Treat polycystic ovary syndrome when trying to get pregnant

Polycystic ovary syndrome can increase the risk of a miscarriage. Therefore, women who have this problem and want to have children will need safe, effective polycystic ovarian therapy before. 

It is very important to understand the cause and treatment of polycystic ovaries in a timely manner, especially if you are planning to become pregnant in the near future. Let's learn with aFamilyToday Health through this article!

What if you become pregnant with polycystic ovary syndrome?

Polycystic ovary syndrome increases the risk of weight-related pregnancy complications including:

Diabetes  in pregnancy;

High Blood Pressure;

Pre-eclampsia .

If you have polycystic ovaries, your risk of miscarriage is also very high. You need to ensure good health during conception to minimize these risks.

Treat polycystic ovaries when trying to get pregnant

Here are a few ways you should:

Weight loss

Weight loss helps a lot for ovulation. When you lose about 5-7 kg, your period will be more regular.

Use medicine

Your doctor will review and decide which medication is right for you. Such as:

♦ Clomiphene

If you have lost weight but your period is still irregular, then your doctor will prescribe you to use clomiphene - a drug that helps increase fertility. About 80% of women treated with clomiphene begin ovulating within the first 3 months. Among them, up to 30-40% of pregnant women in the third treatment.

However, the success of this approach also depends on how long you are on the medication and other factors, such as whether you are overweight or not. For one third of women with polycystic ovary syndrome, the drug clomiphene is not necessarily a good solution. If your  BMI (body mass index) is greater than 25, clomiphene is less effective.

If you take clomiphene, your doctor will check how your body is responding by giving you an ultrasound. If you ovulate but are still not pregnant after 6 months of treatment with clomiphene, your doctor will try a different treatment.

♦ Letrozole

Many experts recommend that women should use letrozole to stimulate ovulation. A recent study showed that this drug is more effective than clomiphene at regulating ovulation and supporting pregnancy in women with polycystic ovary syndrome.

♦ Metformin

Insulin metformin is also one of the drugs that stimulate ovulation. This drug is more effective if combined with clomiphene or letrozole in the treatment of polycystic ovary syndrome.

♦ Gonadotropins 

If treatment with other drugs has not worked, your doctor will recommend gonadotropin . This is an injectable drug that stimulates ovulation as well as helps eggs develop. Up to about 60% of women with polycystic ovary syndrome become pregnant when treated with this drug.

Surgery

If the treatment with the above drugs does not work the way you want, you can now choose a surgical method called ovarian drilling. Your doctor will perform surgery by opening the abdomen to create small holes in the ovaries. This helps to reduce the levels of male hormones and enhances ovulation.

Unlike oral or injectable drugs, ovarian drills are a one-time treatment. The effects of this method are temporary, but about 50% of women become pregnant within a year of surgery.

In Vitro Fertilisation

If no other treatment is right for you, in vitro fertilization (IVF) is considered the optimal approach at this time. First, the doctor will take the eggs and sperm to form the fertilization process in the laboratory.

They then insert the embryo into the uterus so that it can develop into a fetus. The pregnancy rate also depends on your age and fertility  .

Polycystic ovary treatment options if you don't want to conceive

Birth control pill

Birth control pills contain estrogen and progestin that help correct hormone imbalances, reduce skin diseases, and limit abnormal hair growth. However, progestin will not help with acne problems or hair growth.

Metformin

Metformin is not a hormone, so it does not help control pregnancy but can regulate menstrual cycles in about 30-50% of women with polycystic ovary syndrome. Metformin also lowers insulin levels, reduces your appetite and treats excessive hair growth.

Hopefully, with the above information, you can soon find the right polycystic ovarian treatment for you and have good news soon!