The most realistic way to get pregnant with polycystic ovary syndrome. Polycystic ovary syndrome: is it possible to get pregnant?

Problems with pregnancy can occur in women of reproductive age due to various reasons, and the pathology of polycystic ovary syndrome is one of them. Having heard such a diagnosis, many people think that they will no longer be able to have children. However, doctors assure that with a competent approach to the treatment of pathology, polycystic ovary syndrome and pregnancy are by no means mutually exclusive.

The insidiousness of the pathology is that at the initial stage of its formation, the symptoms of the disease are ambiguous and often women for some time are not aware of what exactly may be the reason for their unsuccessful attempts to get pregnant.

When the diagnosis is confirmed, this means that a woman can plan a pregnancy with polycystic ovary syndrome, but efforts will be required to overcome all existing deviations in the female sphere associated with the phenomena of hormonal dysfunction. Disturbances in the coordinated interaction of the organs of the endocrine system: adrenal glands, thyroid gland, areas of the pituitary gland and hypothalamus, lead to structural changes in ovarian tissue.

The surface of the ovaries is covered with multiple cysts, formed as a result of underdevelopment of the follicles in which the egg ready for fertilization should mature. As a result, a woman’s menstrual cycle and ovulation process are disrupted, which leads to infertility.

Pathology is found both in nulliparous women and after childbirth. The diagnosis frightens many people so much that they not only don’t think about pregnancy, but begin to fear sexual relations. Is it possible to have sex with polycystic disease? This is not an idle question. Sometimes the pathology is associated with pain or other symptoms that force a woman to make adjustments to her sex life. But you should not give up sex, but take care of your health by turning to experienced specialists.

However, polycystic ovary syndrome is not a death sentence at all; the pathology can be treated. Is it possible to get pregnant with polycystic ovary syndrome? Experts give this chance to all women who want to get pregnant. But for this you need to undergo a certain course of treatment.

Doctors determine which treatment is appropriate for the patient, based on the degree of development of pathological changes in the ovaries, the production of necessary hormones and other associated factors. A woman needs to undergo a comprehensive examination so that the doctor can decide on a treatment regimen.

Treatment methods

The question of how to get pregnant with polycystic ovary syndrome remains relevant for all young women. Patients diagnosed with polycystic ovary syndrome should rely on the competent opinion of doctors, and not waste time using the advice of traditional healers. After all, many of them have a very dubious reputation.

I would like to warn all women: do not self-medicate, modern medicine offers several effective methods on how to cure polycystic disease in order to get pregnant. Whether it is possible to completely recover from this pathology is an open question, but pregnancy is possible.

This is what experts say and cite as examples the stories of those patients who became pregnant with polycystic disease.

Methods of conservative therapy make it possible to regulate the regularity of the menstrual cycle, stimulate ovulation, which increases the possibility of pregnancy many times over. The duration of treatment depends on the individual characteristics of the patient and can last up to a year. If during this time the desired pregnancy does not occur, do not despair. Polycystic disease and pregnancy are not so incompatible.

Surgical methods for treating pathology can help restore the functional activity of the ovaries, when, as a result of surgery, conditions will be created for the normal maturation of the egg, which means the likelihood of getting pregnant will increase. Getting pregnant with polycystic ovary syndrome is quite possible if you take treatment measures responsibly.

Conservative (medicinal) method of treating pathology

Conservative treatment involves a step-by-step approach, with which you can:

Regulate the normal cyclicity of the menstrual cycle;
Normalize the production of sufficient amounts of female sex hormones;
Reduce the synthesis of excess male sex hormones - androgens.
Normalize the patient’s body weight;
Balance the amount of hormones produced by other endocrine glands (hypothalamic-pituitary system, adrenal glands, pancreas and thyroid glands).

Medications are selected for each patient individually, based on test results based on hormone production indicators obtained during diagnostic procedures. The doctor needs to calculate the ratio of the necessary hormones so that there are enough of them for the ovaries to perform their main functions.

