The most real way to get pregnant with polycystic ovaries. Polycystic ovaries: is it possible to get pregnant

Problems with the onset of pregnancy can occur in women of reproductive age due to various reasons, and the pathology of polycystic ovaries is one of them. After hearing 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 ovaries 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 do not suspect for some time what exactly could be the cause of their unsuccessful attempts to get pregnant.

When the diagnosis is confirmed, this means that a woman can plan a pregnancy with polycystic ovaries, but efforts will be required to overcome all the existing deviations in the female sphere associated with hormonal dysfunction. Violations in the coordinated interaction of the organs of the endocrine system: adrenal glands, thyroid gland, pituitary gland and hypothalamus, lead to a structural change in the 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 cell ready for fertilization should mature. As a result, a woman's menstrual cycle and ovulation process are disturbed, which leads to infertility.

Pathology is found both in nulliparous women and after childbirth. Many people are so scared of the diagnosis that they don’t even think about pregnancy, but start to be afraid of sexual relations. Is it possible to have sex with polycystosis - the question is not an idle one. 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 contacting experienced specialists.

However, polycystic ovary syndrome is not a sentence at all, the pathology is treated. Can you get pregnant with polycystic ovaries? Specialists give such a chance to all women who want to get pregnant. But for this you need to undergo a certain course of treatment.

What kind of treatment is suitable for the patient, the doctors determine, based on the degree of development of pathological changes in the ovaries, the production of the necessary hormones and other related factors. A woman needs to undergo a comprehensive examination so that the doctor can determine the scheme of therapeutic measures.

Treatment Methods

The question of how to get pregnant with polycystic ovaries remains relevant for all young women. Patients diagnosed with polycystic ovaries 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 an example the stories of those patients who became pregnant with polycystic disease.

Methods of conservative therapy allow thus to adjust the regularity of the menstrual cycle, to stimulate ovulation, that the possibility of pregnancy increases 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 has not occurred, you should not despair. Polycystic and pregnancy are not so incompatible.

Surgical methods of treating pathology can help restore the functional activity of the ovaries, when, as a result of surgery, conditions are created for the normal maturation of the egg, which means that the likelihood of becoming pregnant will increase. It is quite possible to get pregnant with polycystic ovaries if you take a responsible approach to therapeutic measures.

Conservative (drug) method of treating pathology

A conservative treatment method involves a step-by-step approach with which you can:

Adjust the normal cyclicity of the menstrual cycle;
Normalize the production of a sufficient amount 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 the results of tests for hormone production indicators obtained during diagnostic measures. The doctor needs to calculate such a ratio of the necessary hormones so that they are enough for the ovaries to perform their main functions.

The appointment of hormonal oral contraceptives (Yarina, Diane-35, Chloe) allows you to normalize the cyclical nature of menstruation. Androgen antagonist drugs reduce the effects of hirsutism due to their increased level in the patient's blood. Treatment is also aimed at normalizing blood sugar levels, so Metformin is recommended for some patients. Conservative therapy is not limited to taking drugs containing synthetic analogues of hormones, but also includes physiotherapeutic methods aimed at stimulating the blood supply to the pelvic organs, taking immunostimulants, and diet therapy.

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

Stimulation of ovulation

Ovulation stimulation schemes have different options for combinations of special hormonal drugs: Clostibelgit, Clomid, Duphaston, depending on the patient's tests for hormone levels.

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

Treating gynecologist:

Prescribes the intake of the selected drug on certain days (Klostibelgit from the 5th to the 9th, Menogon from the 2nd to the 10th) and conducts repeated ultrasound control, which begins a few days after the start of the procedure and continues after 2-3 days .
If it is noted that the size of the follicle has reached up to 18-20 mm, proceed to the next stage.
So that there are no regressive phenomena, and the follicle releases an egg without problems, hCG (chorionic gonadotropin) is injected. Its dose individually selected by the doctor allows you to "spur" the process of ovulation. 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, a woman is recommended to take Utrozhestan or Duphaston in order to normalize the processes taking place in the "yellow body"
An ultrasound examination is carried out to confirm the implantation of the fetal egg in the endometrial layer of the uterus.

