Polycystic ovary syndrome and pregnancy. Prognosis and possible complications

Comparison of ovaries. Increase.

Polycystic ovary syndrome is a fairly common hormonal disease that significantly reduces the chances of conception and a healthy pregnancy. Some doctors believe that it is basically impossible to get pregnant with polycystic ovary syndrome, since the body does not produce enough hormones necessary for conceiving and bearing a child. However, with a timely diagnosis and proper treatment, polycystic ovary syndrome and pregnancy are not at all mutually exclusive concepts.

PCOS diagram. Increase.

Every woman faced with this diagnosis certainly asks doctors the question: is it possible to get pregnant with polycystic ovary syndrome? Pregnancy with this disease is possible, but it is quite difficult to achieve and requires enormous effort, both on the part of the expectant mother and on the part of her attending physician. Why is the likelihood of getting pregnant with polycystic disease so low?

PCOS is a hormonal disease caused by a malfunction of the endocrine system. With polycystic disease, a woman’s body begins to produce excess male sex hormones against the background of decreased production of female hormones necessary for conception. A lack of the female “beauty hormone” (estrogen) leads to the fact that the ovaries do not receive a signal from the pituitary gland to begin the cycle. Follicles do not develop, eggs do not mature, and ovulation does not occur.

Is it possible to get pregnant with polycystic disease if ovulation does occur? It is possible, but there is no 100% guarantee that the pregnancy will continue. Lack of estrogen leads to the fact that the endometrium - the upper layer of the uterine cavity, which receives the fertilized egg and helps it to gain a foothold there, is not able to fully perform its functions. In a healthy body, in the first phase of the menstrual cycle (several days before ovulation), under the influence of estrogen, the endometrial layer increases several times, preparing to receive the embryo. If hormones are insufficient or their quantity is unstable, the endometrium is not able to fully fulfill its task, so even in the case of successful ovulation and conception, the egg may not implant in the uterus, and the pregnancy may be terminated.

In a healthy body, after ovulation, the corpus luteum begins to actively produce progesterone, called the “pregnancy hormone.” It is responsible for the preservation of the fertilized egg and the normal development of pregnancy. With polycystic disease, progesterone is often produced in insufficient quantities, which also leads to early pregnancy termination.

With polycystic disease, the ovaries change their anatomy, increasing in size several times, which significantly complicates the release of the egg from them, blocking the normal movement to the uterus.

The scope of examination of a woman when diagnosing PCOS

How to get pregnant with polycystic disease

With polycystic ovary syndrome, you can become pregnant after a course of hormone therapy prescribed by your doctor. As a rule, this therapy cannot completely cure polycystic ovary syndrome, but it is enough to get pregnant and carry a child to term.

The goal of hormone therapy is to restore the menstrual cycle. For this purpose, oral contraceptives prescribed by the attending gynecologist are used. They are aimed at regulating the cycle and restoring the level of female hormones in the body. The next step is to stimulate ovulation. It is produced using an antiandrogenic drug - clostilbegit. Next, the optimal days for conception are calculated, which are confirmed by ultrasound of the ovaries (the study should show the formation of a dominant follicle). If ovulation and conception have occurred successfully, the woman is under close medical supervision during the first trimester of pregnancy. It is imperative to continue taking hormonal medications to compensate for the insufficient functioning of the corpus luteum and increase progesterone levels.

Quite often, doctors recommend supplementing hormone therapy with a special diet aimed at weight loss. PCOS can cause excessive obesity, and male sex hormones actively accumulate in fat deposits, which prevent pregnancy. Reducing the fat layer significantly reduces the manifestation of polycystic disease, increasing the chances of pregnancy.

How to get pregnant with polycystic ovary syndrome if hormonal therapy does not produce results? If pregnancy has not occurred within a year after starting therapy, doctors may recommend surgery. The need for surgery may arise in advanced and severe cases of polycystic disease. Modern technologies make it possible to carry out cyst removal through small incisions.

The operation helps to overcome polycystic ovary syndrome for a period of time, usually long enough to become pregnant. Statistics show that after surgery, pregnancy occurs in approximately 80% of women. However, even in successful cases, surgery is not a panacea. Often the effect lasts about a year or a year and a half, after which the disease may recur. Every effort should be made to get pregnant within the allotted time and carry the child without complications and problems.