Prescribing hormonal oral contraceptives (Yarina, Diana-35, Chloe) allows you to normalize the cyclicity of menstruation. Androgen antagonist drugs reduce the phenomena of hirsutism caused by their increased level in the patient’s blood. Treatment is also aimed at normalizing blood sugar levels, so some patients are recommended to use Metformin. Conservative therapy is not limited to taking medications containing synthetic analogues of hormones, but also includes physiotherapeutic methods aimed at stimulating blood supply to the pelvic organs, taking immunostimulants, and diet therapy.

OCs for polycystic disease are quite effective and help solve the main problem - to create conditions under which the ovaries will function normally, and the process of normal maturation of the follicle and release of the egg will become possible. On the day the egg leaves the follicle, it is possible to conceive a child. The attending physician may suggest that the patient stimulate the ovulatory process.

Stimulation of ovulation

Schemes for stimulating ovulation have different options for combinations of special hormonal drugs: Clostibelgite, Clomid, Duphaston, depending on the patient’s tests for hormone levels.

The quality of the partner’s sperm is preliminarily assessed using a spermogram and the woman’s level of fallopian tube patency based on the results of hysterosalpingography. If everything is normal, there is no inflammation in the pelvic organs, proceed to the procedure itself.

Treating gynecologist:

Prescribes the use of a selected drug on certain days (Clostibelgit from 5 to 9, Menogon from 2 to 10) and conducts repeated ultrasound monitoring, which begins a few days after the start of the procedure and continues after 2-3 days .
If it is noted that the follicle size has reached 18-20 mm, proceed to the next stage.
To avoid regressive phenomena and the follicle to release the egg without problems, hCG (chorionic gonadotropin) is injected. Its dose, individually selected by the doctor, allows you to “spur” the ovulation process. It is on the day of the injection and during sexual intercourse that the probability of conception is highest (within 36 hours); over the following days it decreases.
A day later, the woman is recommended to take Utrozhestan or Duphaston in order to normalize the processes taking place in the “corpus luteum”
An ultrasound examination is performed to confirm the implantation of the fertilized egg into the endometrial layer of the uterus.

Positive reviews from patients indicate that if you follow the advice and recommendations of a specialist and the right scheme for stimulating ovulation, you can become pregnant with polycystic ovary syndrome. It is possible to conceive a child even with such a diagnosis.

In a situation where the course of the disease is not complicated by serious changes, but only disturbances in the schedule of menstrual cycles are observed, many experts prescribe Duphaston for polycystic ovary syndrome. This drug successfully copes with the regulation of the monthly cycle, which is disrupted in this pathology. Sometimes a course of Duphaston is enough to restore the cycle, debug the ovulation mechanism and make conception real.

Conservative treatment can take up to 6 months, after which the drugs are discontinued and the restored hormonal levels allow the woman to become pregnant on her own.

Surgical treatment methods

A woman's desire to have a child is sacred. One can understand her disappointment when long-term treatment for polycystic ovary syndrome was not effective, and she still wonders “is it possible to get pregnant” with such a pathology? In some women, it is possible that the stimulation of ovulation failed to achieve the desired result; the follicles do not grow to the required size even with an increase in dosage or a change in the group of hormonal agents.

If a woman fails to get pregnant within 12 months, there is no point in using medications anymore, but needs to move on to more radical methods.

Laparoscopic ovarian surgery can achieve what medications cannot do. Correction of altered ovarian tissue, the thickened surface layer of which interferes with the normal development of follicles and the ripening of eggs in polycystic disease, is carried out using the following manipulations:

Wedge resection. Allows you to excise the ovarian tissue affected by cysts with a scalpel and leave part of the healthy tissue, which will facilitate the release of the egg.
Decortication is the procedure for removing the dense layer. Using a needle-shaped electrode, a portion of the tissue is cut off, which makes it softer and allows the follicles to mature and release the egg.
Cauterization of the ovaries done with the aim of excision of the affected layers and the formation of new, healthy tissue in the incisions.