Positive feedback from patients suggests that, if you follow the advice and recommendations of a specialist and correctly selected ovulation stimulation scheme, you can become pregnant with polycystic ovaries. 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 violations of the menstrual cycle schedule are observed, many experts prescribe Duphaston for polycystic ovaries. This drug successfully copes with the regulation of the monthly cycle, which is disturbed in this pathology. Sometimes a course of Duphaston is enough to restore the cycle, debug the ovulation mechanism and make conception real.

Conservative can take up to 6 months, after which the drugs are canceled and the restored hormonal background allows 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 ovaries was not effective, and she still wonders “is it possible to get pregnant” with such a pathology? In some women, it is possible that during the stimulation of ovulation it was not possible 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 has not been able to get pregnant for 12 months, then there is no point in using medications, but you need to move on to more radical methods.

Laparoscopic ovarian surgery allows you to achieve what drugs have failed to do. Correction of the altered ovarian tissue, the thickened surface layer of which prevents the normal development of follicles and the maturation of eggs in polycystic disease, is carried out using the following manipulations:

wedge resection. Allows you to excise with a scalpel the tissues of the ovary affected by cysts and leave part of the healthy tissue, which will facilitate the release of the egg.
Decortication is the process of removing a dense layer. A piece of tissue is cut off with a needle-shaped electrode, which makes it softer and allows the follicles to mature and release the egg.
Cauterization of the ovaries are done with the aim of excising the affected layers and forming new, healthy tissue in the incisions.

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

Polycystic and threatened miscarriage

Separately, a few words must be said about the threat of miscarriage during pregnancy in the case of diagnosed polycystic ovaries.

A woman should be aware that in such a situation, the risk of miscarriage or missed pregnancy is increased. This is due to severe hormonal imbalances.

Therefore, pregnant patients with a similar diagnosis are advised to regularly see their gynecologist and continue monitoring for some time after childbirth.

Polycystic ovaries are among the most common diseases of the reproductive system in women. It greatly affects the process of conception and childbearing. Until now, doctors have not been able to find out which factors are the prerequisites for the development of this pathology.

Article plan

The likelihood of pregnancy with polycystic ovaries

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

The hardest thing to get pregnant with polycystic. Almost 85% of women who have been diagnosed with this are infertile. However, there is a possibility of conception even with such a disease. But this is a rarity. 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 a woman will carry and give birth to a baby is very small.

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

Why you can't get pregnant with PCOS

Many patients at a gynecologist's appointment 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 must be remembered that a woman will be able to avoid infertility only if she begins timely treatment of the disease. Modern therapeutic methods can eliminate most of the complications, thereby enabling patients to one day give birth to their own baby.

Doctors identify a number of reasons that can prevent women with polycystic ovaries from getting pregnant. Among them:

Such pathologies significantly complicate the process of conception or even make it impossible. Therefore, in order to become pregnant, a woman should 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

If a woman who has polycystic disease still manages to conceive a child, she should be prepared for the appearance of serious complications. Under such circumstances, pregnancy can end with the following problems.

Miscarriage.
The onset of premature birth.
Stopping the development of the fetus.

A pregnant woman may experience an increase in 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 the chances of getting pregnant with PCOS

Only complex treatment will help to avoid infertility in polycystic ovaries. It includes:

The most effective treatment for polycystic is. The operation is performed under general anesthesia. Its main advantage is the absence of contraindications.

During the procedure, minimal harm is done to the genitals, so that in the future a woman who has recovered from polycystic ovaries will be able to become pregnant and bear a child without problems.

Possibility of getting pregnant after laparoscopy

With polycystic ovaries, 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.

