PCOS and Pregnancy
The most common reason that women who have PCOS have trouble getting pregnant is that they don’t have regular periods, and that means that they don’t ovulate every month. The good news for women with PCOS is that this is one of the most treatable forms of infertility.
About eighty percent of women with PCOS who don’t ovulate regularly on their own, usually respond to simple oral medications and over half of those women become pregnant within four months without any additional assistance. For those women who continue to have trouble conceiving despite those treatments there are other medication options available in those options are highly successful in women with PCOS.
There are two medications that fertility doctors frequently prescribe.
- Clomiphene citrate also referred as “Clomid”, which is a medication that has been used for fertility for over fifty years. It’s well established and very safe oral medication that is usually taken for five days early in the menstrual cycle and again produces ovulation in about eighty percent of women with PCOS. It’s generally well tolerated although it does have some side effects.
- Metformin, which is most commonly used as a first-line medication for the treatment of type 2 diabetes. When compared to the use of clomiphene citrate for ovulation in women with PCOS, Metformin it’s a newer medication has been has been recently studied for this purpose. It also has a significant success rate in inducing ovulation and leading to pregnancy in women with PCOS, who didn’t respond to clomiphene citrate.
The fertility doctor usually strategize how to use one medicine versus the other. Clomiphene for example might be preferred when time the conception is essential often in women beyond the mid-thirties where essentially they’re trying to get pregnant as soon as they possibly can. Metformin has a lesser risk of having a twin or multiple pregnancy. In some cases, If metformin does not by itself help a woman with PCOS to conceive, then the physician may prescribe clomiphene citrate (Clomid) as well.
Although these are alternatives for getting pregnant with PCOS, there can also be consequences. Some of the drawbacks include the fact that fertility injections can cause a woman’s ovaries to become sore and enflamed. In addition, some of the procedures are carried out fully to term, while others sadly end in miscarriage. On the other hand, some may count it a joy rather than a consequence that fertility treatments can also lead to the conception of multiple babies. Women which are having PCOS should also be monitored closely to prevent premature deliveries and miscarriages.
There are other risks associated in women with PCOS once they are pregnant. Getting pregnant with PCOS is one thing, staying pregnant with PCOS can be another. PCOS patients have greater risk factors in pregnancy due to the inherent issues caused by the disorder. For this reason, the complications of preeclampsia (high blood pressure caused by pregnancy) and gestational diabetes (caused by high blood sugar in pregnancy), are significant risk factors.