As a result of such manipulations, a woman is able to quickly recover and become pregnant within a short time. According to statistics, more than 90% of pregnancies occur within a year after laparoscopy.

Polycystic disease and threat of miscarriage

Separately, a few words need to be said about the threat of miscarriage during pregnancy in the case of diagnosed polycystic ovary syndrome.

A woman should know that in such a situation the risk of miscarriage or missed abortion increases. This is due to severe hormonal imbalances.

Therefore, pregnant patients with a similar diagnosis are recommended to be regularly monitored by their gynecologist and continue monitoring for some time after childbirth.

Polycystic ovary syndrome is one of the most common diseases of the reproductive system in women. It greatly influences the process of conceiving and bearing a child. Until now, doctors have not been able to figure out which factors are the prerequisites for the development of this pathology.

Article outline

The likelihood of pregnancy with polycystic ovary syndrome

Women should take a responsible approach to issues related to pregnancy planning. Before conceiving a child, they need to undergo a full examination by a gynecologist who can assess the patient’s health. This way she will be able to protect herself and the unborn baby from troubles that cause complications during pregnancy.

It is most difficult to get pregnant with polycystic disease. Almost 85% of women who have been diagnosed with this condition are infertile. However, there is a possibility of conception even with this disease. But this is very rare. In addition, you need to understand that under such circumstances it is extremely difficult to bear a child. Therefore, even if pregnancy does occur, the chance that the woman will carry and give birth to a baby is very small.

With polycystic ovary syndrome, hormonal dysfunction is observed, which causes anovulation and the impossibility of pregnancy.

Why can't you get pregnant with polycystic disease?

Many patients at an appointment with a gynecologist want to hear the answer to the question of whether it is possible to become pregnant with such a diagnosis. As mentioned earlier, such a possibility exists.

However, it is necessary to remember that a woman will be able to avoid infertility only if she begins timely treatment of the disease. Modern therapeutic methods can eliminate most complications, thereby providing patients with the opportunity to one day give birth to their own baby.

Doctors identify a number of reasons that may prevent women with polycystic ovary syndrome from becoming pregnant. Among them:

Such pathologies significantly complicate the process of conception or even make it impossible. Therefore, in order to become pregnant, a woman must first get rid of her illness and normalize the functioning of the reproductive system with the help of special treatment.

Complications of pregnancy due to polycystic disease

If a woman who has polycystic disease manages to conceive a child, she should be prepared for serious complications. Under such circumstances, pregnancy may result in the following problems.

Miscarriage.
The onset of premature birth.
Stopping fetal development.

A pregnant woman may experience increased blood pressure, unnatural weight gain, and the development of diabetes.

To avoid such health problems and not risk your unborn child, you need to thoroughly prepare for pregnancy and bearing a baby.

How to increase your chances of getting pregnant with polycystic disease

Only comprehensive treatment will help avoid infertility with polycystic ovary syndrome. It includes:

The most effective method of treating polycystic disease is. The operation is performed under general anesthesia. Its main advantage is the absence of contraindications.

During the procedure, minimal damage is caused to the genitals, thanks to which in the future a woman cured of polycystic ovary syndrome will be able to become pregnant and bear a child without any problems.

Possibility of getting pregnant after laparoscopy

For polycystic ovary syndrome, it is often prescribed. After a successful operation and complete recovery, the chance of pregnancy increases several times. This is because this type of surgical intervention allows you to temporarily restore the functioning of the reproductive system.

Every patient who agrees to surgery can count on recovery from polycystic disease and pregnancy. As a rule, laparoscopy is prescribed to women who meet the following criteria:

Over 30 years old.
Hormone therapy was not successful in her case.
There are serious irregularities in the menstrual cycle.

A woman who has undergone laparoscopy can become pregnant due to the fact that during the procedure the surgeon does not injure the internal organs of the reproductive system.

During laparoscopy, the doctor excises the lining of the ovary. Due to this, the egg manages to leave the follicle and move to the uterus. This operation helps her become mature enough to undergo fertilization with sperm. After the procedure, pregnancy proceeds without serious complications.