Alternative ways to get pregnant with PCOS

It happens that polycystic ovary syndrome does not respond to either conservative or surgical treatment, and then the question arises: is it possible to get pregnant in other ways? If pregnancy does not occur due to anovulation within 1.5-2 years, doctors recommend turning to IVF programs - in vitro fertilization. This will also be an excellent solution for those women who had to completely remove their ovaries due to polycystic disease.

Carrying out IVF requires special attention from doctors, as well as proper preparation of the patient, since with polycystic ovary syndrome, an inadequate response of the ovaries to the drugs used during the procedure is possible. Therefore, the first step on the path to IVF should be a thorough and in-depth examination of the body, aimed at drawing up a picture of the individual characteristics of each case. Only after this can the doctor prescribe the necessary medications to prepare the body for fertilization.

In order for the IVF procedure for polycystic ovary syndrome to be effective and safe, you need to assess the possibility of developing complications in advance. The most common complication is ovarian hyperstimulation syndrome; with polycystic disease, the risk of its development reaches 12%. Also, patients with polycystic ovary syndrome have a high risk of developing multiple pregnancies and subsequent embryo reduction. Careful preliminary tests, proper preparation of the patient and careful observation of doctors throughout the procedure will help to avoid complications and achieve the desired result.

According to statistics, the success rate of IVF with a diagnosis of polycystic ovary syndrome is no lower than with other forms of infertility. This procedure allows you to conceive a child even if you cannot get a “native” egg due to a severe form of the disease or after removal of the ovaries.

What are the dangers of PCOS during pregnancy?

Polycystic disease does not completely exclude conception and pregnancy; it is quite possible to conceive with such a diagnosis, but the entire pregnancy will be accompanied by constant threats and complications for both the child and the pregnant woman. Those women who decide to become pregnant due to polycystic disease should be prepared for possible consequences:

• constant threat of spontaneous termination of pregnancy (miscarriage), especially in the early stages;
• in most cases - premature birth;
• danger of frozen pregnancy;
• persistent hypertension;
• excessive weight gain;
• the appearance of diabetes, its rapid development.

All these complications and threats are caused by one reason - the unstable functioning of the endocrine system, namely, a lack of female hormones. It is hormones that are responsible for whether pregnancy is possible with polycystic ovary syndrome and how easy and safe it will be.

Therefore, how to get pregnant with polycystic disease is not the only question that worries women. Continuing pregnancy against the background of polycystic disease raises no less questions. Due to hormonal deficiency, it is fraught with many complications, primarily spontaneous abortion. Therefore, it is extremely important to follow all the doctor’s recommendations and exercise extreme caution in everything, especially in the first few months of pregnancy. If this point is neglected, you may experience a miscarriage or frozen pregnancy. Both options will have an extremely negative impact on the woman’s health, further complicating the path to the desired pregnancy.

Polycystic disease itself causes excessive weight gain, and during pregnancy this process can accelerate several times. Excess weight creates a huge burden on the body, all of whose strength is spent on preserving and developing the child, so it is necessary to strictly monitor this indicator. Your doctor will advise you on the appropriate diet and level of physical activity. You cannot select them yourself, as this can harm the health of mother and baby.

Conclusions from the article

is a poorly understood and complex disease. All elements of the endocrine system take part in its development, so treatment should be just as comprehensive. It is not worth refusing treatment under the pretext of preventing unwanted pregnancy, as this can have serious consequences for overall health. In addition, there are cases where pregnancy occurred even in the absence of treatment, but they are, of course, extremely rare.

Unfortunately, modern medicine does not know the answer to the question of how to quickly get pregnant with polycystic ovary syndrome. This is an insidious disease that may not cause any inconvenience for many years and be discovered only after several unsuccessful attempts to get pregnant. But early diagnosis significantly increases the chances of successful treatment. But even in this case, treating PCOS requires a lot of time and joint efforts between the woman and her doctor. Read more about the types and methods of treatment in this article! About .

Polycystic ovary syndrome is otherwise called polycystic ovary syndrome (PCOS, PCOS), polycystic ovary disease (PCOD), Stein-Leventhal disease.

Important: Polycystic ovary syndrome is not uncommon and is found in approximately 11% of women of childbearing age.

