lifestyle changes alone.

What is PCOS in pregnancy?

Share on Pinterest. 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.

Can IVF help with PCOs?

IVF is a process that can take months or even years whether you have PCOS or not. However, medical research.

How to lose weight before getting pregnant?

If you are carrying extra weight, talk to your doctor about how much weight you need to lose before you get pregnant. Start a healthy diet and exercise plan. Get into the habit of choosing healthier food choices and being more active. Use an ovulation calendar or app to track when you have your period.

Can being overweight cause PCOs?

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.

Does PCOs cause high blood sugar?

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.

Does PCOs cause fertility?

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.

Why does PCOs make your body less sensitive to insulin?

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.

Can PCOs cause pregnancy?

Useful tips. How PCOS affects pregnancy. When to seek medical help. Getting pregnant with PCOS can be difficult , but that doesn't mean it's impossible. While PCOS can affect your hormones and therefore your fertility, there are medical treatments and lifestyle changes you can make to help increase your chances of getting pregnant.

How does PCOs affect pregnancy?

How PCOS affects pregnancy. When to seek medical help. Getting pregnant with PCOS can be difficult, but that doesn't mean it's impossible. While PCOS can affect your hormones and therefore your fertility, there are medical treatments and lifestyle changes you can make to help increase your chances ...

Why is it so hard to conceive with PCOs?

The main reason PCOS makes it more difficult to conceive is that it often prevents ovulation from occurring, and ovulation has to happen in order for pregnancy to be possible. In addition, PCOS causes hormonal imbalances that change the quality of your cervical fluid, making it harder for sperm to survive.

Can PCOs cause miscarriage?

Having PCOS, especially if it is untreated, can increase your chances of miscarriage. This is because women with PCOS have lower levels of the hormone progesterone, which is responsible for ensuring the endometrium lining is thick enough to support the implantation and growth of an embryo.

Is it normal to get pregnant with PCOs?

It's normal to need help getting pregnant with PCOS. If you're struggling with infertility and have been trying to get pregnant for more than a year, PCOS may be the cause. If you think you may have PCOS or are experiencing symptoms like irregular periods, excess facial hair, and difficulty losing weight, it's a good idea to talk to your doctor.

Can PCOs make it harder to get pregnant?

While PCOS can cause changes in your body that make it harder to get and stay pregnant, there are treatment options available. Talking to your health care provider is the first step in finding out what you can do to improve your chances of conceiving and successfully carrying a pregnancy to term.

Why do women with PCOs have lower levels of progesterone?

This is because women with PCOS have lower levels of the hormone progesterone, which is responsible for ensuring the endometrium lining is thick enough to support the implantation and growth of an embryo.

What is the best treatment for PCOs?

Birth control is the most common PCOS treatment for women who don't want to get pregnant. Hormonal birth control -- pills, a skin patch, vaginal ring, shots, or a hormonal IUD (intrauterine device) -- can help restore regular periods.

What is PCOS treatment?

Treatments can help you manage the symptoms of polycystic ovary syndrome (PCOS) and lower your odds for long-term health problems such as diabetes and heart disease. You and your doctor should talk about what your goals are so you can come up with a treatment plan. For example, if you want to get pregnant and are having trouble, ...

How to deal with PCOs?

One of the best ways to deal with PCOS is to eat well and exercise regularly. Many women with PCOS are overweight or obese. Losing just 5% to 10% of your body weight may ease some symptoms and help make your periods more regular. It may also help manage problems with blood sugar levels and ovulation.

Does PCOs cause high blood sugar?

It may also help manage problems with blood sugar levels and ovulation. Since PCOS could lead to high blood sugar, your doctor may want you to limit starchy or sugary foods. Instead, eat foods and meals that have plenty of fiber, which raise your blood sugar level slowly.

What is the best way to get your period back?

Hormonal birth control -- pills, a skin patch, vaginal ring, shots, or a hormonal IUD (in trauterine device) -- can help restore regular periods. These birth control methods may also lower your chance of having endometrial cancer, in the inner lining of the uterus.

Does birth control help with acne?

Taking just a hormone called progestin could help get your periods back on track. It doesn't prevent pregnancies or treat unwanted hair growth and acne. But it can lower the chance of uterine cancer.

Can PCOs cause hair growth?

Excessive hair growth. Sometimes PCOS causes unwanted hair growth, which your doctor can treat with medications and hair removal methods, such as: Depilatories: These are creams, gels, and lotions that break down the protein structure of hair so it falls out of the skin. Follow the directions on the package.