The woman will have only six months to get pregnant. It is during this period that the effect of laparoscopy lasts. During this time, ovarian function will gradually decline again. But the adhesive process will begin to progress.

Experts confirm that with polycystic disease and after its treatment, any woman can conceive a child. In order for the pregnancy to proceed normally, she should take care of her own health and, at the slightest ailment, immediately seek help from a doctor.

It is widely accepted that pregnancy and polycystic ovary syndrome are incompatible concepts. Patients, having heard this diagnosis, give up and lose hope. Statistics show that, indeed, every fifth woman who consults a gynecologist about unsuccessful pregnancy planning is diagnosed with polycystic ovary syndrome (PCOS).

Despite the seriousness of the pathology, the possibility of conception cannot be completely excluded. If fertilization has taken place, then throughout the entire period of gestation you must be attentive to your health and continue treatment, taking medications as prescribed by your doctor.

The abbreviation PCOS stands for polycystic ovary syndrome. Previously, this condition was identified as an individual disease. Numerous studies have established that the syndrome is just a manifestation of certain pathological processes in the body. When they are diagnosed and eliminated, there is a high percentage of probability that the sex glands will function normally.

Polycystic ovaries are often found in women who are unsuccessfully planning to conceive. Patients cannot become pregnant for a long time and for this reason they turn to a gynecologist. The first ultrasound shows the problem, and additional blood tests confirm it.

Polycystic ovary syndrome or Stein-Leventhal syndrome is the process of formation of numerous small cysts in the ovary. Keep in mind that polycystic are not the same thing at all (follow the link for an article about the differences). Simultaneously with the dysfunction of the gonads, pathological changes occur in the functioning of the thyroid gland, hypothalamus, adrenal glands, pancreas and pituitary gland. Together, these processes form PCOS.

At the planning stage, a woman may find out that she has scleropolycystic disease. This condition is characterized by symmetrical enlargement of the ovaries and changes in them like polycystic disease. If this condition is detected, the patient must be examined to determine the associated pathological factors. After receiving the diagnostic results, the specialist will prescribe treatment. Self-correction of PCOS and treatment at home is unacceptable.

Symptoms and diagnosis

A gynecologist can suspect PCOS already at the stage of an oral interview and manual examination. The main signs of a pathological process that worry a woman are:

The presence of several external symptoms of PCOS in 50% of cases confirms this diagnosis upon further examination. Diagnostics includes several criteria that allow not only to confirm the problem, but also to establish the provoking cause:

gynecological examination (the development of the external genitalia and the correspondence of the size of the uterus to the ovaries is assessed);
ultrasound examination (the size of the gonads and their location are determined, numerous follicular inclusions and a dense capsule can be seen);
a blood test that determines hormone levels (LH, ratio of LH and FSH, testosterone);
identification of metabolic disorders (lipoprotein fractions of different densities are studied);
glucose test and detection of insulin resistance.

The diagnosis of polycystic ovary syndrome can be made if the patient has a number of clinical symptoms, ultrasound shows an enlargement of the ovaries by 1.5-3 times and a hyperplastic endometrium, and the ratio of LH and FSH is greater than normal.

Is it possible to get pregnant with PCOS?

Medical practice shows that the chances of getting pregnant with polycystic ovary syndrome tend to zero. The main barrier to conception becomes. With PCOS, many follicles grow in a woman's ovaries. Sometimes their quantitative value approaches 50. In a healthy body, no more than 10 such potential storers of eggs are found. If normally in a woman by the middle of the cycle one of the follicles dominates, then in a patient with PCOS all components of the cluster remain unchanged. The current situation leads to the fact that ovulation does not occur, and this is the root cause of infertility.

It is believed that it is impossible to get pregnant with polycystic ovary syndrome even if an egg is accidentally released. In this case, the obstructive cause will be the condition of the endometrium and pathologically altered hormonal levels. It turns out that fertilization occurs, but the embryo simply cannot attach to the cavity of the reproductive organ. Infertility and polycystic ovary syndrome are diagnoses that go hand in hand.