Polycystic disease is based on a serious hormonal disorder, as a result of which an excess amount of male sex hormones begins to be produced in a woman’s body, and the amount of female sex hormones, on the contrary, decreases. As a result, the structure of the ovaries changes: they increase several times and a large number of small cysts with liquid contents appear in them. The functioning of the ovaries also undergoes pathological changes, resulting in disruption of the menstrual cycle and resulting infertility.

Externally noticeable manifestations of polycystic ovary syndrome are:

• hirsutism - the appearance of facial hair and its excessive growth on the body. In 70% of women with excess hair growth, polycystic ovary disease is detected;
• baldness at the temples and crown, which is uncharacteristic for most women;
• excessive sebum secretion, the appearance of pimples and blackheads, oily seborrhea;
• the appearance of excess weight, which is located mainly on the tummy;
• increase in blood insulin levels;
• change in the basal temperature schedule: basal temperature remains unchanged throughout the entire cycle, and normally should increase in the second half of the cycle;
• long delays or complete absence of menstruation. At the same time, rare menstruation can be very heavy and prolonged;
• nagging, non-sharp pain in the lower abdomen;
• the appearance of compacted areas in the chest similar to mastopathy;
• inability to conceive a child.

Most often, the first symptoms of polycystic ovary syndrome appear during puberty and that is why they often go unnoticed, as they are attributed to the characteristics of adolescence.

Important: the debut of polycystic ovary syndrome most often occurs at the ages of 12-14 and 28-30 years.

Only a qualified doctor can help identify pathology in a timely manner. In this case, a comprehensive examination may be required, since a competent doctor will not make such a diagnosis only based on ultrasound results. In addition to the mandatory ultrasound examination, it is necessary to take a blood test to determine the level of hormones and biochemical indicators. Sometimes an endometrial biopsy may even be required.

Hormonal imbalance is the direct cause of PCOS. Most scientists are inclined to believe that genetic predisposition and congenital metabolic pathologies play a huge role in this. In the absence of these, the following can provoke a hormonal imbalance in the body and ultimately lead to polycystic disease:

• chronic infectious diseases;
• obesity and (or) diabetes;
• complications after abortion;
• difficult previous pregnancies and births.

Why is it difficult to get pregnant with polycystic disease?

Polycystic ovary syndrome is not a death sentence for those who want to get pregnant. Sometimes women with this diagnosis became pregnant even without appropriate treatment, although this is very rare.

Important: With polycystic ovary syndrome, it is difficult not only to get pregnant, but also to bear a child. The number of spontaneous miscarriages with this disease is much higher than among healthy women.

Treatment for polycystic ovary syndrome increases the chances of conceiving and carrying a child to term many times over. But the struggle for the unborn child will be serious, because it is necessary to overcome several factors at once that prevent the long-awaited pregnancy from occurring:

1. Endocrine factor. In polycystic disease, the hormonal system is so shaken that the body does not receive the signals it needs that it is time to release an egg ready for fertilization or prepare the uterus for possible conception. And if conception does occur, the endocrine system cannot adjust to the “pregnant” mode in time, which makes bearing a child impossible.
2. The anatomy of polycystic ovaries is such that they prevent the egg from leaving the ovary during ovulation. Increased in size, they simply block the normal movement of the egg on its way to the uterus.
3. Endometric factor. The endometrium is the inner lining of the uterus. Whether a fertilized egg can take root in the uterine cavity largely depends on its condition. At the same time, the condition of the endometrium is completely controlled by hormones. And since in polycystic disease hormonal control over the endometrium is unstable, pregnancy is unlikely.

What are they doing b?

The question is rhetorical. Polycystic ovary syndrome cannot go away on its own, which means it needs to be treated. At least if you want to get pregnant.

Treatment of polycystic disease is a difficult but completely doable task. The determining role in achieving success is played by:

• advanced stage of the disease: the earlier polycystic disease was identified, the more effective its treatment;
• age of the patient: in young girls, treatment of polycystic disease can be much more effective than in older girls;
• the woman’s desire to be cured, and her willingness to follow all the doctor’s recommendations;
• the presence or absence of concomitant diseases: obesity and diabetes, including.
• qualification of the attending physician.

What if you do nothing?

In case of therapeutic inaction, a patient with polycystic disease faces:

• inability to become pregnant and bear a child;
• heavy uterine bleeding;
• increased risk of cancer of the female genital organs and breasts.

