The process of becoming pregnant begins and depends on ovulation when an egg is released from one of the ovaries to be available for fertilization. Ovulation issues are the most common causes of infertility. One of the most common conditions leading to ovulation problems is polycystic ovarian syndrome (PCOS), and a diagnosis of PCOS can be a significant blow when you are trying to start a family. This can affect your menstrual cycle, fertility, and appearance. Here’s a comprehensive guide to understanding and enhancing fertility if you’re dealing with Polycystic Ovarian Syndrome (PCOS):
Understanding PCOS and Its Impact on Fertility Normal Ovary vs. Polycystic Ovary
Polycystic Ovarian Syndrome, or PCOS, is a health issue characterized by imbalances in reproductive hormones. This imbalance creates problems in the ovaries, which can affect the menstrual cycle and make it difficult to get pregnant. For successful conception, ovulation—the release of an egg—is crucial. Unfortunately, PCOS is one of the leading causes of ovulatory dysfunction. If you have PCOS, you might notice you have irregular periods, experience infertility, develop ovarian cysts, gain weight unexpectedly, battle with acne, suffer from depression, and see changes in body and facial hair, as well as hair on your head. Additionally, you might have insulin resistance, which can cause blood sugar levels to rise. Some of these symptoms are due to increased levels of the hormones called androgens.
Identifying PCOS
Diagnosing PCOS can be a bit tricky, as its symptoms often resemble other disorders. Some women only realize they have PCOS when facing difficulties in conceiving. If you suspect you have PCOS, you should consult your doctor for an evaluation that includes a discussion about your symptoms and medical history, a physical examination, blood tests, and potentially an ultrasound to check for cysts on the ovaries. Generally, two out of these three criteria are needed for a PCOS diagnosis: irregular or absent periods, higher levels of androgens (either based on symptoms or blood tests), and the presence of multiple ovarian cysts.
Boosting Fertility with PCOS
Even with PCOS, you can still achieve pregnancy. Here’s how you can increase your chances:
- Healthy Weight: Reaching and maintaining a healthy body weight can reduce insulin resistance and improve your PCOS.
- Nutrition Matters: Prioritize a diet rich in fruits, vegetables, whole grains (like oatmeal, barley, brown rice, and quinoa), lean proteins (like fish and chicken), beans, and lentils. Steer clear of unhealthy fats, excessive sugar, and simple carbs.
- Supplements: Consider supplements and prenatal vitamins, such as folic acid for neurological development, iron for increasing blood volume, and vitamins for eye development, as well as calcium and Vitamin D for bone health. Supplements would be recommended by Fertility expert doctors if needed.
- Blood Sugar Control: Regular monitoring of your blood sugar levels can help manage your condition. Post a thorough evaluation of your complete blood sugar profile, your doctor may recommend Metformin to treat insulin resistance along with exercises and a healthy diet.
- Medication for Ovulation: Antiestrogens like Clomiphene can help stimulate ovulation, with a good proportion of women successfully conceiving using these medications.
- Fertility Treatments: If medications don’t work, advanced fertility treatments such as hormone injections, surgical options to stimulate ovulation, Intrauterine insemination (IUI) or In Vitro Fertilization (IVF) may be suggested. IVF has shown promising results for women with PCOS.
The Silver Lining
Though PCOS can be a hurdle in your journey to becoming pregnant, with the right combination of lifestyle adjustments and medical interventions, the prognosis is positive. Many women with PCOS have successfully become pregnant, offering hope that with perseverance and appropriate care, you too, can hold a positive pregnancy test in the future.
Remember, each person’s journey with PCOS is unique, so personalized advice from our 9M fertility specialist is invaluable. Don’t lose heart; with continued effort and support, your chances of starting a family are optimistic!