Numerous practical cases show that a woman still has the opportunity to become pregnant with polycystic ovary syndrome. Of course, the chances will increase if you undergo treatment. However, it is impossible to completely exclude possible conception in a woman with the presence of reproductive organs during the fertile period. Despite the low percentage, there is still a chance that you can get pregnant on your own.

PCOS and pregnancy

Due to the fact that polycystic ovary syndrome and pregnancy are not mutually exclusive concepts, patients with this pathology need to be especially attentive to their well-being. Due to constant irregularities in the menstrual cycle, a woman may simply not notice the new situation, but it is in the early stages that it is important to organize measures aimed at maintaining pregnancy. If a potential expectant mother is sexually active and does not use protection, then when another delay in menstruation occurs, a test should be done.

This is what a polycystic ovary looks like on an ultrasound.

For those patients who become pregnant on their own, gynecologists prescribe examinations that show the need to use maintenance medications. Polycystic ovary syndrome is a dangerous disease for a new condition. Hormonal imbalances and disruption of the sex glands in a woman provoke the threat of termination of pregnancy. This condition is determined by the detachment of the fertilized egg from the wall of the uterus and the formation of a hematoma between them. At the same time, a blood test shows an insufficient amount of progesterone. The condition is dangerous, but timely medication correction can eliminate it.

The second danger that polycystic disease poses during pregnancy is gestosis. During long periods of pregnancy, the expectant mother may suffer from high blood pressure, which is manifested by swelling of tissues and internal organs, as well as headaches. A dangerous consequence of gestosis is premature placental abruption, which threatens not only the child, but also the expectant mother. Premature birth, gestational diabetes, obesity and the inability to give birth naturally - these are the dangers for expectant mothers diagnosed with PCOS.

If pregnancy occurs with polycystic ovary syndrome, then this can be considered a great success. A woman should contact a gynecologist as soon as possible and receive individual recommendations.

Treatment of polycystic disease

Gynecologists unanimously insist that the patient needs to cure polycystic ovary syndrome in order to become pregnant. Medicine does not have any unique medicine that solves this problem. Due to the fact that polycystic disease is a complex of various pathological processes, it is necessary to use several methods at once.

Initially, doctors try to eliminate polycystic ovary syndrome when planning pregnancy with medications and lifestyle adjustments. If the problem cannot be solved, then surgical methods are used. Patients often use alternative medicine at home. However, great care should be taken not to aggravate your condition by taking herbal medicines.

Diet and lifestyle

It is imperative for a patient with PCOS to achieve the desired goal. You need to completely remove sugar, baked goods, alcohol, spicy foods and spices from your diet, and also consume less salt. It is necessary to increase the number of small meals - up to 6 times a day. It is assumed that you will maintain an active lifestyle and adhere to the regime at the same time.

Conservative treatment

For patients with polycystic ovary syndrome, drug therapy is prescribed in the form of hormonal effects. Therapy often comes down to a course of oral contraceptives, which shows good results and restoration of ovulation in the first few months after discontinuation.

Metformin helps women cope with high blood sugar levels. The complex of vitamins and nutrients normalizes the functioning of organs and launches natural metabolic processes. It is believed that after treatment the chances of pregnancy increase several times.

Stimulation of ovulation in PCOS requires mandatory monitoring of the functioning of the ovaries through ultrasound monitoring. With the beginning of a new cycle, the woman is prescribed drugs that promote the growth of the dominant follicle. Sometimes (but not always) effective. Its use lasts until approximately the middle of the cycle.

To quickly become pregnant with polycystic ovary syndrome, it is necessary to perform constant ultrasound monitoring. As soon as the dominant follicle reaches the desired size, the woman is given drugs that provoke the release of the egg (for example,).