Important: Polycystic disease is a direct threat to a woman’s health. Therefore, even if there is no desire to get pregnant, it is necessary to treat polycystic disease.

Video - polycystic ovary syndrome

How to get pregnant with polycystic disease: traditional medicine version

Treatment of polycystic ovary syndrome in order to restore reproductive function includes a number of measures:

• If you are overweight, you need to lose it. Cases have been recorded where weight loss alone contributed to the almost complete disappearance of all symptoms of polycystic disease, ovulation and the ability to conceive were restored.

Important: Adipose tissue acts as a kind of storage room in which male sex hormones accumulate. The smaller the fat reserves, the weaker the hormonal impact of androgens on the female body.

• If the patient is diagnosed with diabetes mellitus, then long-term treatment with special drugs is required that normalize glucose levels and thereby contribute to the partial disappearance of external signs of polycystic disease. The treatment regimen in this case is developed by an endocrinologist or gynecologist-endocrinologist.
• Hormone therapy is an almost inevitable method of treatment for PCOS. Patients should not be afraid of taking hormones, because their own hormonal levels really need just such correction from the outside. Taking synthesized hormones helps increase the level of your own female sex hormones and get rid of excess male hormones, causes ovulation and prevents miscarriage. As a result of adequate hormonal therapy, approximately 70% of women with polycystic disease become mothers.

Important: Only a doctor has the right to prescribe hormonal medications and monitor the progress of treatment. Self-medication and online treatment can lead to irreparable results.

• If pregnancy does not occur within a year after starting hormonal therapy, surgical intervention is indicated. The operation is performed using laparoscopy and during the procedure, cysts from the ovaries and thickened areas of connective tissue are removed. As a result, the production of male sex hormones sharply decreases, and the likelihood of ovulation and conception increases. True, the effect of the operation is most often temporary and lasts only six months to a year: the patient must make every effort to become pregnant in this allotted time period.

Important: As a result of surgery, pregnancy occurs in approximately 80% of women.

How to get pregnant with polycystic disease: version of traditional medicine

Treatment of polycystic ovary syndrome with traditional medicine is based on the healing power of plants. In fact, some of them actually have a weak therapeutic effect and can slightly affect a person’s hormonal levels, since they contain special substances - phytoestrogens.

Important: Phytoestrogens are not hormones, but substances of plant origin. But in their action they may vaguely resemble the action of female sex hormones.

The effect of folk remedies for the treatment of polycystic ovary syndrome is insignificant. Most often, it is simply caused by simultaneous treatment with traditional medicine. In order for herbal treatment not to harm, but to promote recovery, all non-traditional therapeutic measures should be coordinated with your doctor.

Important: Treatment with folk remedies should not be the only or leading method of getting rid of polycystic ovary syndrome. Otherwise, the risk of worsening the disease and developing complications such as infertility increases.

The most popular and effective recipes for the treatment of polycystic ovary syndrome:

There are diseases whose presence prevents successful conception. One of them is polycystic ovary syndrome.

This disease occurs quite often in girls of childbearing age. It is characterized special structure of the ovaries, which significantly affects implementation. Early diagnosis of the disease increases the likelihood of pregnancy.

What is polycystic disease?

Not all women manage to get pregnant the first time. Sometimes The planning process may drag on for months or many years. One of the causes of developing infertility is polycystic ovary syndrome. In gynecology, the abbreviation PCOS has appeared, characterizing this disease.

PCOS is a hormonal disorder that results in the formation of multiple cysts.

In a healthy body, by the end of the cycle, one dominant follicle matures, but with polycystic disease there are several of them and, due to hormonal imbalance, they all develop into functional cysts.

And in the second, the disease progresses with pronounced symptoms. The woman has amenorrhea or... And also with such a deviation, the following symptoms can be detected:

• Male pattern hair growth.
• Having excess weight.
• Acne on the skin.
• Increased sweating.
• Increased ovarian volume.
• Irregular or absent menstruation.

The combination of symptoms of the disease in one person is very rare. Most often there are 3-4 symptoms. Deviations can be identified using procedures such as:

• Ultrasound examination of the pelvic organs.
• Laparoscopic diagnosis.

REFERENCE! The diagnosis is made definitively only after the inability to conceive for a year.

Is it possible to get pregnant with polycystic ovary syndrome?

