Getting Pregnant With PCOS
For many women with polycystic ovarian syndrome (PCOS), irregular periods, hormonal imbalance, and lack of ovulation can make pregnancy more difficult. Although natural conception is possible, assisted reproductive technology (ART) is a great option to consider when pregnancy is desired sooner rather than later. During ART treatments like in vitro fertilization (IVF), medication and close monitoring can ensure conception success.
Making sense of PCOS
Approximately 7-10% of women of childbearing age will experience PCOS, a hormonal disorder that can cause infertility. The condition is characterized by irregular menstrual cycles, high levels of male hormones called androgens, and the presence of multiple small cysts on the ovaries. PCOS can lead to symptoms like acne, weight gain, and insulin resistance and is associated with an increased risk of conditions like type 2 diabetes and heart disease.
Pregnancy chances
When a woman is first diagnosed with PCOS, a common question is whether the ability to get pregnant will be negatively affected. Research estimates that about 70-80% of women with PCOS will have difficulty conceiving, but pregnancy is not impossible. Women interested in getting pregnant with PCOS should focus on healthy lifestyle choices. Exercising regularly, eating healthy, maintaining an appropriate weight, getting sufficient sleep, and cutting back on alcohol are all positive choices that can improve fertility. Keeping blood sugar balanced is another important tactic to increase the chance of conception. A doctor may recommend medication to keep insulin levels under control. Tracking the fertile window is also important.
Getting help with ART
If a woman with PCOS has tried to conceive unsuccessfully for some time, the next best step may be to investigate different ART options and consider pursuing fertility treatment. ART technically refers to any treatment where eggs or embryos are handled outside the body, so something like intrauterine insemination (IUI) would not fall under this umbrella. In vitro fertilization is the most common assisted reproductive technology treatment, making up more than 99% of ART procedures performed in the United States.
Your IVF baby
Women with PCOS generally have a good chance of achieving pregnancy with IVF, as the treatment can help bypass some challenges related to irregular ovulation. Success rates vary depending on factors like age, egg quality, and overall health but are often comparable to women without PCOS. Careful monitoring of hormones and the use of certain fertility medications can help women with PCOS speed up the baby’s timeline.
Embrace the journey
For many women with PCOS, the journey to pregnancy may come with unique challenges. However, by combining lifestyle improvements with assisted reproductive technologies like IVF, women with PCOS can increase their chances of conception. With personalized care, a proactive approach, and support from healthcare professionals, achieving a healthy pregnancy is an attainable goal for many women with PCOS, opening the door to the joy of parenthood.