Planning pregnancy with sexual intercourse is carried out over the next 1-2 days. You can become pregnant with polycystic ovary syndrome only if you receive maintenance therapy with progesterone-based drugs. For this purpose, medications such as Duphaston and Utrozhestan are prescribed immediately after ovulation. Clostilbegit is not used for polycystic ovary syndrome in the second half of the cycle. A more precise treatment regimen is prescribed by the gynecologist individually for each patient. How to get pregnant with polycystic disease using stimulants is described on many resources and online forums. However, the pathology is serious enough to warrant following these tips. Polycystic ovary syndrome should be treated only with drugs prescribed by the doctor.

Surgery

Laparoscopy for polycystic disease has helped many patients become pregnant. During surgery, numerous cysts are removed by making incisions. Pregnancy after ovarian resection for polycystic disease can be planned for the next cycle.

In medical practice, there are cases when laparoscopy helped already in the first month, but the patient did not wait for the start of menstruation due to conception. The chances of pregnancy after ovarian laparoscopy increase significantly and remain high for 6-12 months, after which the pathology may return.

Alternative medicine

Folk remedies are also used in the treatment of polycystic disease. The use of a complex of herbs is very popular: sage, hogweed and red brush. Natural medicines normalize the cycle, restoring regular menstrual function and increasing the likelihood of conception. Before using traditional medicine, you should consult your doctor.

Is it possible to get pregnant after polycystic ovary syndrome?

It is possible to become pregnant after polycystic ovary syndrome, especially if complex treatment of the pathology has been undertaken: the use of hormonal correction and laparoscopy. During the gestational period in patients with PCOS, special monitoring is carried out. Almost all expectant mothers who become pregnant after treatment for polycystic ovary syndrome require hormonal support. It involves the use of progesterone-based drugs.

Women with excess body weight are recommended to diet and maintain a drinking regime. Patients cured of polycystic disease have a high chance of becoming pregnant in the first year. Subsequent long-term breastfeeding consolidates the favorable state of the ovaries, since during lactation they do not perform their function.

If a woman manages to get pregnant immediately after treatment for PCOS, this is considered a great success. The absence of a positive result within 6-12 months is a reason to use assisted reproductive technologies.

Eco

IVF for PCOS is carried out only if there is a high chance of a positive result. Before the procedure, the patient takes a blood test called anti-Mullerian hormone. Diagnostics shows quantitative indicators of ovarian reserve. If the ovaries have a large supply of follicles, which is not always the case with polycystic disease, then the likelihood of successful IVF increases.

When the ovarian reserve decreases to certain values, budget programs for assisted reproductive technologies are not carried out. In such cases, the woman is offered a donor egg, the use of which greatly increases the percentage of a good outcome. The final decision always remains with the woman. Often, such patients need time to think, but it should be taken into account that missed deadlines threaten a relapse of the pathology.

Complications may arise during the IVF process for polycystic ovary syndrome. The first thing that reproductive specialists fear is hyperstimulation syndrome. This condition is characterized by the active growth of a large number of follicles. There are known cases when 20 cells suitable for conception grew in one woman’s ovary. OHSS is considered a dangerous condition; it significantly worsens a woman’s well-being.

Symptoms characteristic of hyperstimulation during in vitro fertilization: abdominal pain, impaired excretory function, swelling, fever. OHSS and subsequent pregnancy in the same cycle can complicate the patient's condition. For this reason, in vitro fertilization is extended over several cycles. The transfer of eggs is delayed for 2-3 months, and during this time the female body recovers on its own or with the use of medications.

If a woman has polycystic ovary syndrome, and it is decided to carry out IVF in this condition, then mild stimulation should be carried out. After tests and hormonal studies, the reproductologist selects medications that minimize the likelihood of hyperstimulation. During the entire period of follicle growth, the woman is under medical supervision, which allows, if necessary, to correct the problem in time.

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.

The choice of drug is made by the attending physician in each specific case. Do not self-medicate.

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:

1 step

Clomiphene (Clostilbegit, Clomid, etc.)

Drink from days 5 to 9 of the menstrual cycle.

Step 2

Ultrasound of the ovaries and uterus to monitor the growth of the follicle and endometrium from the 11th-12th day of the menstrual cycle. When the follicle reaches the desired size (more than 18 mm), proceed to the next stage. Usually this is day 15-16 of the cycle.