Getting pregnant with PCOS is problematic. This diagnosis is equivalent to infertility, but the disease is treatable, which consists of hormonal adjustments using certain medications. Episodes of pregnancy also occur in the absence of treatment. Doctors believe that this is a matter of chance. The main feature of the course of polycystic disease is, but in some situations it does occur, although very rarely.

In case of successful treatment and if conception has taken place, careful monitoring by specialists is required. The expectant mother may have to take certain medications during pregnancy progesterone based.

They will help avoid miscarriage. In women with this deviation, pregnancy, as a rule, is difficult, but it is quite possible to give birth to a healthy child in this situation.

ON A NOTE! To maintain the second phase or during pregnancy, Duphaston or Utrozhestan are most often prescribed. Sometimes progesterone injections are prescribed.

Treatment methods

The method of treatment directly depends on the intensity of the disease. First used conservative methods. A woman must undergo diagnostics, which consists of an ultrasound examination of the pelvic organs. It is necessary to know the amount of hormones such as:

• LH and FSH.
• Progesterone.
• Testosterone.
• Prolactin.
• Estrogens.

Using an ultrasound, a specialist determines the condition of the ovaries. TO characteristic signs of polycystic disease include enlarged organs and multiple follicles.

The disease is often confused with multifollicular ovarian syndrome. The diseases have the same manifestation pattern, but they also have differences. With MFN this also does not occur, but cysts do not form.

Once the diagnosis is confirmed, comprehensive treatment is prescribed. There are several possible treatment options. These include:

• The course of treatment is OK.
• Stimulation.
• Carrying out.
• Taking progesterone-containing drugs.

REFERENCE! Treatment is carried out by a highly specialized doctor. He is called a gynecologist-endocrinologist. In certain situations, you may need the help of a fertility specialist.

It is possible to successfully cure polycystic ovary syndrome in order to become pregnant in the future, but strictly under the supervision of a qualified specialist. Otherwise, the existing situation can only be aggravated, provoking even greater hormonal imbalances.

Some women are treated with folk remedies or pharmaceutical herbs, but they can harm the body if taken incorrectly. The most common and effective herbs for diseases of the genital area are:

• ortilia unilateral;
• Linden;
• raspberry leaves;
• red brush.

For each herbal decoction It is prescribed to be taken on a specific day of the menstrual cycle.


At the initial stage of the disease, hormonal contraceptives are prescribed. They are selected after receiving the results on hormone levels. During the reception, the body believes that it is pregnant, so it does not happen. Consequently, conception is impossible, but menstrual-like bleeding is present.

After discontinuation of the drug, the ovaries actively begin to function. Sometimes not one, but several follicles mature. In such a situation it is possible multiple pregnancy.

ATTENTION! Experts note that when OCs are discontinued, twins are often conceived.

Stimulation is prescribed if treatment with birth control pills does not help. It is indicated only when the follicle does not rupture for more than three cycles.

At the beginning of the cycle, medications are started, stimulating follicle growth. From about the 9th day of the cycle, medications are used that provoke an increase. When the follicles and the surface lining the uterus reach the desired size, an hCG injection is performed. It causes the largest follicle to burst. As a result of this, it leaves the ovary and goes towards the uterus.

IMPORTANT! Before stimulation, you should definitely undergo a procedure to check the patency of the fallopian tubes. This will eliminate the risk of developing an ectopic pregnancy.

Is diagnostic. It is carried out if conservative methods do not work. The cause of polycystic disease can be not only hormonal disorders, but also the abnormal structure of the ovaries. Their walls may thicken over time.

As a result, it cannot leave the ovary. Even stimulation in this case will be useless. During the operation incisions on the ovaries. Thanks to this, a woman can become pregnant in the next cycle.

Laparoscopy is a simple operation and usually does not take much time. It is not considered cavitary. Several punctures are made in the patient's abdomen. Through the holes, doctors can reach the ovaries using special instruments. The recovery period after surgery does not take much time. The woman can return to her usual activities the very next day.

IVF is an extreme way to get pregnant against the background development of polycystic disease. It is carried out when other methods do not work. In preparation for the procedure, follicle growth is stimulated. The required amount is extracted from the ovaries, which are fertilized with the man’s genetic material under artificial conditions.

If a woman with this deviation is overweight, then she needs to lose it before starting. If you have PCOS, you should follow a special diet. It is recommended to exclude starch, flour products and sugar from the diet. More attention should be paid to vegetables, fruits, herbs and protein foods.