Each patient who agreed to the operation can count on recovery after polycystic disease and the onset of pregnancy. As a rule, laparoscopy is prescribed for women who meet the following criteria:

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

A woman who has survived 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 makes an excision of the ovary membrane. Due to this, the egg manages to leave the follicle and move to the uterus. Such an operation helps her to become mature enough to carry out fertilization with sperm. After the procedure, pregnancy proceeds without serious complications.

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

Experts confirm that with polycystic 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 indisposition, immediately seek help from a doctor.

It is widely accepted that pregnancy and polycystic ovaries are not compatible with each other. 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 has polycystic ovary syndrome (PCOS).

Despite the severity of the pathology, the probability 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 a doctor.

The abbreviation PCOS stands for polycystic ovary syndrome. Previously, this condition was distinguished by 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 gonads will work normally.

Polycystic ovaries are often found in women who plan to conceive to no avail. Patients cannot become pregnant for a long time and for this reason they turn to a gynecologist. The first ultrasound shows a problem, and additional blood tests confirm it.

Polycystic ovaries or Stein-Leventhal syndrome is the process of formation of numerous small cysts in the ovary. Keep in mind that polycystic is not the same thing at all (link is an article about the differences). Simultaneously with the violation of the function of the sex glands, pathological changes occur in the work 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 scleropolycystosis. This condition is characterized by a symmetrical increase in the ovaries and changes in them according to the type of polycystic. When this condition is detected, the patient must be examined to find out the accompanying pathological factors. After receiving the results of the diagnosis, 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 oral questioning and manual examination. The main signs of the pathological process that disturb a woman are:

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

gynecological examination (the development of the external genital organs is assessed and the size of the uterus corresponds to the ovaries);
ultrasound examination (the size of the gonads, their location are determined, numerous follicular inclusions and a dense capsule can be seen);
a blood test that determines the level of hormones (LH, the ratio of LH and FSH, testosterone);
detection of metabolic disorders (the fractions of lipoproteins of various densities are examined);
glucose test and detection of insulin resistance.

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

Can you get pregnant with PCOS

Medical practice shows that the chances of getting pregnant with polycystic ovaries tend to zero. It becomes the main obstacle to conception. In PCOS, a woman's ovaries grow many follicles. Sometimes their quantitative value approaches the number 50. In a healthy body, there are no more than 10 such potential egg custodians. If normally in a woman by the middle of the cycle one of the follicles dominates, then in a patient with PCOS all the components of the bunch 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 getting pregnant with polycystic ovaries will not work even if the egg is accidentally released. In this case, the condition of the endometrium and the pathologically altered hormonal background will be an obstacle. It turns out that fertilization occurs, but the embryo simply cannot attach itself to the cavity of the reproductive organ. Infertility and polycystic ovaries are diagnoses that go hand in hand.

Numerous practical cases show that the possibility of becoming pregnant with polycystic ovaries in a woman still remains. Of course, the chances will increase if you undergo treatment. However, it is impossible to completely exclude the possibility of conception in a woman with the presence of reproductive organs in 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 ovaries and pregnancy are not mutually exclusive concepts, patients with this pathology should be especially attentive to their well-being. Due to the constant violations of the menstrual cycle, a woman simply may not notice the new situation, and 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 is not protected, then when another delay in menstruation occurs, a test should be done.

This is what a polycystic ovary looks like on ultrasound.

For those patients who become pregnant on their own, gynecologists prescribe examinations that show the need for the use of maintenance drugs. Polycystic ovary syndrome is a dangerous disease for a new condition. Hormonal imbalance 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 fetal 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 medical correction can eliminate it.

The second danger that polycystic disease threatens during pregnancy is preeclampsia. At long stages of pregnancy, the expectant mother can be tormented by high blood pressure, which is manifested by swelling of tissues and internal organs, as well as headaches. A dangerous consequence of preeclampsia is premature detachment of the placenta, which threatens not only the child, but also the expectant mother. Premature birth, gestational diabetes, obesity and the inability to give birth naturally are what are dangerous for expectant mothers diagnosed with PCOS.