Step 3

Human chorionic gonadotropin

An injection given intramuscularly to rupture the follicle and release the egg. Ovulation occurs 24-36 hours after the injection.

Step 4

Sexual intercourse on the day of the hCG injection and the next day.

Step 5

From the 16th day of the cycle, take Progesterone (Duphaston, Utrozhestan, etc.) to maintain the corpus luteum (which helps maintain pregnancy). Usually within 10-12-14 days. On days 17-18, repeat ultrasound to find out whether ovulation has occurred.

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.

In modern medicine, a diagnosis such as polycystic ovary syndrome occurs in every fifth patient. This diagnosis always poses a danger for a woman, because not every patient succeeds in becoming pregnant with polycystic ovary syndrome. The causes of this disease are difficult to determine, and there are often no symptoms. Many women with polycystic disease suffer from infertility for years without treatment. Those who manage to get pregnant have to be careful throughout the nine months to maintain their health and prevent the loss of the baby. Therefore, before starting to plan a pregnancy, it is recommended to first undergo treatment. Polycystic disease can be cured using modern medications, which are selected individually by the attending physician.

Pregnancy with polycystic ovary syndrome is possible!

Many women are unable to conceive a baby for a long time for unknown reasons. After a more thorough examination, including folliculometry, several cycles in a row, they learn that they do not become pregnant precisely because of polycystic ovaries. It is not possible to determine this disease on your own, because its symptoms are rarely obvious.

The assumption that a woman with polycystic disease will not be able to get pregnant and give birth is erroneous. Medicine knows a number of cases in which patients with polycystic ovary syndrome successfully become pregnant and bear a healthy child. First of all, doctors draw the attention of women to the fact that polycystic disease in some cases prevents conception, but in no case prevents pregnancy.

If patients have difficulty conceiving, they may be prescribed procedures such as acupuncture or reflexology. For pregnant women who are at risk of miscarriage, doctors prescribe medication.

It is possible to conceive a baby with polycystic ovary syndrome, however, this disease often leads to the fact that a woman does not ovulate. Polycystic disease in most cases is caused by hormonal imbalance. In this case, ovulation either occurs untimely or is completely absent. You can get pregnant with polycystic ovaries only if ovulation is not disrupted. It happens that a woman manages to conceive a baby naturally, even with polycystic disease. However, most often, in order to achieve a long-awaited pregnancy, patients have to undergo a course of medication to eliminate polycystic disease. If the disease cannot be cured conservatively, surgical treatment is prescribed.

Important! Ovaries affected by a large number of cysts have to be treated for a very long time. Many women with this diagnosis develop infertility. According to statistics, pregnancy with polycystic disease occurs very rarely, especially if there is no active therapy and proper treatment. With polycystic ovaries, ovulation simply does not occur, because too many androgens enter the blood, suppressing the development of eggs.

As a result of such hormonal imbalance, chronic anovulation develops, which eventually develops into infertility. Ovulation can only occur on rare occasions, so you can only get pregnant a few times a year.

The most common problems that threaten pregnant women are the risks of miscarriage, fetal failure or premature birth. In addition, expectant mothers may experience health problems: high blood pressure, diabetes, and weight gain. The most important thing is to strictly follow all the doctor’s recommendations and prescriptions, and also remember to take care of yourself during pregnancy.

How to get pregnant with polycystic ovary syndrome?

Polycystic ovary syndrome and pregnancy are not mutually exclusive concepts. Of course, no one forbids planning a child with polycystic ovary syndrome, however, you need to understand that pregnancy without proper treatment and constant monitoring by doctors can have complications. With this diagnosis, you can even lose the fetus in the early stages. Therefore, it is better to first cure polycystic disease, and only then start conceiving a baby. In order for pregnancy to occur with polycystic disease, you will have to monitor for a long time the moment when ovulation occurs. This can take several months or years. Stimulating ovulation will simplify and speed up this process. This treatment is very effective and safe for the body of a woman planning a child.