REFERENCE! Correcting body weight leads to normalization of insulin and androgen levels in the female body, which has a positive effect on the restoration of menstruation.

Sports in the presence of the disease are not contraindicated, but some exercises should be performed with caution. This is especially true for the menstrual cycle. If a woman has cysts, they may burst when lifting weights or pressing her abs.

Despite the complexity of the disease, it can be successfully treated, so pregnancy with polycystic disease is possible. Diagnosis is not a sentence. Most patients with this pathology become happy mothers. A prerequisite in this case is to follow the instructions of the attending physician.

If you ignore the disease, it can develop into diabetes or oncology. In most cases, symptoms of PCOS disappear after childbirth. That is why experts recommend that women with this diagnosis get pregnant as soon as possible.

Content

A woman may face obstacles on her way to the desired pregnancy. Reproductive function is directly dependent on the state of the endocrine system, and when it fails, the joy of motherhood remains only a dream. When diagnosing polycystic ovary syndrome, the disease itself is not a death sentence, but if left untreated, infertility cannot be avoided.

What is polycystic ovary syndrome

Hormonal imbalance leading to the formation of small cysts and causing enlargement of the ovaries is a female disease called polycystic ovary syndrome. Fluid-filled neoplasms disrupt reproductive function, so ovulation occurs either unplanned or does not occur at all. Often the female disease is asymptomatic or its symptoms may be similar to other gynecological diseases. Only when a problem arises with conceiving a child does it make itself clearly known.

Is it possible to get pregnant with polycystic ovary syndrome?

A confirmed diagnosis is not a death sentence for a woman. Polycystic ovary syndrome and pregnancy are not always mutually exclusive concepts. In medical practice, there are many examples when patients with this disease were able to conceive, bear, and give birth to a child. This can be done even without treatment, but the main obstacle is the stage of the disease, which significantly affects the possibility of conception.

How to get pregnant with polycystic ovary syndrome

If the follicle, and with it the egg, are produced regularly, then polycystic ovary syndrome and pregnancy will not interfere with each other. Over the course of a year, a woman will be able to conceive without medical intervention, and to determine the days of ovulation, the doctor will recommend measuring basal temperature. You will have to think about further treatment under the supervision of a gynecologist or endocrinologist after a year. In order for polycystic ovary syndrome and pregnancy that does not follow it to cease to be a cause for concern, it is necessary to normalize the menstrual cycle, and this may take six months or more.

How to cure polycystic ovary syndrome to get pregnant

A dangerous female disease that threatens infertility and uterine cancer, can be successfully treated with conservative or surgical treatment. The latter is a last resort when other methods have been tried, but it is necessary to prevent the development of a more serious disease. Traditional healers offer effective treatment methods, and the following methods help solve the problem of polycystic disease and speed up pregnancy:

• Conservative treatment. Polycystic ovary syndrome, but not the cause of the disease, is successfully treated with hormonal therapy. Taking oral contraceptives helps restore the menstrual cycle. A doctor can prescribe pills only after examination and blood tests for hormones.
• Surgical intervention. Progressive pathology is a direct indication of the need for surgery. Laparoscopy is considered the most gentle, in which several small incisions are made and instruments are inserted to remove seals with liquid and adhesions, which helps restore regular menstruation. Wedge resection helps normalize ovulation in more serious ovarian lesions. The surgeon partially removes the pathological tissue, and for a successful result you also need to take hormonal medications.
• Folk remedies are proven recipes based on the gifts of nature that help cope with the treatment of the disease, and pregnancy does not take long to arrive.

You should consult with your doctor about the choice and duration of the course; most folk recipes go well with drug therapy, helping to cure the disease:

1. Viburnum juice with honey. A natural medicine is prepared from fresh berry juice and flower honey, mixed in equal proportions. For the first week, the mixture is taken in the morning on an empty stomach, starting with a volume of a quarter teaspoon; the second week - a third, the next week - a full teaspoon, and on the fourth - a tablespoon of the mixture. Then they take a break for one month and start taking a tablespoon again, gradually reducing the volume to the initial amount every week.
2. Peony tincture. This drug can be bought at a pharmacy, and the important condition is to take it strictly according to the schedule, i.e. at the same time for a month. The scheme for taking the solution (1 teaspoon of peony infusion mixed with 1 teaspoon of water) is as follows: three times a day, at a certain time, and after a month, take a break for 10 days, repeat the course three times.
3. Red brush. Prepare a herbal tincture with alcohol (vodka), keeping the proportion of 0.5 liters of alcoholic liquid per 80 g of dry red brush. Infuse the mixture for a week, leaving it in a dark place, and then take half a teaspoon three times a day.

