PCOS and pregnancy may seem like incompatible ideas, given how the mainstream narrative runs.
PCOS is understood to be the most common cause of infertility in women, which, it may seem, could affect your chances of getting pregnant. How true is that?
If you’re one of the 6 to 15% of women worldwide with Polycystic Ovary Syndrome (PCOS) who are trying to get pregnant, then you probably have many questions. Questions like, “Will I ever get pregnant?” or “How long will it take me to get pregnant?”
You soon learn that in order for you to get pregnant, there is a very small window in your menstrual cycle when fertilization happens. This window of opportunity gets even harder to figure out if your menstrual cycle isn’t exactly, well, cyclic.
If you are trying to conceive and wondering how PCOS affects your chance of getting pregnant and your pregnancy then read on.
In this article, we’ll talk about PCOS and its symptoms, getting pregnant with PCOS, pregnancy with PCOS and related complications, and the care you can take when pregnant with PCOS.
Polycystic Ovary Syndrome (PCOS) is a condition indicating hormonal imbalance in women. It happens due to the excessive production of androgens or male hormones.
Oftentimes, there is a delay in diagnosis or it goes undiagnosed until a woman wishes to conceive. This happens due to the unavailability of a single test for the diagnosis of PCOS.
Doctors usually rely on symptoms associated with PCOS to detect the condition. Symptoms may vary in each individual, though women affected by PCOS have known to commonly face some or all of the following.
Suppressed ovulation means you are not necessarily ovulating every menstrual cycle. This makes it very difficult for you to track your fertile days. This means that even though you get your menstrual cycle each month, fertilization will not happen if there is no egg released.
Anovulation means you don’t ovulate at all. In this case pregnancy is not possible due to lack of eggs released from your ovary. Anovulation is the #1 cause of infertility in women.
One way to track your ovulation is using an ovulation tracker. Inito’s at-home Ovulation Fertility Tracker can help.
This reliable instrument has proved effective by increasing chances of conception by 89%, tracking your cycles timely and accurately.
Women with PCOS have to undergo a lot, given the roller coaster of hormonal changes. Not to mention, the added stress of whether or not you can successfully conceive with PCOS is worrying.
But hear it from us – the good news is, a lot of women diagnosed with PCOS are able to get pregnant without intervention or treatment. We’ll get to that a bit later in the article.
Let us first begin by understanding why there lies a strain between PCOS and pregnancy and why your health condition may prove to be an obstacle in reproductive processes.
Such is the wonder of the human body that the signs and symptoms of pregnancy are quite similar to your periods. This might be even more confusing when you have irregular periods with PCOS.
When you’re trying to conceive, the best way to determine whether you are pregnant is by taking a home pregnancy test around 7 days after your missed period.
You may start experiencing symptoms early on since implantation occurs at 7DPO–10 DPO (days past ovulation). It is a good idea to take a pregnancy test even if your menstrual cycle isn’t regular or if you are not experiencing any of the symptoms listed below.
Here are a few early pregnancy symptoms to watch out for:
It’s worth noting that false-negative results are quite a possibility with PCOS due to the hormonal imbalance. So, it is advisable to take the test at least 7 days after your missed period.
The chance of a false positive is quite rare. But it could be possible if there is a problem with the test, like an expired test kit or if the test was read incorrectly.
Pregnancy tests measure the Human Chorionic Gonadotropin (hCG) levels in your body to determine pregnancy.
A false positive is also possible if you’re undergoing any fertility treatment as it might interfere with your hCG levels.
Women with PCOS are at risk of EPL (early pregnancy loss), defined clinically as first trimester miscarriage. EPL occurs in 30 to 50% of PCOS women compared with 10 to 15% of women without PCOS.
A few causes of increased risk of EPL in women with PCOS are:
After knowing that you are pregnant with PCOS and successfully completed your first trimester, the cycle of worry doesn’t end there. You might now be wondering what are the complications that can arise in later stages of pregnancy with PCOS and how to avoid them.
For pregnant women, PCOS brings a higher risk of complications in the later stages of pregnancy. These complications include:
As we mentioned above, reproductive issues with PCOS are common, starting with irregular menstrual cycles leading to suppressed ovulation or no ovulation at all. This is the #1 cause of infertility in women diagnosed with PCOS.
When trying to conceive with PCOS, managing symptoms is the path to success.
So, how do we go about managing PCOS when trying to conceive?
Lifestyle changes are one of the go-to doctor recommended steps before any kind of treatment or external interventions. These could be:
Maintaining a healthy BMI (Body Mass Index)
Curbing insulin resistance with diet and exercise
Keeping track of your ovulation:
You are born with all the eggs you’ll ever have in your lifetime. That number is approximately around 2 million at birth; 300-500 thousand at puberty; 2500 at age 37; and 1000 at age 51.
PCOS or not, experts believe that the best time to get pregnant is between your late 20s and early 30s. After that, the number of eggs decreases rapidly. Also, the quality of eggs starts deteriorating after the age of 35.
The age factor becomes even more important when you’re dealing with PCOS as it brings with it complications like menstrual cycles with irregular or no ovulation, which can potentially delay conception.
Check out this video to understand how to naturally maximize your chances of getting pregnant .
The most important thing to know about pregnancy with PCOS is that complications are quite real. It is best to keep your doctor informed about the changes in your body during your pregnancy.
A healthy diet and exercise routine with the necessary prescribed medicines under the supervision of your healthcare provider will keep complications to a minimum.
Keeping a positive attitude will keep stress and anxiety at bay. Rest assured, many women with PCOS have had healthy pregnancies and birth experiences.
The takeaway here is to stay hopeful and keep trying. It is possible to get pregnant with PCOS by managing your symptoms.
Learn more : Get Pregnant with PCOS: Your Complete Guide
You’ve got this momma!