PCOS and Fertility

PCOS is a hormonal disorder that causes women to have infrequent or prolonged periods and to produce an excess of male hormones (androgens). It can cause irregular periods, weight gain, thinning hair and hair loss on the head, excess hair growth elsewhere on the body, and oily skin or acne.

PCOS and Gestation

The same issues that cause problems conceiving can create problems during pregnancy. These include altered hormone levels, obesity, and problems with blood sugar control.

PCOS and Postpartum

PCOS may cause long-term complications for the mother and baby. Women with PCOS are more likely to experience heart and psychiatric complications during the postpartum period. 6 These include postpartum preeclampsia, congestive heart failure (a poorly pumping heart that causes fluid buildup in the lungs), and postpartum depression.

Summary

PCOS can interfere with ovulation and make getting pregnant more difficult, but your doctor can recommend the appropriate lifestyle changes. Once you become pregnant, it's important to work with your doctor to keep your condition under control and minimize complications.

A Word From Verywell

PCOS is a condition that causes a hormonal imbalance. This can affect your ovaries and ovulation, making it more difficult to become pregnant. However, certain lifestyle changes and medications can help you conceive.

Frequently Asked Questions

With or without PCOS, it can take several days to a week after conception for your hormone levels to rise enough to be detected on a home pregnancy test. Follow the manufacturer's instructions on your test, but generally it's best to wait about a week after your missed period.

How to get pregnant with PCOs?

A few non-medicinal things to try: 1 Boost your vitamin D levels (if necessary). Adequate vitamin D levels could help women with PCOS conceive and have successful, healthy pregnancies, a University of Pennsylvania School of Medicine study found. Researchers found that women with PCOS who were vitamin D deficient were 40 percent more likely to have trouble getting pregnant and giving birth to healthy babies than those who weren't vitamin D deficient. 2 Eat some cinnamon. Taking 1.5 grams of cinnamon daily — a spice known to help regulate insulin levels — may be a safe and possibly effective way to help normalize your cycles and boost your odds of conceiving too, according to one small study. It can’t hurt to try, so see if sprinkling a spoonful on your morning oatmeal for a few months helps regulate your period.

Can PCOs cause miscarriage?

Women who have PCOS are more likely to have a miscarriage during the early months of their pregnancy than women who don't have the condition, but some research indicates that taking the medication metformin may reduce this risk.

How many women have PCOs?

Polycystic ovary syndrome, also known as PCOS, is one of the most common causes of female infertility. Because it affects as many as 5 million American women, or about 5 to 10 percent of those of childbearing age, there’s a good chance that someone you know has it. ...

Does PCOs interfere with ovulation?

More androgens. Women with polycystic ovary syndrome tend to have higher levels of androgen hormones, which can interfere with ovulation.

Does PCOs run in families?

PCOS appears to run in families, so if your mom or a close female relative has PCOS, your chances of also having it are higher. More androgens. Women with polycystic ovary syndrome tend to have higher levels of androgen hormones, which can interfere with ovulation.

Why do women with PCOs have high insulin levels?

Researchers have found that women with PCOS tend to have high levels of insulin (the hormone that regulates how your body breaks down sugar) because their bodies have a hard time using it properly. Insulin also controls ovarian function, and too much insulin in the body can cause irregular or absent ovulation.

Can too much insulin cause ovulation?

Insulin also controls ovarian function, and too much insulin in the body can cause irregular or absent ovulation. Being overweight or obese. While overweight women are at greater risk for PCOS and women with PCOS are at greater risk of becoming overweight, the jury is out on whether excess weight causes PCOS or vice versa.

Can you get pregnant with PCOs?

Two experts explain getting pregnant with PCOS. Navigating your fertility journey often starts with lots of planning, no matter what your situation is. But when you have a reproductive health condition like polycystic ovary syndrome (PCOS), you may find yourself planning out more steps in your journey than you’d anticipated.

What is PCOS in fertility?

But when you have a reproductive health condition like polycystic ovary syndrome (PCOS), you may find yourself planning out more steps in your journey than you’d anticipated. PCOS is a very common hormonal disorder and a leading cause ...

Why is PCOS a common cause of infertility?

PCOS is a very common hormonal disorder and a leading cause of infertility because of one of its hallmarks: irregular ovulation. While irregular ovulation can make getting ...

Why is PCOs so common?