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

Treatment of polycystic

Gynecologists unanimously say that the patient needs to be cured of polycystic ovaries in order to become pregnant. Medicine does not have any unique drug 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 a 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 must be taken not to aggravate the condition by taking herbal medicines.

Diet and lifestyle

It is imperative for a patient with PCOS to achieve the desired goal. From the diet you need to completely eliminate sugar, pastries, alcohol, spicy foods and spices, and also consume less salt. It is necessary to increase the number of small meals - up to 6 times a day. Simultaneous maintenance of an active lifestyle and adherence to the regime are assumed.

Conservative treatment

For patients with polycystic ovaries, 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 the restoration of ovulation in the first few months after cancellation.

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

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

To quickly become pregnant with polycystic ovaries, 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 for pregnancy with sexual contact is carried out over the next 1-2 days. Getting pregnant with polycystic ovaries is possible only if maintenance therapy with progesterone-based drugs is carried out. For this, medications such as Duphaston and Utrozhestan are prescribed immediately after ovulation. Clostilbegit with polycystic ovaries in the second half of the cycle is not used. A more accurate treatment regimen is prescribed by the gynecologist individually for each patient. How to get pregnant with polycystosis with the help of stimulants is described on many resources and Internet forums. However, the pathology is serious enough to follow these tips. Polycystic ovaries should be treated only with drugs prescribed by a doctor.

Surgery

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

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

Alternative medicine

Folk remedies in the treatment of polycystic disease are also used. 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 ovaries

It is possible to get pregnant after polycystic ovaries, especially if complex treatment of the pathology was 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 ovaries require hormonal support. It involves the use of drugs based on progesterone.

Overweight women are recommended diets and drinking regimen. Patients who have recovered from polycystic disease have a high chance of pregnancy in the first year. Subsequent prolonged breastfeeding reinforces the healthy state of the ovaries, since during lactation they do not perform their function.

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

Eco

IVF for PCOS is performed 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 the quantitative indicators of the 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.

With a decrease in the ovarian reserve to certain values, budget programs for assisted reproductive technologies are not carried out. In such cases, a woman is offered a donor egg, the use of which significantly 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 borne in mind that missed deadlines threaten a relapse of the pathology.

Complications can occur during IVF for polycystic ovaries. The first thing reproductologists fear is hyperstimulation syndrome. This condition is characterized by the active growth of a large number of follicles. There are cases when in one ovary of a woman 20 cells suitable for conception grew. 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, edema, fever. OHSS and subsequent pregnancy in the same cycle can complicate the patient's condition. For this reason, in vitro fertilization stretches 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 ovaries, and IVF is decided to be carried out in this condition, then mild stimulation should be carried out. After the tests and studies of the hormonal background, the reproductologist selects drugs that minimize the likelihood of hyperstimulation. During the entire period of follicle growth, the woman is under the supervision of medical doctors, which allows, if necessary, to correct the problem that has begun in time.

Despite the fact that PCOS can be an obstacle to pregnancy, many women manage to successfully conceive and give birth to a healthy baby with PCOS. 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 ovaries and want to get pregnant. What to do?

Not all women with PCOS need treatment to get pregnant. If you have regular periods, then 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 lead and use, which will help you understand on which 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, then the doctor prescribes treatment. It is necessary to prepare for the fact that the long-awaited pregnancy may not occur immediately after the start of 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 ovaries. Of course, while taking these pills, you will not be able to get pregnant, but after the end of 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 to regulate the menstrual cycle, and after the end of the pill, a woman usually ovulates.

Most often, contraceptive pills with an anti-androgenic effect are prescribed for polycystic ovaries:, etc.

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

What is ovulation stimulation?

If you have irregular periods with PCOS and are not ovulating (this can be checked with an ovarian ultrasound or ovulation tests), your gynecologist may recommend ovulation induction.

