Can You Have a Kid if You Have Polycystic Ovary Syndrome
This commodity is republished from The Conversation under a Artistic Commons license.
Sara Holton, Deakin University and Karin Hammarberg, Monash University
Most women desire and expect to have children. But women who accept a chronic health status such every bit polycystic ovary syndrome (PCOS) often have concerns about childbearing, including whether they can become pregnant.
PCOS is a circuitous hormonal condition which affects upwards to one in five women of reproductive age. Near women with PCOS have elevated levels of a type of hormone chosen luteinising hormone, which brings about ovulation, and reduced levels of a hormone chosen "follicle stimulating hormone", which is essential for pubertal evolution and the office of women'due south ovaries and men'southward testes.
Women with PCOS also take an underproduction of oestrogen ("female person" hormones) and an overproduction of androgens ("male" hormones). This causes tiny cysts on the surface of the ovaries.
Due to these hormonal imbalances, women with PCOS ofttimes have irregular menstrual cycles because they don't ovulate or ovulate only occasionally. So women with PCOS are more likely to have trouble conceiving than other women.
While nearly women who take PCOS become pregnant, they frequently accept longer to fall pregnant and are more probable to demand fertility treatment than women without PCOS.
In a recent study by Monash University, women with PCOS took part in an online discussion group. They talked near their concerns near pregnancy and what they could do to meliorate their chances of falling pregnant, the sort of information they would like nearly fertility and PCOS, and when they would like to receive this information.
Their greatest worry was about whether they would be able to get significant. They also wanted to know how all-time to gear up for pregnancy and what they should do before trying to conceive. They had trouble finding up-to-appointment, relevant and reliable information.
Read more than: Explainer: what is polycystic ovary syndrome?
How to increase run a risk of pregnancy
As for all women, being in the best possible health before trying for a infant increases the chance of pregnancy and gives the babe the best start in life.
Co-ordinate to the international evidence-based guideline for the assessment and management of PCOS, adopting a healthy lifestyle – including being in the salubrious weight range, not smoking, cut back on booze, eating a healthy diet, getting plenty of regular practise and enough sleep – is the first thing to practice to improve a adult female'south chances of condign significant and having a salubrious infant.
To become the correct kind of advice and support, women planning to become significant should have a preconception health check with their GP. This is as well an opportunity to discuss a plan of action in case the PCOS causes fertility difficulties.
For women with PCOS who are overweight or obese, a modest weight loss sometimes results in more regular ovulation, which increases the run a risk of pregnancy. For those who know they ovulate, having sex during the "fertile window" (the five days leading up to and including ovulation) boosts the hazard of conception.
Overall, women with and without PCOS have a like number of children. john looy unsplash
Read more: Women's fertility: does 'egg timer' testing piece of work, and what are the other options?
What are my options?
If you take tried for a baby for 12 months without success (or six months if you are aged 35 or over) it's time to seek medical advice. Your GP is your outset port of phone call, but she might refer y'all to a fertility specialist.
If you accept very irregular or only sporadic periods, this is an indication yous are not ovulating and need medical aid to have a baby. The offset line of medical handling is ovulation induction. This involves a class of tablets or injections to stimulate the ovaries to release an egg that can be fertilised, either during intercourse or through intra-uterine insemination (IUI).
If this doesn't work, there may be other reasons why pregnancy tin can't be achieved and more invasive treatments such every bit IVF may be needed.
IVF involves a class of injections to stimulate the ovaries to produce multiple eggs. When they're mature the eggs are retrieved in an ultrasound-guided procedure nether light anaesthetic. Sperm are added to the eggs in the laboratory for embryos to form.
A few days later, an embryo is placed in the uterus where it may implant and abound into a baby. If there is more than 1 embryo, these tin be frozen for later use if there is no pregnancy.
While IVF is safe in the hands of specialists, in that location are some possible wellness effects to exist aware of, including ovarian hyperstimulation syndrome. This is an over-response to the fertility drugs that are used to stimulate the ovaries to produce multiple eggs. This tin can lead to abdominal hurting, nausea and vomiting, rapid weight gain and blood clots.
Read more: Better health and diet well before formulation results in healthier pregnancies
For more than information
The Your Fertility website has more information on PCOS and fertility. The Centre for Research Excellence in Polycystic Ovary Syndrome has also produced a list of questions for women with PCOS to use in conversations with their healthcare provider and a fact sheet about PCOS, fertility and pregnancy.
While fertility issues are common among women with PCOS, it's reassuring that, overall, women with PCOS and women without PCOS have similar numbers of children. And, although PCOS is associated with fertility difficulties, women with PCOS should also exist aware conception is possible and effective contraception is needed to avoid pregnancy when it'southward non wanted.
This article was co-authored by Louise Johnson, CEO of the Victorian Assisted Reproductive Treatment Authority (VARTA). Louise has no conflicts of interest to note.
Sara Holton, Inquiry Swain, Deakin University and Karin Hammarberg, Senior Research Fellow, Jean Hailes Research Unit of measurement, School of Public Health & Preventive Medicine, Monash University
This commodity is republished from The Conversation under a Creative Commons license. Read the original article.
PCOS Fertility Pregnancy
Source: https://www.yourfertility.org.au/i-have-pcos-and-i-want-have-baby-what-do-i-need-know
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