PCOS is a very common hormonal disorder and a leading cause of infertility because of one of its hallmarks: irregular ovulation. While irregular ovulation can make getting pregnant trickier, you can work with your healthcare provider to build a medical plan and increase your chances of conception. We recently held a virtual PCOS panel ...

Why is fertility affected by PCOs?

Zore explain that fertility is affected by PCOS because of the hormonal imbalance related to the condition, often marked by very high testosterone levels and irregular pulsatile secretions of FSH, or follicle stimulating hormone, which is necessary for follicular growth . This imbalance disrupts ovulation, ...

What hormones do you need to ovulate?

For ovulation to occur, your brain has to produce LH (luteinizing hormone) and FSH (follicle-stimulating hormone), which then send signals to your ovaries. Dr. Conti refers to this as a “smooth cycle of hormonal communication,” ending with ovulation and a follicle releasing an egg each month to get fertilized.

How often do you ovulate with PCOs?

This hiccup in the process means you can’t ovulate regularly or release an egg 12 times a year. Someone with PCOS might only get a period every few months , or may have anovulatory cycles — meaning you don’t ovulate at all.

Can you get pregnant with PCOs?

This process is called ovulation. If a healthy egg isn’t released, it can’t be fertilized by sperm, meaning you can’t get pregnant . PCOS can cause you to miss your menstrual period or have irregular periods. This can be one of the first signs that you may have a problem such as PCOS.

Can PCOs cause irregular periods?

If a healthy egg isn’t released, it can’t be fertilized by sperm, meaning you can’t get pregnant. PCOS can cause you to miss your menstrual period or have irregular periods.

Why is it so hard to get pregnant in 2021?

One of the most common reasons a woman has trouble getting pregnant is a condition called polycystic ovary syndrome ( PCOS ). It’s a hormone problem that interferes with the reproductive system. When you have PCOS, your ovaries are larger than normal.

Why is PCOs considered a male hormone?

These are hormones that are usually thought of as male hormones, because men have much higher levels of androgens than women. Androgens are important in the development of male sex organs and other male traits.

Can you get pregnant if your egg isn't released?

If a healthy egg isn’t released, it can’t be fertilized by sperm, meaning you can’t get pregnant. PCOS can cause you to miss your menstrual period or have irregular periods. This can be one of the first signs that you may have a problem such as PCOS.

Can you take birth control with progestin?

Your doctor may prescribe birth control pills that contain man-made versions of the hormones estrogen and progestin. These pills can help regulate your menstrual cycle by reducing androgen production. If you cannot tolerate a combination birth control pill, your doctor might recommend a progestin-only pill.

Can you get pregnant with birth control pills?

You won’t be able to get pregnant while you’re taking birth control pills for PCOS. But if you need help ovulating so that you can become pregnant, certain medicines may help:

Can you have PCOs before conceiving?

Most fertility experts will advise women with PCOS to get their health in order before trying to conceive. You may not need to make a complete overhaul of your diet or lifestyle, but making a few simple changes can often make a huge difference in the health of your pregnancy. JGI / Jamie Grill / Getty Images.

Can PCOs make you ovulate?

Many women with PCOS have irregular menstrual cycles, which means that they may not be ovulating regularly or reliably. This can severely hamper your attempts to get pregnant. If you have menstrual difficulties, you may want to see your doctor or a reproductive endocrinologist for help early on.

Can smoking cause PCOs?

Smoking in women with PCOS is associated with increased insulin resistance and metabolic dysfunction, both of which can complicate pregnancy or make it more difficult to become pregnant. 1 .

Can being overweight cause infertility?

Being significantly overweight or obese can put you at risk for developing pregnancy complications, including preeclampsia, gestational diabetes, and preterm labor. It can even reduce your ability to conceive and lead to infertility.

Do PCOs cause insulin resistance?

Women with PCOS are more likely to have insulin resistance than women without. Prospective studies have shown that between 31% and 35% of women with PCOS have impaired glucose tolerance. 3  When these women become pregnant, they are at a higher risk of developing gestational diabetes.

How many women with PCOs have impaired glucose tolerance?

Prospective studies have shown that between 31% and 35% of women with PCOS have impaired glucose tolerance. 3  When these women become pregnant, they are at a higher risk of developing gestational diabetes. If your blood sugar isn’t well-controlled, see your doctor and make a plan to get it under control.

What are the nutrients that are needed for a healthy pregnancy?

A prenatal vitamin has higher amounts of certain vitamins and minerals like vitamin D, choline, folate, and docosahexaenoic acid (DHA) which are essential for a healthy pregnancy.

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