When to plan a pregnancy after laparoscopy

Although minimal surgical intervention is considered less traumatic, it does introduce limitations. After laparoscopy, pregnancy planning begins with a course of medication to stimulate ovulation. After about three to four months, the functioning of the ovaries will normalize, which will make pregnancy possible. Even complete removal of the ovaries will not be a death sentence for a woman: it will be possible to conceive and give birth to a child through the use of assisted reproductive technologies, stimulation or IVF.

Video

Although polycystic ovary syndrome can be an obstacle to pregnancy, many women are able to successfully conceive and give birth to a healthy child with polycystic syndrome. In some cases, pregnancy occurs on its own, and sometimes in order to become pregnant a woman needs to undergo a course of medication or even undergo ovarian surgery.

I have polycystic ovary syndrome and I want to get pregnant. What to do?

Not all women with PCOS require treatment to become pregnant. If you have regular periods, you may be able to get pregnant on your own without medical intervention. Usually, in this case, the doctor gives 1 year for conception. At this time, it is recommended to conduct and use, which will help you understand on what days the conception of a child is most likely. If pregnancy has not occurred within a year, you need to be treated.

If you have irregular periods or have not been able to conceive a child within a year, your doctor will prescribe treatment. You need to prepare for the fact that the long-awaited pregnancy may not occur immediately after starting treatment, but after another 6-12 months.

Why was I prescribed birth control pills if I want to get pregnant?

Birth control pills are the drug of choice (that is, “first aid”) in the treatment of polycystic ovary syndrome. Of course, while taking these pills you will not be able to get pregnant, but after completing the course of treatment (which lasts from 3 to 6 months), the chances of pregnancy increase significantly. This paradox is due to the fact that hormonal birth control helps regulate the menstrual cycle, and after stopping the pill the woman usually ovulates.

Most often, for polycystic ovary syndrome, birth control pills with an anti-androgenic effect are prescribed:, etc.

What is ovulation stimulation?

If you have irregular periods and no ovulation with polycystic ovary syndrome (this can be checked using an ultrasound of the ovaries or ovulation tests), then your gynecologist may recommend ovulation stimulation.

Ovulation stimulation is a treatment in which you take certain hormones in the form of pills or injections on certain days of the menstrual cycle. Thanks to these hormones, a follicle matures in the ovaries, which, bursting in the middle of the menstrual cycle, releases the egg. This process is called ovulation. It is on the day of ovulation that a woman can become pregnant.

What tests should be taken before ovulation stimulation?

In order for ovulation stimulation to be effective and still lead to pregnancy, it is necessary that your husband has high-quality sperm and that your fallopian tubes are passable. Otherwise, all treatment will be in vain.

Before inducing ovulation, your husband must undergo a semen analysis (spermogram), and you must undergo a (tubal patency test). If everything is in order with these tests, then you can begin stimulating ovulation.

What medications are used to stimulate ovulation?

To stimulate ovulation in polycystic ovary syndrome (and some other diseases), medications containing hormones are used: Clomiphene (analogues: Clostilbegit, Clomid, etc.), human chorionic gonadotropin (hCG, analogues: Pregnil, Horagon, etc.) and, sometimes, Duphaston. Each of these medications must be taken on certain days of the menstrual cycle, which are determined by your gynecologist.

The most common scheme for stimulating ovulation is as follows:

The above scheme for ovulation stimulation is approximate and can be modified by your gynecologist depending on the duration of the menstrual cycle and ultrasound data.

What if ovulation stimulation doesn't work?

If, as a result of stimulation, the follicles have not reached the desired size and ovulation has not occurred, then in the next cycle your gynecologist will increase the dose of Clomiphene. In each new cycle, the doctor will increase the dose of Clomiphene until the follicles grow to the desired size, or until the dose of the drug reaches 200 mg. A further increase in dose is pointless, since the ovaries are probably resistant (immune) to this drug. But this problem can also be solved. If Clomiphene does not help, then in the first half of the next cycle you will be prescribed a drug from another group, which also stimulates follicle growth. This is a menopausal gonadotropin (Menopur, Menogon, Gonal, etc.)