Ovulation induction is a course of treatment during which you take certain hormones in the form of pills or injections on certain days of your menstrual cycle. Thanks to these hormones, the 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 done 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 you have passable fallopian tubes. Otherwise, all treatment will be in vain.

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

What medications are used to stimulate ovulation?

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

The most common ovulation stimulation scheme is as follows:

1 step

Clomiphene (Klostilbegit, Clomid, etc.)

Drink from the 5th to the 9th day of the menstrual cycle.

2 step

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

3 step

Chorionic gonadotropin

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

4 step

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

5 step

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

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

What if ovulation induction didn't work?

If, as a result of stimulation, the follicles did not reach the desired size and ovulation did not occur, 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 the dose is pointless, since the ovaries are probably resistant (immune) to this drug. But this problem is also solvable. 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 the growth of follicles. This is a menopausal gonadotropin (Menopur, Menogon, Gonal, etc.)

The introduction of the drug begins on the 2nd-3rd day of the menstrual cycle and regularly (every few days) monitor the growth of follicles using ultrasound. When one of the follicles reaches the desired size, ovulation stimulation continues in the usual way, 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 be carried out only 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 in the ovaries, a large number of follicles ripen 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 detect hyperstimulation syndrome in time and prevent serious complications, women undergoing a course of ovulation stimulation should regularly undergo ultrasound examination of the ovaries on the days specified by the gynecologist.

What is Metformin (Siofor)?

Your gynecologist may recommend Metformin (Siofor) as your fertility treatment for PCOS. By itself, Metformin is not a drug for the treatment of infertility, but it has been observed that in women with polycystic ovaries, while taking this medication, menstruation becomes regular, ovulation occurs and pregnancy becomes possible.

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

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

The effect of Metformin on the chance of getting pregnant with PCOS is not yet fully understood, and some doctors recommend taking this drug only if the woman has shown signs of insulin resistance (increased fasting blood glucose). Other doctors prescribe Metformin regardless of blood glucose levels. Time will tell who is right, but in the meantime, more and more data is being published on the effectiveness of Metformin in the treatment of infertility in polycystic ovaries.

There are several studies that have shown the feasibility of taking Metformin not only when planning a pregnancy, but also in the first trimester of a pregnancy that has already begun. It is noted that Metformin reduces the risk of miscarriage in polycystic ovaries. However, the effects of Metformin on the fetus are not yet fully understood, so you should consult with your healthcare provider before you start taking Metformin.

What is laparoscopy for polycystic ovaries?

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 manipulations of the surgeon are carried out through small punctures on the skin of the abdomen with 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 hospitals.

How can laparoscopy for PCOS help me get pregnant?

One of the methods of treating infertility in polycystic ovaries is the procedure of "drilling" the ovaries. Drilling is performed during laparoscopy and is the removal of sections of the thickened ovarian capsule. Thanks to this procedure, 2 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 of the operation, and most have their regular menstrual cycles restored.

Does PCOS increase the risk of miscarriage?

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

It was 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 on the background of polycystic ovaries require more careful monitoring by a doctor.

In modern medicine, such a diagnosis as polycystic ovaries occurs in every fifth patient. This diagnosis is always dangerous for a woman, because not every patient succeeds in getting pregnant with polycystic ovaries. The causes of this disease are difficult to determine, and symptoms are often absent. Many women with PCOS suffer from infertility for years if left untreated. Those who manage to get pregnant have to be attentive all nine months in order to maintain their health and prevent the loss of the baby. Therefore, before you start planning a pregnancy, it is recommended to first undergo treatment. Polycystic disease can be cured using modern drugs, which are selected individually by the attending physician.

Pregnancy with polycystic ovaries - it's possible!

Many women fail to conceive a baby for a long time for no apparent reason. After a more thorough examination with the passage of folliculometry for several cycles in a row, they find out that their pregnancy does not occur precisely because of polycystic ovaries. It is not possible to determine this disease on its own, because its symptoms are rarely obvious.