Important! Women planning a pregnancy should visit a gynecologist regularly. This will allow for timely detection of polycystic ovary syndrome and initiation of therapy. The sooner the disease is detected, the faster it can be eliminated!

When stimulated, medications are prescribed that need to be taken on certain days of the menstrual cycle. This method allows you to reduce the amount of androgens in the blood. As a result, the woman’s follicles begin to mature and eggs begin to be released. Ovulation occurs, thanks to which you can achieve the long-awaited pregnancy. It is worth remembering that hormonal therapy does not always give a positive result. To get pregnant, many women with polycystic ovaries undergo laparoscopy.

Not all patients with polycystic disease need to be treated in order to become pregnant. If a woman has regular menstruation and ovulation, it is quite possible to do without medical intervention. In this case, the likelihood of conceiving a child on your own is very high. Traditionally, doctors give a year for pregnancy to occur. At this time, patients are recommended to measure their basal temperature and enter it into special charts. This will allow you to understand on which days your chances of conceiving are increased. Treatment of such patients begins only when pregnancy has not occurred within a year.

If, with polycystic ovary syndrome, irregular menstrual cycles are observed, then treatment is prescribed almost immediately after diagnosis. In this case, patients have to take hormonal drugs that can quickly eliminate the symptoms of high levels of androgens in the blood. But most often it is possible to achieve pregnancy no earlier than six months to a year after the start of treatment. Often, the treatment regimen for polycystic ovary syndrome includes birth control pills. Many people wonder why take birth control if the end goal is pregnancy. In fact, the method, called the rebound effect in medicine, allows you to regulate the menstrual cycle and return the ovaries with polycystic disease to normal working condition. In this case, ovulation processes are often restored. Most doctors prescribe contraceptive drugs with an anti-androgenic effect for this purpose.

Important! The choice of medications for the treatment of polycystic disease is made exclusively by a doctor. You should not take such drugs on your own!

If, with polycystic ovary syndrome, the egg does not mature or symptoms such as irregular or absent periods are observed, some gynecologists prescribe ovulation stimulation. This course of treatment can only be taken under the supervision of a doctor. Stimulation allows you to normalize hormonal levels, as a result of which a woman becomes pregnant even with polycystic ovary syndrome.

The effect of polycystic disease on pregnancy

Of course, it is possible to conceive a baby with polycystic ovary syndrome, however, this disease can lead to negative consequences. A pregnant woman with this diagnosis feels unwell, may gain weight and develop gestational diabetes. In addition, patients often experience increased blood pressure. Therefore, if you succeed in becoming pregnant with polycystic disease, you will have to constantly be under the close attention of the doctor managing the pregnancy. As a rule, a pregnant woman with this disease has to take medications to maintain a normal condition. With polycystic disease, miscarriage and premature birth are possible. In addition, in most cases, mothers suffering from polycystic ovary syndrome pass this disease on to their daughters. In the early stages of pregnancy, polycystic ovary syndrome can cause bleeding, ending in miscarriage.

On many forums there is an opinion that it is possible to get rid of polycystic disease during pregnancy. In reality, such an assumption is not only erroneous, but also dangerous. This disease requires serious treatment during the planning and pregnancy stages. Only in this case will it be possible to carry and give birth to a healthy baby. Without effective therapy with hormonal drugs or surgical intervention, polycystic ovary syndrome has every chance of reappearing after childbirth. The fact is that hormonal levels, stabilized during pregnancy, are often disrupted again in the postpartum period.

Note: Polycystic ovary syndrome is not a diagnosis that leads to permanent infertility! Modern medicine and comprehensive treatment make it possible to effectively fight the disease and give women a chance to get pregnant safely and carry a child to term.

Another misconception is that polycystic ovary syndrome goes away without treatment after childbirth. Some patients actually note an improvement in their condition and normalization of the menstrual cycle. However, this happens quite rarely. For this reason, you should not count on the fact that if a woman managed to become pregnant, carry and give birth to a child with polycystic disease, the disease will go away on its own without the necessary treatment.