The administration of the drug begins on the 2-3rd day of the menstrual cycle and regularly (every few days) monitors the growth of follicles using ultrasound. When one of the follicles reaches the desired size, ovulation stimulation continues according to the usual pattern, starting from step 3.

Are there any side effects of ovulation stimulation?

Like any other drug effect on the body, ovulation stimulation is associated with some risks. That is why ovulation stimulation should only be carried out under the supervision of a gynecologist, who will be able to notice in time if something goes wrong.

One of the most dangerous side effects of ovulation stimulation is ovarian hyperstimulation syndrome. With hyperstimulation, a large number of follicles mature in the ovaries at once, which leads to an increase in the size of the ovaries, the appearance of pain and discomfort in the lower abdomen, as well as the accumulation of fluid in the abdominal cavity. Excessive enlargement of the ovaries can lead to their rupture. In order to timely identify hyperstimulation syndrome and prevent serious complications, women undergoing ovulation stimulation courses must regularly undergo ultrasound monitoring of the ovaries on the days indicated by the gynecologist.

What is Metformin (Siofor)?

Your gynecologist may recommend Metformin (Siofor) as a treatment for infertility due to polycystic disease. By itself, Metformin is not a drug for the treatment of infertility, but it has been observed that in women with polycystic ovary syndrome, while taking this medication, periods become regular, ovulation appears and pregnancy becomes possible.

Metformin is used mainly in the treatment of diabetes mellitus. But even if you do not have diabetes, this drug may have a beneficial effect on the course of polycystic ovary syndrome.

Among other things, there is evidence that taking Metformin before stimulating ovulation reduces the risk of ovarian resistance to Clomiphene.

The effect of Metformin on the likelihood of becoming pregnant with polycystic disease has not yet been fully studied, and some doctors recommend taking this drug only if a woman has shown signs of insulin resistance (increased fasting blood glucose levels). Other doctors prescribe Metformin regardless of blood glucose levels. Time will tell who is right, but in the meantime more and more data are being published on the effectiveness of Metformin in the treatment of infertility in polycystic ovary syndrome.

There are several studies that have shown the advisability of taking Metformin not only when planning pregnancy, but also in the first trimester of an existing pregnancy. It is noted that Metformin reduces the risk of miscarriage in polycystic ovary syndrome. However, the effects of Metformin on the fetus have not yet been fully studied, so you should consult your doctor before starting to take Metformin.

What is laparoscopy for polycystic ovary syndrome?

Laparoscopy is an operation performed under general anesthesia. A distinctive feature of laparoscopy is that the surgeon does not make large incisions on the abdomen and therefore you will not have a memory of this operation in the form of a large scar. All surgeon manipulations are carried out through small punctures in the skin of the abdomen using thin instruments.

The very next day after laparoscopy you will be able to walk, and 1-2 days after the operation you will be discharged from the hospital.

How will laparoscopy for polycystic disease help me get pregnant?

One of the methods of treating infertility with polycystic ovary syndrome is the ovarian drilling procedure. Drilling is performed during laparoscopy and involves the removal of sections of the thickened ovarian capsule. Thanks to this procedure, two goals are achieved at once: firstly, ovulation becomes possible through the holes in the capsule, and secondly, the level of male sex hormones in the blood decreases (since it is in the capsule that their enhanced synthesis occurs).

How long after laparoscopy can I get pregnant?

As a rule, already in the next menstrual cycle after laparoscopy you have every chance of becoming pregnant. According to statistics from the American Society for Reproductive Surgery, more than half of women who undergo ovarian drilling become pregnant within a year after surgery, and most regain a regular menstrual cycle.

Does PCOS increase the risk of miscarriage?

Women with polycystic ovary syndrome have a slightly higher risk of miscarriage than women without polycystic ovary syndrome. The most likely cause of miscarriage with polycystic disease is a hormonal imbalance that persists throughout pregnancy.

It is also noted that pregnant women with polycystic disease have a slightly higher risk of developing (diabetes mellitus during pregnancy), increased blood pressure, and.

Women who become pregnant due to polycystic ovary syndrome require more careful monitoring by a doctor.