The assumption that a woman with PCOS 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 the bearing of the fetus.

If women are having 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 ovaries, however, this disease often leads to the fact that a woman does not ovulate. Polycystic disease in most cases is caused by a hormonal imbalance. In this case, ovulation either takes place untimely, or is completely absent. It is possible to get pregnant with polycystic ovaries only if ovulation is not disturbed. It happens that a woman manages to conceive a baby in a natural way, even with polycystic disease. However, most often, in order to achieve a long-awaited pregnancy, patients have to undergo a course of drug elimination of polycystic disease. If it was not possible to cure the disease 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 PCOS is very rare, especially if there is no active therapy and proper treatment. With polycystic ovaries, ovulation simply does not occur, because too many androgens enter the bloodstream, which inhibit the development of eggs.

As a result of such a hormonal imbalance, chronic anovulation develops, which eventually develops into infertility. Ovulation can occur only in rare cases, so you can get pregnant only 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, weight gain. The most important thing is to strictly follow all the recommendations and prescriptions of the doctor, and also do not forget to take care of yourself during pregnancy.

How to get pregnant with polycystic ovaries?

PCOS and pregnancy are not mutually exclusive. Of course, no one forbids planning a child with polycystic ovaries, however, it must be understood that pregnancy without proper treatment and constant supervision of doctors can go with complications. With such a diagnosis, you can even lose the fetus in the early stages. Therefore, it is better to cure polycystic disease first, and only then proceed to conceive a baby. In order for pregnancy to occur with polycystic, you will have to track the moment when ovulation occurs for a long time. This can take several months or years. Simplify and speed up this process will stimulate ovulation. Such treatment is very effective and safe for the body of a woman planning a child.

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

During stimulation, drugs are prescribed that you need to drink on certain days of the menstrual cycle. This method allows you to achieve a decrease in the amount of androgens in the blood. As a result, the woman begins to mature follicles and release eggs. Ovulation occurs, thanks to which you can achieve a long-awaited pregnancy. It is worth remembering that hormonal therapy does not always give a positive result. To become pregnant, many women with polycystic ovaries undergo laparoscopic surgery.

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

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

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

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

The impact of polycystic disease on pregnancy

Of course, it is possible to conceive a baby with polycystic ovaries, however, this disease can lead to negative consequences. A pregnant woman with this diagnosis has poor health, may increase weight and develop gestational diabetes. In addition, patients often have high blood pressure. Therefore, if you succeeded in getting pregnant with polycystic disease, you will have to constantly be under the close attention of the doctor who leads the pregnancy. As a rule, a pregnant woman with this disease has to take medications to maintain a normal condition. With polycystic, miscarriage and premature birth are possible. In addition, in most cases, mothers who suffered from polycystic ovaries pass this disease on to their daughters. In early pregnancy, polycystic ovaries can cause bleeding that ends in miscarriage.

In many forums there is an opinion that it is really possible to get rid of polycystosis during pregnancy. In fact, such an assumption is not only erroneous, but also dangerous. This disease at the stages of planning and pregnancy needs serious treatment. Only in this case will it be possible to endure and give birth to a healthy baby. Without effective hormone therapy or surgery, polycystic ovaries after childbirth has every chance of reappearing. The fact is that the hormonal background, stabilized during the bearing of a child, is often disturbed again in the postpartum period.

Note: Polycystic ovaries is not a diagnosis that leads to final infertility! Modern medicine and comprehensive treatment can effectively fight the disease and give women a chance to safely become pregnant and bear a child.

Another erroneous opinion - polycystic ovaries after childbirth goes away without treatment. Some patients really notice an improvement in their condition and normalization of the menstrual cycle. However, this is quite rare. For this reason, you should not count on the fact that if a woman managed to become pregnant, bear and give birth to a child with polycystic disease, the disease will pass on its own without the necessary treatment.